{"id":2568,"date":"2026-06-06T03:32:49","date_gmt":"2026-06-06T03:32:49","guid":{"rendered":"https:\/\/akapacha.com\/blogs\/?p=2568"},"modified":"2026-06-06T03:32:49","modified_gmt":"2026-06-06T03:32:49","slug":"blue-cross-blue-shield-hiring-remote-work-from-home20-28-hour","status":"publish","type":"post","link":"https:\/\/akapacha.com\/blogs\/blue-cross-blue-shield-hiring-remote-work-from-home20-28-hour\/","title":{"rendered":"blue cross blue shield hiring remote work from home,$20-$28\/hour"},"content":{"rendered":"
\n
responsibilities<\/span>
\nServes as a\u00a0representative<\/span>\u00a0and\u00a0challenge<\/span>\u00a0count<\/span>\u00a0expert<\/span>\u00a0(SME) in contracting and\u00a0reimbursement<\/span>,\u00a0imparting<\/span>\u00a0insights\u00a0throughout<\/span>\u00a0settlement<\/span>\u00a0improvement<\/span>\u00a0and negotiations with smaller\u00a0issuer<\/span>\u00a0practices\u00a0based<\/span>\u00a0on claims and\u00a0marketplace<\/span>\u00a0evaluation<\/span>
\nsupports<\/span>\u00a0negotiations,\u00a0improvement<\/span>\u00a0of\u00a0method<\/span>,\u00a0marketplace<\/span>\u00a0and\u00a0provider<\/span>\u00a0intelligence, and\u00a0contract<\/span>\u00a0execution for institutional, ancillary and\u00a0professional<\/span>\u00a0carriers<\/span>,\u00a0which includes<\/span>\u00a0implementation oversight.\u00a0makes use of<\/span>\u00a0claims and code\u00a0facts<\/span>\u00a0to draft and negotiate\u00a0constant<\/span>–fee<\/span>\u00a0and\u00a0cost<\/span>\u00a0reimbursement<\/span>\u00a0care contracts
\nEvaluates\u00a0repayment<\/span>\u00a0inquiries and develops\u00a0value<\/span>–powerful<\/span>\u00a0and\u00a0aggressive<\/span>\u00a0repayment<\/span>\u00a0techniques<\/span>, with an emphasis on transitioning from\u00a0fee<\/span>-for-carrier<\/span>\u00a0to\u00a0fee<\/span>–primarily based<\/span>\u00a0care
\nevaluations<\/span>\u00a0the\u00a0performance<\/span>\u00a0of\u00a0company<\/span>\u00a0partners<\/span>\u00a0primarily based<\/span>\u00a0on\u00a0usage<\/span>,\u00a0tendencies<\/span>, and\u00a0best<\/span>\u00a0metrics to\u00a0develop<\/span>\u00a0price<\/span>\/reimbursement<\/span>\u00a0solutions<\/span>.\u00a0guarantees<\/span>\u00a0that contracts\u00a0without a doubt<\/span>\u00a0define<\/span>\u00a0duty<\/span>\u00a0for\u00a0overall performance<\/span>\u00a0expenses<\/span>, and that\u00a0income<\/span>\u00a0or\u00a0fee<\/span>\u00a0incentives\u00a0offered<\/span>\u00a0are\u00a0tailor-made<\/span>\u00a0to the uncertainties\u00a0worried<\/span>\u00a0in\u00a0agreement<\/span>\u00a0performance<\/span>
\nCollects, analyzes, and\u00a0interprets<\/span>\u00a0information<\/span>\u00a0from\u00a0internal<\/span>\u00a0and\u00a0outside<\/span>\u00a0assets<\/span>\u00a0(e.g.,\u00a0fee<\/span>\u00a0of care,\u00a0services<\/span>, codes,\u00a0market<\/span>\u00a0developments<\/span>) to\u00a0ensure<\/span>\u00a0accuracy and relevance for\u00a0community<\/span>\u00a0partners<\/span>
