Blue Cross of Idaho Prov Relations Rep or Senior - 1802 in Meridian, Idaho

This job was posted by https://idahoworks.gov : For more information, please see: https://idahoworks.gov/ada/r/jobs/1073696 Position Description &br&n&br& Under moderate supervision, serve as the liaison and maintain open communication between Blue Cross of Idaho (BCI) and the providers of health care services regarding company policies and payment procedures, facilitate proper claim submission, provide contracting information for all lines of business, and to identify potential problem areas. &br& &br& Position Requirements &br&n&br&QUALIFICATIONS: (Minimum qualifications required for the job)&br& &br& • Experience:&br&n&br&Provider Relations Rep:&br& o Two years provider service experience; OR&br& o Three years healthcare industry experience (to include billing, claims processing, provider relations, or customer service)&br& • Certifications/Licenses: Certified Professional Coder (CPC) certification OR must obtain coding certification within one year of date of hire&br&n&br&Provider Relations Rep Senior:&br& • Experience: Four years provider service experience &br& • Certifications/Licenses: Certified Professional Coder (CPC) certification OR must obtain coding certification within one year of date of hire&br&n&br&Required Knowledge, Skills and Abilities (KSAs):&br&n&br&Knowledge of: &br& • Insurance benefit structures&br& • Provider and member contract language&br& • Claim detail of remittance procedures, procedures associated with healthcare provider business offices and other matters related to internal operations&br& • Blue Cross of Idaho provider portal&br& • Medical terminology&br& • Health insurance industry&br& • Operational and professional policies&br& • Blue Cross of Idaho internal and external policies&br&n&br&Skills: &br& • Microsoft Office - (Word, Excel, Outlook, Powerpoint) - Basic &br& • Organizational and time management&br& • Interpersonal, verbal and written communication&br& • Coding (CPT, ICD, HCPCS) &br& • Internet and intranet navigation&br& • Business/technical writing&br&n&br&Ability to: &br& • Attend meetings beyond regular working hours&br& • Occasional travel&br& • Communicate effectively and professionally with a variety of individuals both internal and external&br& • Complete assigned tasks&br& • Work with changing priorities&br& • Self-motivated&br&n&br&PREFERRED QUALIFICATIONS: &br& • Experience with Facets, Inter-Plan Teleprocessing Services (ITS) and/or the Federal Employee Program&br& • Knowledge of provider contracts, agreements, and tailored network arrangements&br& • Knowledge of Facets, BlueCard, and FEP Direct systems.&br&n&br&Direct Report: Manager, Provider Relations&br& Salary Grade: 12/14&br& Internal Positng Date: 5/16/2018 - 5/22/2018&br& External Positng Date: 5/16/2018 - Until Filled&br&n&br&We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. &br&