Provider Associate

3 months ago


Philadelphia, United States Independence Blue Cross Full time

Bring your drive for excellence, team orientation, and customer commitment to Independence; help us renew and reimagine our business and shape the future of health care. Our organization is looking to diversify, grow, innovate, and serve, and we are looking for committed, empowered learning-oriented people to join our team. If this describes you, we want to speak with you.

The Provider Associate's primary responsibilities include Facility and Ancillary contractual rate pricing, and related inquiries and claim suspends. Assists in projects assigned by management. Assists in or may initiate business requirements and recommend appropriate solutions. Participates in the evaluation of business processes by tracking, trending, and analyzing work processes. Trouble-shoots and identifies root causes and highlights preliminary solutions to Business Analysts. Assists in the development of policies and work procedures. Responds to special requests that may include research, investigation, evaluation, and documentation of findings. Assists with the development of work procedural manuals and monitors updates as needed.

•Bachelor's degree in Business Administration preferred; in lieu of degree, minimum 2-3 years proven work experience in a business unit necessary.

•Must have developed analytical and problem-solving skills

•Ability to work in a multi-task environment.

•OSCAR claims and INSINQ experience necessary.

•Knowledgeable of Microsoft office products.

•Project management skills preferred.

•Oral and written communication skills necessary.

•Must have a general understanding of the business environment and associated systems

Hybrid

Independence has implemented a "Hybrid" model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the "Hybrid" model. While associates may work remotely on our designated remote days, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania.

Independence Blue Cross is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.



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