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Urgent! Provider File Operations Supervisor - Palmetto GBA Job Opening In Columbia – Now Hiring BlueCross BlueShield of South Carolina

Provider File Operations Supervisor Palmetto GBA



Job description

Description


 

What You’ll Do:

  • Oversees credentialing.

  • Manages updates/maintenance of various other provider databases to ensure accurate reimbursement, network assignment, online and printed directories, and information for marketing disruption and member access studies also.

  • Makes recommendations and executes changes to meet work requirements.
  • Develops, implements, and completes all inventory, production, error, and tracking reports.
  • Researches and responds to provider related inquiries from internal and external sources.
  • Participates in system design, fulfillment of contract requirements, and in ongoing system testing.
  • Work environment: Typical office environment.

    Some travel may be required.

  • To Qualify for This Position, You’ll Need:

  • Bachelor's degree in Business Administration, Information Technology, or other job related field OR Four (4) years of job-related work experience.
  • Three (3) years of provider network experience utilizing integrated computer systems.

    (May be concurrent)
  • Excellent verbal and written communication skills.

  • Excellent organizational, customer service, and presentation skills.

  • Excellent analytical or critical thinking skills.

  • Good judgment skills.

  • Proficiency in spelling, grammar, and punctuation.

  • Ability to persuade, negotiate, or influence others.

  • Ability to handle confidential or sensitive information with discretion.

  • Knowledge of provider credentialing process.
  • Microsoft Office.
  • Knowledge of computer systems support
  • We Prefer That You Have:

  • Five (5) years of Provider Network experience utilizing integrated computer systems.
  • Knowledge of mathematical or statistical concepts.

  • Ability to use complex mathematical calculations.
  • What Blue Can Do For You:

    Our comprehensive benefits package includes:

  • 401(k) retirement savings plan with company match
  • Subsidized health plans and free vision coverage
  • Life insurance
  • Paid annual leave — the longer you work here, the more you earn
  • Nine paid holidays
  • On-site cafeterias and fitness centers in major locations
  • Wellness programs and a healthy lifestyle premium discount
  • Tuition assistance
  • Service recognition

  • Required Skill Profession

    Operations Specialties Managers



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      Unlock Your Provider File Potential: Insight & Career Growth Guide


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