\nopinions<\/span>\u00a0diverse<\/span>\u00a0healthcare\u00a0reimbursement<\/span>\u00a0methods<\/span>\u00a0and\u00a0projects<\/span>\u00a0economic<\/span>\u00a0impacts<\/span>\u00a0of\u00a0issuer<\/span>\u00a0contracts\u00a0inside<\/span>\u00a0predetermined\u00a0targets<\/span>, summarizing findings\u00a0the use of<\/span>\u00a0charts, graphs, tables or narratives
\nliable for<\/span>\u00a0developing<\/span>\u00a0and\u00a0maintaining<\/span>\u00a0relationships with\u00a0shrunk<\/span>\u00a0healthcare\u00a0companies<\/span>\u00a0throughout<\/span>\u00a0numerous<\/span>\u00a0specialties
\nCollaborates with\u00a0inner<\/span>\u00a0teams<\/span>\u00a0within<\/span>\u00a0health<\/span>\u00a0offerings<\/span>\u00a0to\u00a0perceive<\/span>\u00a0and\u00a0address<\/span>\u00a0gaps in accessibility and\u00a0network<\/span>\u00a0adequacy\u00a0via<\/span>\u00a0recruitment and contracting.\u00a0guarantees<\/span>\u00a0a balanced\u00a0network<\/span>\u00a0composition\u00a0this is<\/span>\u00a0geographically\u00a0competitive<\/span>,\u00a0offers<\/span>\u00a0large<\/span>\u00a0get right of entry to<\/span>, and meets\u00a0value<\/span>\u00a0and\u00a0fashion<\/span>\u00a0control<\/span>\u00a0targets<\/span>
\nmonitors<\/span>\u00a0and\u00a0stays<\/span>\u00a0present day<\/span>\u00a0on political,\u00a0felony<\/span>, compliance and regulatory\u00a0tendencies<\/span>
\nensures<\/span>\u00a0contracts\u00a0observe<\/span>\u00a0applicable<\/span>\u00a0nation<\/span>\u00a0and federal\u00a0rules<\/span>\u00a0and\u00a0guidelines<\/span>\u00a0and actively participates in workgroups or legislative committee\u00a0meetings<\/span>
\nCoordinates administrative\u00a0duties<\/span>\u00a0with\u00a0inner<\/span>\u00a0departments to\u00a0cope with<\/span>\u00a0questions,\u00a0troubles<\/span>, and\u00a0activities<\/span>\u00a0related to<\/span>\u00a0company<\/span>\u00a0contracts
\nValidates\u00a0very last<\/span>\u00a0agreements and amendments to\u00a0make certain<\/span>\u00a0accuracy and inclusion of all negotiated\u00a0changes<\/span>,\u00a0making sure<\/span>\u00a0well timed<\/span>\u00a0and\u00a0correct<\/span>\u00a0payments<\/span>\u00a0for\u00a0services<\/span>\u00a0rendered<\/p>\n

Qualification
\nsettlement<\/span>\u00a0Negotiation
\nHealthcare\u00a0reimbursement<\/span>
\nrecords<\/span>\u00a0analysis<\/span>
\nfinancial<\/span>\u00a0evaluation<\/span>
\nmission<\/span>\u00a0management<\/span>
\nrelationship<\/span>\u00a0building<\/span>
\nMicrosoft\u00a0workplace<\/span>\u00a0365
\nInterpersonal\u00a0competencies<\/span>
\nproblem<\/span>\u00a0solving<\/span>
\nconversation<\/span>\u00a0talents<\/span>
\nRequired
\nBachelor’s\u00a0degree<\/span>\u00a0in\u00a0business<\/span>\u00a0management<\/span>, Healthcare, Public\u00a0health<\/span>, Finance or\u00a0related<\/span>\u00a0subject<\/span>\u00a0OR in lieu of a Bachelor’s\u00a0degree<\/span>,\u00a0a further<\/span>\u00a04<\/span>\u00a0years of\u00a0relevant<\/span>\u00a0paintings<\/span>\u00a0enjoy<\/span>\u00a0is required<\/span>\u00a0further<\/span>\u00a0to\u00a0the required<\/span>\u00a0paintings<\/span>\u00a0revel in<\/span>
