University Relations - Provider Network Intern
University Relations - Provider Network Intern (Chicago, IL)
Why Intern at Health Care Service Corporation?
Health Care Service Corporation (HCSC), a Mutual Legal Reserve Company and an Independent Licensee of the Blue Cross and Blue Shield Association, is the largest customer-owned health insurer in the United States and fourth largest overall, operating through our Blue Cross and Blue Shield® Plans in Illinois, Montana, New Mexico, Oklahoma and Texas. HCSC affiliates and subsidiaries such as Dearborn National®, TMG Health and Medecision, offer group life, disability and dental solutions, as well as a range of other individual solutions. The company, founded in 1936, serves nearly 15 million members across five states and employs more than 21,000 people in over 60 local offices. HCSC is dedicated to expanding access to high quality, cost effective health care and equipping our members with information and tools so they can make the best health care decisions for themselves and their families. Our health plans were pioneers in their states, as they were the first to provide coverage for a number of procedures - ranging from heart and bone marrow transplants, to cancer and leukemia treatments. Today, we are leaders in the development of value-based care models to spur greater collaboration and accountability among various stakeholders to improve the health care experience for patients and consumers and enable them lead healthier lives.
This 10-week internship will be located in Chicago.
What Are The Responsibilities Of The Team?
This team is accountable for researching and resolving provider inquiries arising from contract operations, system, data entry claims payment, and directory issues. This team is responsible for internal communications including working with Provider Network, Provider Relations, and Government Programs staff on issue resolution. This team is responsible for external communications including educating and updating the provider network community regarding Blue Cross Blue Shield policy updates, system and contractual changes. Assist in the composition and coordination of revised policies and procedures.
What Are Your Responsibilities?
-Responsible for researching and resolving traditional and atypical provider inquiries arising from contract operations, system, data entry claims payment, and directory issues.
-Responsible for communication with Provider Relations staff and other Government Program divisions.
-Document in the internal contract database all completed contracts with special attention on information that is used to create monthly as well as ad-hoc reports on provider network operations accuracy and productivity.
-Monitor a variety of queues including telephonic queue, email queue, and partner company queue.
-Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.
-Maintain complete confidentiality of company business.
-Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested.
What Do You Need To Be Successful?
-Knowledge of health care industry, contracts, products, claims processing
-Knowledge of government health care products (TANF/FHP, MMAI)
-Written and verbal communication skills to compose responses to external and internal entities, to negotiate and close contracts, to educate providers, to compose training materials and procedures, to work across departments to resolve provider issues
-Knowledge/proficiency with Access
-Negotiation and training skills/experience
-Previous internship experience preferred
What Are the Requirements You Must Meet?
-Currently enrolled in a Bachelor's Degree relating to healthcare or related field
-PC proficiency including Microsoft Word and Excel
-Graduation date between December 2018 - June 2019
-A minimum GPA of 3.0/4.0
-Availability to work 10 weeks during the summer
-Unrestricted authorization to work in the United States (at this time, we are not offering this program under OPT or CPT or sponsoring work visas for these roles).
What Does the Internship Program Entail?
-Formal Intern Orientation to build business and industry acumen
-Challenging real world hands on project
-Weekly networking opportunities among interns and company leaders
-Professional development workshops
-Business Resource Group involvement
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.
Requirements: Expertise Sales & Account Management Job Type Intern Location IL - Chicago
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