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Provider Relations Representative at Health Care Service Corporation - ApplyBlast

Provider Relations Representative

Health Care Service Corporation

3 months ago

3.8 on Glassdoor

Nashville, TN

Hybrid

Full Time

Senior

1 applicant

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About this role

This role manages provider contracting, credentialing, and data maintenance to support Blue Cross network operations across all business lines. The incumbent builds relationships with the provider community, leads specialized operational support, and delivers training and education to various healthcare facilities. Key duties include resolving claims issues, ensuring contract compliance, and maintaining accurate documentation within Salesforce.

Responsibilities

Manage provider contracting and credentialing processes
Maintain professional provider data integrity
Deliver training and education to contracted providers
Resolve claims and payment issues for providers
Ensure compliance with network agreements and policies

Skills

Qualifications

Bachelor's Degree3 years managed care experience2 years healthcare administration experience

About Health Care Service Corporation

hcsc.com

Headquarters

Chicago, Illinois, United States

Company Size

10001+ employees

Founded

1936

View Profile

Health Care Service Corporation (HCSC) is a mutual legal reserve company and trusted partner in health, offering health insurance plans across Illinois, Montana, New Mexico, Oklahoma, and Texas. With nearly a century of experience, HCSC serves over 27 million people through a portfolio of health benefit solutions designed to deliver access to quality, cost-effective care. The company drives innovations to improve health outcomes and reduce costs for its members, employees, and communities.