BlueCross BlueShield of South Carolina
Provider File Operations Supervisor - Palmetto GBA
6 days agoPayCompetitive
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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