Senior Provider Network Rep - 3 days per week onsite in Austin, TX Job Listing at HCSC in Austin, TX (Job ID R0027493)

Description

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is  invested in your future!

Job Summary This position is responsible for Provider relations, oversight and advocacy. Educating Providers, ongoing Provider service; claim review and assistance, and for providing training to new and existing network staff.

NOTE: This position is Hybrid, working three days per week in the Austin, TX office and two days per week remotely.

JOB REQUIREMENTS:

• Bachelor's Degree in Business OR 6 years experience.
• 4 years experience in medical claims, customer service, physician office or hospital or healthcare environment
• 3 years experience in a position which requires in-depth physician/provider relations, including but not limited to, contracting and reimbursement issues.
• Ability to negotiate and contract with healthcare providers.
• Platform skills; organizational and planning skills; and ability to take initiative and work independently.
• Ability to multi-task; meet deadlines and work well under pressure.
• Ability and willingness to travel within assigned areas of responsibility, including overnight stays.
• PC proficiency to include Microsoft Office

PREFERRED JOB REQUIREMENTS:

• Prior territory management experience.
• Knowledge of Texas Medicaid Claims
• Knowledge of BCBSTX claims processing systems
• Billing and coding background
• TMHP Knowledge
• HHSC Knowledge

NOTE: This position is Hybrid, working three days per week in the Austin, TX office and two days per week remotely.

#LI-HYBRID

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HCSC Employment Statement:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

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