Provider Reimbursement Spec
Independence Blue Crossa day ago
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OnsiteFull-timeMid
Summary
Independence Blue Cross is seeking a Provider Reimbursement Specialist to join their team in Philadelphia, PA. The role involves selecting, implementing, and managing system applications for managed care contract provisions.
About the Role
As a Provider Reimbursement Specialist, you will be responsible for administering fee for service payment systems, developing relationships with departments related to Physician Reimbursement, and ensuring accurate pricing and coding for claims. Your tasks will include analyzing business requirements, creating fee codes, monitoring project timelines, and conducting audits of provider data.
About You
Required:
- Bachelor’s degree in business, Health Care, or a related field or equivalent work experience.
- In-depth knowledge of managed care and professional payment systems.
- 3-5 years of experience with IBC’s various operating systems.
Preferred:
- Knowledge of various operational departments including Claims, Medical Policy, Contracting, Specialty Programs, Benefits, and Network Services.
- Proficiency with Project management software.
Independence Blue Cross
Independence Blue Cross is the leading health insurance organization in southeastern Pennsylvania. For 85 years, we have been enhancing the health and well-being of the people and communities we serve. We deliver innovative and competitively priced health care products and services; pioneer new ways to reward doctors, hospitals, and other health care professionals for coordinated, quality care; and support programs and events that promote wellness. To learn more, visit ibx.com. Connect with us on Facebook and Twitter at @IBX and @IndependenceBlueCross on Instagram. Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association.
Philadelphia, PA