Internal Provider Network Rep Ii (Hybrid) - Houston/Richardson

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.
Come join us and be part of a purpose driven company who is invested in your future!
Job Summary
This position is responsible for providing assistance to practitioners in resolution of claims, pricing, coding and contract issues; and working with internal departments to evaluate and resolve provider/contract and service issues. Handle more complex issues and may assist in training/mentoring staff.
*NOTE: This role is hybrid/flex which requires 3 days in office and 2 days remote*
JOB REQUIREMENTS:

• Bachelor degree and two years experience resolving network management issues OR 6 years health care experience with two years resolving network management issues
• Knowledge of and experience with health care policies, products and procedures; contracts, applications and products.
• Knowledge of claims processing systems.
• PC proficiency including Word and Excel.
• Verbal and written communication skills; teamwork, and problem solving skills; analytical skills
• Organizational skills and experience meeting deadlines and working well under pressure.

PREFERRED JOB REQUIREMENTS:

• Leadership/training skills
• Strong knowledge of ancillary servicing and operations processes

#INJLF
#LI-JLW1
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
HCSC Employment Statement:
HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.