BlueCross BlueShield of South Carolina

Provider File Operations Supervisor - Palmetto GBA

6 days ago

PayCompetitive
LocationColumbia/South Carolina
Employment typeFull-Time

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  • Job Description

      Req#: R1037892
      Employer Industry: Health Insurance

      Why consider this job opportunity:
      - Comprehensive benefits package including subsidized health plans, dental and vision coverage
      - 401k retirement savings plan with company match
      - Paid Time Off (PTO) and education assistance
      - Opportunity for career advancement and professional development
      - Supportive work environment focused on employee satisfaction and morale
      - Engaging workplace with on-site cafeterias and fitness centers

      What to Expect (Job Responsibilities):
      - Supervise provider enrollment and quality assurance staff to ensure timely and accurate provider loading into the system
      - Manage updates and maintenance of provider databases for accurate reimbursement and network assignments
      - Develop and implement inventory, production, error, and tracking reports
      - Train, mentor, and support staff while addressing disciplinary issues in a timely manner
      - Research and respond to provider-related inquiries from internal and external sources

      What is Required (Qualifications):
      - Bachelor’s degree in a job-related field or equivalent experience (4 years of job-related work experience or Associate's degree and 2 years of job-related work experience)
      - Minimum of 3 years of provider network experience utilizing integrated computer systems
      - Excellent verbal and written communication skills, along with strong organizational and customer service abilities
      - Proficiency in Microsoft Office and knowledge of provider credentialing processes
      - Ability to handle confidential information with discretion and strong analytical skills

      How to Stand Out (Preferred Qualifications):
      - 5 years of provider network experience utilizing integrated computer systems
      - Knowledge of mathematical or statistical concepts
      - Ability to use complex mathematical calculations

      #HealthInsurance #CareerAdvancement #EmployeeBenefits #ProfessionalDevelopment #DiversityAndInclusion

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      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company