USACares Jobs

Job Information

Arkansas Blue Cross and Blue Shield Provider Network Specialist I in Jonesboro, Arkansas

This job was posted by https://www.arjoblink.arkansas.gov : For more information, please see: https://www.arjoblink.arkansas.gov/jobs/3086318

ABCBS has a mandatory Covid-19 vaccination policy for designated employees, including employees hired on or after October 1, 2021. Any qualified individual selected for a position will receive a conditional offer of employment which requires that they comply with the Mandatory Vaccination Policy for Designated Employees prior to their first date of employment. All new employees must show proof of vaccination or show proof of the first vaccination no later than the first date of employment with agreement to become fully vaccinated after employment has begun. Any qualified individual selected for a position seeking an exemption from this requirement for medical or religious reasons should complete a request for accommodation form and submit the form to the Human Resources department as described in the Mandatory Vaccination Policy for Designated Employees prior to their first date of employment and cannot begin employment unless and until such accommodation request is approved. This can be provided to you by contacting Policies@arkbluecross.com.Take the steps to start your career at Arkansas Blue Cross and Blue Shield.Job SummaryThe Provider Network Specialist performs a variety of operational support activities, relate to enrollment, credentialing and contracting, ensuring that all casework is completed accurately, on time and in compliance with established policies and guidelinesRequirementsThis position may involve remote or hybrid work. Minimum internet connection speeds are required for remote or hybrid work.Education & Experience:1. High School diploma or equivalent. 2. Two (2) years of operations support experience related to provider networking, claims processing, customer service, membership enrollment or related experience.3. Proficiency working with MS Office Suite, such as Word and ExcelSpecialized Knowledge & Skills* Interpersonal Communication* Verbal Communication* Written Communication* Credentialing* Provider Contracts* Problem Solving* Decision Making* Microsoft Office* Detail Orientation* Taking Initiatives* Self-Motivation* Highly Organized* Detail-OrientedSkillsDecision Making, Detail-Oriented, Interpersonal Relationships, Microsoft Office, Oral Communications, Problem SolvingResponsibilitiesPerforms all provider related administrative tasks such as provider enrollment, data maintenance, provider number assignment, credentialing, correspondence, document preparation, etc. Thorough documentation of actions, records and/or correspondence is required., Performs other duties as assigned, Resolves issues and communicate more difficult problems to the next level support or leadership., Works collaboratively with various internal departments, external resources, and/or providers to resolve issues, while keeping leadership inform of progress and resolutions.CertificationsSecurity RequirementsThis position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual.Segregation of DutiesSegregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guideli es in the Administrative Manual.Employment TypeRegularArkansas Blue Cross Blue Shield is an Equal Opportunity Affirmative Action employer and is subject to federal regulations pertaining to employment. Arkansas Blue Cross does not unlawfully discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, marital status, veteran status, or any other basis prohibited under federal, state or local laws governing non-discrimination in employment in every location in which the Company has facilities. Arkansas Blue Cross also provides reasonable accommodations for qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and any other state or local laws.You must apply using your Legal Name. Current Workers/Contingent Workers/Contractors: Apply with your existing worker account (Workday) from the enterprise network. (Do not apply from this site - apply internally only) ?ADA Requirements1.1 General Office Worker, Sedentary, Campus Travel - Someone who normally works in an office setting and routinely travels for work within walking distance of location of primary work assignment

DirectEmployers