Provider Network Specialist

Job not on LinkedIn

🔥 0 minutes ago

🎸 Tennessee – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

🛜 Network Engineer / Network Administrator

🦅 H1B Visa Sponsor

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👻 Ghost score 10%

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Logo of BlueCross BlueShield of Tennessee

BlueCross BlueShield of Tennessee

5001 - 10000 employees

Founded 1952

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

BlueCross BlueShield of Tennessee is a leading health plan provider in Tennessee, serving 3. 4 million members. The company is committed to creating a workforce where everyone is valued, respected, and part of the team, emphasizing diversity and inclusion. They offer a range of career opportunities, including internships through their BlueBridge program, enabling new professionals to transition from college to work. BlueCross BlueShield of Tennessee also focuses on providing exceptional customer service and community care, striving to make a difference in the healthcare industry. It is an independent licensee of the Blue Cross Blue Shield Association and a qualified health plan issuer in the Health Insurance Marketplace.

📋 Description

• Answer inbound customer service calls • Provide entry-level troubleshooting and redirect phone calls when appropriate • Address minor provider issues and resolve minor complaints • Clearly document all customer communication • Identify provider issues and determine the appropriate course of action for effective resolution • Respond to phone and email inquiries regarding provider contracting, credentialing, and network participation status • Deliver first-line support and issue resolution for network-related inquiries and initiatives

🎯 Requirements

• High School Diploma or equivalent • Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint) • Proficient oral and written communication skills • Proficient interpersonal and organizational skills • Ability to solve problems via analysis, interpretation, and research • Ability to work flexible hours to meet business needs • Able to handle multiple tasks and maintain expected performance • Solid knowledge of the commercial health insurance market • Facets experience ideal

🏖️ Benefits

• Training provided through job shadowing, hands-on learning, and collaboration with experienced team members • AI-enabled tools supported by proven workflows, templates, and policies • Flexible hours

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