\n2 years healthcare,\u00a0business<\/span>\u00a0or\u00a0related<\/span>\u00a0discipline<\/span>
\n1\u00a0yr<\/span>\u00a0revel in<\/span>\u00a0in contracting,\u00a0issuer<\/span>\u00a0recruitment or\u00a0company<\/span>\u00a0relations<\/span>
\nknowledge<\/span>\u00a0of\u00a0a couple of<\/span>\u00a0reimbursement<\/span>\u00a0methodologies\u00a0utilized in<\/span>\u00a0healthcare\u00a0company<\/span>\u00a0contracting,\u00a0which include<\/span>\u00a00.33<\/span>\u00a0birthday celebration<\/span>\u00a0fee<\/span>\u00a0methodologies, delegated\u00a0preparations<\/span>\u00a0and payor networks (PPO, HMO,\u00a0fee<\/span>–based totally<\/span>\u00a0contracting,\u00a0and so on<\/span>.)
\npowerful<\/span>\u00a0time and\u00a0challenge<\/span>\u00a0management<\/span>\u00a0abilties<\/span>\u00a0to\u00a0have the ability<\/span>\u00a0to plan<\/span>\u00a0and\u00a0monitor<\/span>\u00a0activities<\/span>\u00a0to\u00a0make sure<\/span>\u00a0fulfillment<\/span>\u00a0of organizational\u00a0desires<\/span>
\nrobust<\/span>\u00a0interpersonal\u00a0abilties<\/span>\u00a0to\u00a0correctly<\/span>\u00a0interface with all\u00a0stages<\/span>\u00a0of\u00a0staff<\/span>,\u00a0companies<\/span>,\u00a0providers<\/span>, and\u00a0enterprise<\/span>–related<\/span>\u00a0associates<\/span>.\u00a0capability<\/span>\u00a0to steer<\/span>\u00a0undertaking<\/span>\u00a0teams<\/span>\u00a0toward<\/span>\u00a0aim<\/span>\u00a0attainment and\u00a0paintings<\/span>\u00a0independently or as\u00a0a part of<\/span>\u00a0a\u00a0group<\/span>
\nstrong<\/span>\u00a0analytical,\u00a0trouble<\/span>–solving<\/span>\u00a0and\u00a0critical<\/span>\u00a0thinking<\/span>\u00a0capabilities<\/span>, with the\u00a0capacity<\/span>\u00a0to apply<\/span>\u00a0cause<\/span>\u00a0to\u00a0identify<\/span>\u00a0troubles<\/span>,\u00a0accumulate<\/span>\u00a0facts<\/span>,\u00a0set up<\/span>\u00a0data<\/span>, draw\u00a0legitimate<\/span>\u00a0conclusions and\u00a0expand<\/span>\u00a0appropriate<\/span>\u00a0pointers<\/span>\u00a0to\u00a0advocate<\/span>\u00a0and if\u00a0vital<\/span>, negotiate with the\u00a0outside<\/span>\u00a0events<\/span>
\ntalented<\/span>\u00a0with\u00a0economic<\/span>\u00a0analysis<\/span>\/modeling and Microsoft\u00a0workplace<\/span>\u00a0365\u00a0such as<\/span>\u00a0word<\/span>, Excel, Outlook and\u00a0groups<\/span>
\nsturdy<\/span>\u00a0negotiation and\u00a0relationship<\/span>\u00a0building<\/span>\u00a0capabilities<\/span>,\u00a0at the side of<\/span>\u00a0an\u00a0understanding<\/span>\u00a0of contractual\u00a0documents<\/span>\u00a0and the\u00a0ability<\/span>\u00a0to\u00a0efficaciously<\/span>\u00a0speak<\/span>\u00a0phrases<\/span>\u00a0to\u00a0carriers<\/span>
