Provider Relations Representative

About the role

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Responsibilities

• Enhancing relationships with facility and physician providers
• Serving as a liaison through education, training, claims assistance, issue resolution, and ongoing provider service
• Supporting provider understanding of policies, procedures, and reimbursement processes
• Fostering positive provider relationships and satisfaction

Requirements

• Bachelor’s degree and 3 years of work experience in managed care, or a minimum of 5 years’ work experience in a managed care environment
• Minimum of 2 years of health care administration experience in clinical and financial settings, with direct provider communication experience

Qualifications

• Experience supporting provider relationships within a managed care, health plan, hospital, or physician practice environment
• Knowledge of provider office workflows, practice operations, and healthcare administrative processes
• Strong customer service mindset with a focus on provider satisfaction and relationship management
• Ability to identify trends and recurring provider concerns to support operational improvements
• Demonstrated ability to prioritize multiple assignments while maintaining accuracy and attention to detail

Skills

• Effective interpersonal, analytical, presentation and communication skills
• Knowledge of the health care industry
• Ability and willingness to travel within assigned areas for responsibility, including overnight stays
• Knowledge of contracts, applications, and products
• Understanding of provider reimbursement methods
• Working knowledge of claims processing systems
• Effective organizational and planning skills
• Analytical skills
• Ability to take initiative and work independently
• Demonstrated ability to meet deadlines and work well under pressure
• Clear and concise interpersonal, verbal and written communication skills
• Collaboration skills resulting in business/process improvements/changes
• PC experience and skills to include Word, Excel, PowerPoint, etc.
• Facilitation, presentation and analytical skills

Schedule

This is a Flex position that requires 3 days in office and 2 days work from home.

Pay

Compensation: $55,900.00 - $123,500.00 Exact compensation may vary based on skills, experience, and location