Provider Registration Specialist/ Customer Service
BLUE CROSS BLUE SHIELD OF MICHIGAN
Detroit, MI
02 2023 - Current
- Investigate, analyze, and process requests for enrollment and changes to providers affiliated or seeking affiliation with BCBSM Medicare Advantage and BCN networks within corporate and Medicare guidelines.
- Conduct research to analyze, evaluate and finalize cases based on BCN/BCBSM and state requirements.
- Provider Contracting responsible for managing the affiliation process for BCN providers statewide, including issuance of standard professional contracts, loading BCN Networks and other information in Portico and Icertis.
- PCO department is also responsible for performing Network Needs for Group. Executing contracts in Icertis, loading BCN Core and Subnetworks, and finalizing contracts in DocuSign. And utilizing Facets interface with the information submitted through Portico.