\nshould<\/span>\u00a0be\u00a0capable of<\/span>\u00a0meet\u00a0mounted<\/span>\u00a0cut-off dates<\/span>\u00a0and\u00a0take care of<\/span>\u00a0a couple of<\/span>\u00a0customer support<\/span>\u00a0demands<\/span>\u00a0from\u00a0internal<\/span>\u00a0and\u00a0outside<\/span>\u00a0customers<\/span>,\u00a0inside<\/span>\u00a0set\u00a0expectations<\/span>\u00a0for\u00a0provider<\/span>\u00a0excellence.\u00a0have to<\/span>\u00a0be\u00a0capable of<\/span>\u00a0efficiently<\/span>\u00a0speak<\/span>\u00a0and\u00a0provide<\/span>\u00a0tremendous<\/span>\u00a0customer support<\/span>\u00a0to\u00a0every<\/span>\u00a0internal<\/span>\u00a0and\u00a0outside<\/span>\u00a0consumer<\/span>,\u00a0including<\/span>\u00a0customers<\/span>\u00a0who\u00a0can be<\/span>\u00a0traumatic<\/span>\u00a0or\u00a0in any other case<\/span>\u00a0difficult<\/span>
\ndesired<\/span>
\ngrasp<\/span>‘s\u00a0degree<\/span>\u00a0in\u00a0enterprise<\/span>\u00a0or Healthcare\u00a0management<\/span>
\nunderstanding<\/span>\u00a0of healthcare or\u00a0medical health insurance<\/span>\u00a0payor\u00a0industry<\/span>\u00a0(Medicare, Medicaid,\u00a0business<\/span>, DSNP and\u00a0different<\/span>\u00a0payor\u00a0applications<\/span>),\u00a0inclusive of<\/span>\u00a0felony<\/span>\u00a0and regulatory\u00a0requirements<\/span>
\nstrong<\/span>\u00a0knowledge<\/span>\u00a0of CPT-four<\/span>, HCPCS,\u00a0revenue<\/span>\u00a0and ICD coding,\u00a0medical<\/span>\u00a0terminology, claims\u00a0fee<\/span>,\u00a0contract<\/span>\u00a0negotiations and\u00a0hassle<\/span>\u00a0resolution<\/span><\/p>\n

advantages<\/span>
\ncomprehensive<\/span>\u00a0blessings<\/span>\u00a0package<\/span>
\nvarious<\/span>\u00a0incentive\u00a0packages<\/span>\/plans
\n401k contribution\u00a0packages<\/span>\/plans<\/div>\n

<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

responsibilities Serves as a\u00a0representative\u00a0and\u00a0challenge\u00a0count\u00a0expert\u00a0(SME) in contracting and\u00a0reimbursement,\u00a0imparting\u00a0insights\u00a0throughout\u00a0settlement\u00a0improvement\u00a0and negotiations with smaller\u00a0issuer\u00a0practices\u00a0based\u00a0on claims and\u00a0marketplace\u00a0evaluation supports\u00a0negotiations,\u00a0improvement\u00a0of\u00a0method,\u00a0marketplace\u00a0and\u00a0provider\u00a0intelligence, and\u00a0contract\u00a0execution for institutional, ancillary and\u00a0professional\u00a0carriers,\u00a0which includes\u00a0implementation oversight.\u00a0makes […]<\/p>\n","protected":false},"author":1,"featured_media":106,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[161],"tags":[],"class_list":["post-2568","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blue-cross"],"yoast_head":"\nblue cross blue shield hiring remote work from home,$20-$28\/hour<\/title>\n<meta name=\"description\" content=\"blue cross blue shield hiring remote work from home,$20-$28\/hour\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/akapacha.com\/blogs\/blue-cross-blue-shield-hiring-remote-work-from-home20-28-hour\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"blue cross blue shield hiring remote 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