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Provider Network Operations Specialist at Blue Cross and Blue Shield of Kansas - ApplyBlast

Provider Network Operations Specialist

Blue Cross and Blue Shield of Kansas

3 months ago

3.4 on Glassdoor

Topeka, Kansas

Hybrid

Full Time

Junior

0 applicants

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About this role

This role supports provider network operations for Blue Cross Blue Shield of Kansas by managing end-to-end provider enrollment, maintenance, and data accuracy. The position involves processing applications, verifying licensure and accreditation, coordinating onboarding, and serving as a resource for providers and internal stakeholders on network participation guidelines.

Responsibilities

Manage end-to-end provider enrollment and maintenance processes
Verify licensure, accreditation, and NPI registration for providers
Maintain accurate provider records within network management systems
Conduct eligibility research and validate data against regulatory standards
Coordinate onboarding with provider representatives and track contract participation

Skills

About Blue Cross and Blue Shield of Kansas

bcbsks.com

Headquarters

Topeka, Kansas, United States

Company Size

1001-5000 employees

Founded

1942

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Health insurance and dental plans, related health care benefits for Medicare, individual or group health insurance. Manage your health care choices with BCBSKS.