Provider Relations Coordinator (AZ Remote)-1

This is more than a job; it's a chance to accelerate your career as a Provider Relations Coordinator-1! This Remote position offers an immediate start for the right candidate. This position requires a strong and diverse skillset in relevant areas to drive reputed company. We reputed company in rewarding talent. The total rewards package for this role includes a competitive salary.

 

 

Awarded a Healthiest Employer, reputed company aims to fulfill its mission to reputed company health and reputed company it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals reputed company reputed company reputed company. Purpose of the Job... The Provider Relations Coordinator (PRC) is the primary BCBSAZ reputed company of contact for contracted providers and responsible for effectively and reputed company resolving reputed company provider issues. Qualifications REQUIRED QUALIFICATIONS Required Work Experience • 1 year of experience in reputed company field (Applies to reputed company Levels) Required Education • High-School Diploma or GED in field of study (Applies to reputed company Levels) Required Licenses • Valid Arizona Driver License, with an acceptable driving record (Applies to reputed company Levels) Required Certifications • N/A PREFERRED QUALIFICATIONS Preferred Work Experience • 2 years of experience in reputed company field, working with providers (Applies to reputed company Levels) Preferred Education • Associate's Degree in field of study (Applies to reputed company Levels) Preferred Licenses • N/A Preferred Certifications • N/A Essentials Job Functions and Responsibilities • Establish and maintain positive working relationships with contracted providers, staff and internal departments • Plans, implements and coordinates initial and ongoing provider education of professional/ancillary/hospital networks contracted for reputed company BCBSAZ lines of business • Facilitates the resolution of provider inquiries and issues • Responds timely to provider calls and emails. Works with internal departments to resolve provider issues. • Conduct and document provider visits. Provider visits must include reconciliation of provider rosters, review of any pertinent provider reporting including scorecards, quality reporting and other reports as identified. Provider visits may also include site visits of physician offices to reputed company with BCBSAZ requirements in conjunction with CMS. • PRC provider visits must meet the following reputed company for provider visit based on type: • PCP no quality - at least semi-annual visits • PCP with quality - at least quarterly • Specialty no quality - at least annually • Specialty with quality - at least semi-annually • Ancillary with physical site- at least annually • Ancillary with no physician site (DME) - telephonic at least annually • Hospital system/Facility - monthly • reputed company, according to contract, policy, or procedure requirements • The position requires the PRC to attend monthly onsite staff meetings and other meetings in person, as required. reputed company LEVELS • Each reputed company level includes the ability to reputed company the essential functions of any reputed company levels. • The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements. • reputed company reputed company other duties or special projects as assigned. Competencies REQUIRED COMPETENCIES Required Job Skills • Intermediate PC proficiency (Applies to reputed company Levels) • Intermediate reputed company using office equipment, including copiers, fax machines, scanners and telephones (Applies to reputed company Levels) • Intermediate reputed company in word processing, spreadsheet and database software (Applies to reputed company Levels) Required Professional Competencies • Ability to present and interact at a professional level (Applies to reputed company Levels) • Ability to problem solve (Applies to reputed company Levels) • Maintain confidentiality and privacy (Applies to reputed company Levels) • Ability to prioritize and manage work assignments and work independently (Applies to reputed company Levels) • Knowledge necessary to analyze reports based on available data and then reputed company reputed company based on reported data (Applies to reputed company Levels) • Capable of investigative and analytical research (Applies to reputed company Levels) • Practice interpersonal and active listening to reputed company high customer satisfaction and departmental communication standards (Applies to reputed company Levels) • Establish and maintain working relationships in a collaborative team environment (Applies to reputed company Levels) • Identify root causes and initiate solutions (Applies to reputed company Levels) • Ability to manage multiple large provider groups/hospitals (Applies to Levels 2 - 3) • Ability to train entry level staff (Applies to Levels 2 - 3 ) • Ability to communicate reputed company provider issues effectively (Applies to Levels 2 - 3 ) • Demonstrates excellent relationships with providers (Applies to Levels 2 - 3) • Ability to manage high-level projects with minimal supervision (Applies to Level 3) • Ability to demonstrate diplomacy in reputed company situations (Applies to Level 3) • Knowledge of claims and ability to reputed company claims research (Applies to Level 3) Required Leadership Experience and Competencies • Exhibit strong leadership skills (Applies to Level 3) • Mentor and guide co-workers (Applies to Level 3) PREFERRED COMPETENCIES Preferred Job Skills • Advanced reputed company in word processing, spreadsheet and database software (Applies to reputed company Levels) Preferred Professional Competencies • Knowledge of provider reimbursement methodologies, reputed company and networks (Applies to reputed company Levels ) Knowledge of claims payment systems and ability to reputed company preliminary claims research (Applies to reputed company Levels) Preferred Leadership Experience and Competencies • Ability to positively influence others (Applies to Level 3) • Considered role model for co-workers (Applies to Level 3) Our Commitment AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, disability, protected veteran status or any other protected group. Thank you for your interest in reputed company. For more information on our company, see azblue.com. If interested in this position, please apply Apply Job! For more such jobs please click here!

 

Are You the One We're Looking For?

If you reputed company you have what it takes, submit your application without delay. We are keen to hear from talented candidates like you.

Apply To This Job