What are the responsibilities and job description for the Support Specialist Network Management position at Arkansas Blue Cross & Blue Shield?
EDUCATION
High school diploma or equivalent.
Bachelor's degree preferred.
EXPERIENCE
Minimum five (5) years' customer service or provider related experience in the healthcare field, claims processing and related administrative tasks, physician/hospital/office, insurance agency or company, or Physician Hospital Organization-PHO.
Resides in the provider region.
ESSENTIAL SKILLS & ABILITIES
Healthcare Industry
Confidentiality
Problem Solving
Customer Service
Multitasking
Logical Thinking
Oral & Written Communication
Strong Interpersonal Skills
Analyze Information
Professional Judgment
Highly Organized
Detail Oriented
Build Positive Relationships
Ability to Work Independently or as a Team
Highly Motivated Self-Starter
Proficiency using Microsoft Office products, such as Word, Excel & PowerPoint.
**This is a Flex role based in our Springdale, Arkansas, location. No remote option is available.**SkillsAnalyze Information, Confidentiality, Customer Service, Detail-Oriented, Healthcare Industry, Highly Organized, Logical Thinking, Microsoft Excel, Microsoft PowerPoint, Microsoft Word, Multitasking, Problem Solving, Professional Judgment, Relationship Building, Self-Starter, Verbal Communication, Written CommunicationResponsibilitiesAssists with coordinating and preparing provider education and training meetings throughout the region and on occasion, may be asked to travel with an overnight stay to provider workshops and/or training sessions in Little Rock or distant provider locations in the region., Contacts providers to promote Availity and other enterprise initiatives. This includes assisting the NDR providing additional support or training., Develops topics for community-based regional provider meetings and assists with the distribution of program materials to the selected providers., Helps the network management team review draft provider directories, publications, educational materials, etc., Maintains effective communication and relationship (verbal and written) with the provider community, while working closely with the Network Development Representatives, to ensure problems and inquiries are resolved and education needs are met., Performs other duties as assigned, Provides administrative support to the Network Development Representatives and regional staff, which includes, but not limited to credentialing requests and status, distribution of provider reports, and in-depth research and analysis into complex problems and inquiries. Resources would include information received from other operational areas of the Enterprise, archived newsletters, customer service workstation, other systems, provider manual, and internal websites.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 guidelines in the Administrative Manual.
Employment TypeRegularADA Requirements
1.1 General Office Worker, Sedentary, Campus Travel - Someone who normally works in an office setting or remotely and routinely travels for work within walking distance of location of primary work assignment.
