Provider Relations Representative - Louisiana

Blue Cross and Blue Shield of Louisiana

Louisiana, US
Provider education and training
Claims resolution
E-business capabilities promotion
The company strives to ensure employees have resources to live well, be healthy, continue learning, develop skills, grow professionally, and serve local communities

Job Summary

  • The company strives to ensure employees have resources to live well, be healthy, continue learning, develop skills, grow professionally, and serve local communities.
  • This role involves extensive contact with providers to educate them on networks, policies, procedures, product lines, billing, and reimbursement, acting as a liaison for complex claims.
  • The position requires promoting e-Business capabilities, establishing contractual arrangements, and providing on-site electronic systems consultations and training, with significant travel throughout Louisiana.

Matching Summary

The company strives to ensure employees have resources to live well, be healthy, continue learning, develop skills, grow professionally, and serve local communities.

Skills & Requirements

Must-have

  • provider education and training
  • claims resolution
  • e-Business capabilities promotion
  • contractual arrangements
  • on-site system consultations
  • managed care knowledge

Nice-to-have

  • patience empathy and courtesy
  • improving provider satisfaction
  • enhancing service capabilities

Key Requirements

  • Bachelor's degree or 4 years of experience
  • 2 years healthcare industry experience
  • Knowledge of managed care processes
  • Proficiency in PC software and mainframe capabilities
  • Ability to travel 60-75% of the time

Work Rights

Not specified

Tailored Resume

Cover Letter