Senior Client Services Representative at Reliant

, , United States -

Full Time

Start Date

Immediate

Expiry Date

02 Mar, 26

Salary

65000.0

Posted On

02 Dec, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Claims, Customer Service, Problem Solving, Communication, Administrative Duties, Training, Healthcare Policy, Claims Workflow Tools, Negotiation, Client Support, Documentation, Time Management, Team Collaboration, Research, Data Analysis, Workflow Monitoring

Industry

Hospitals and Health Care

Description

Reliant Health Partners is an innovative medical claims repricing service provider, helping employers achieve maximum health plan savings with minimum noise. We tailor our services to each client’s needs, providing everything from individual specialty claims repricing, to full plan replacement as a high-performance, open-access network alternative. As a Senior Client Services Representative, you are responsible for assisting assigned clients with various requests. Perform as liaison between Reliant and its clients by providing support to all Customer Service and Negotiator team members to assist in achieving timing and savings goals. Deliver quality Customer Service via telephone and written correspondence, using established guidelines to ensure issues are satisfactorily resolved. Primary Responsibilities Research and resolve issues for negotiators, providers, and payors. Communicate via telephone and written correspondence. Utilize the Action Request Process to document and manage requests. Respond to client, negotiator or management requests in a timely manner. Follow department policies and procedures. Meet or exceed production, accuracy and turnaround time requirements. Review and update claim pends and exceptions, as assigned. Answer incoming calls, assist callers with questions and transfer calls to the proper individual when needed. Document calls as appropriate. Perform administrative duties Perform other job-related duties or special projects as required. Monitor inventory, queues and workload. Address concerns as appropriate, facilitate resolution of large dollar and high priority claims. Provide initial and on-going training to team members. Provide feedback to team members and/or management. Assist others in organizing, setting priorities, and monitoring workflow. Participate and support client implementations. Create and maintain reference materials and complete other assigned tasks. Handle special requests made by clients or account managers. Serve as backup support for the department leader, as needed. Qualifications 4 – 6 years of insurance claims or customer service experience. Ability to analyze patient information and determine appropriate course of action. Experience understanding Reliant critical behaviors and compliance requirements. Broad healthcare policy and payment understanding. Experience with claims workflow tools or systems. Individual compensation will be commensurate with the candidate's experience and qualifications. Certain roles may be eligible for additional compensation, including bonuses, and merit increases. Additionally, certain roles have the opportunity to receive sales commissions that are based on the terms of the sales commission plan applicable to the role. Pay Transparency $50,000—$65,000 USD Benefits: Comprehensive medical, dental, vision, and life insurance coverage 401(k) retirement plan with employer match Health Savings Account (HSA) & Flexible Spending Accounts (FSAs) Paid time off (PTO) and disability leave Employee Assistance Program (EAP) Equal Employment Opportunity: At Reliant, we know we are better together. We value, respect, and protect the uniqueness each of us brings. Innovation flourishes by including all voices and makes our business—and our society—stronger. Reliant Health Partners is an equal opportunity employer and we are committed to providing equal opportunity in all of our employment practices, including selection, hiring, performance management, promotion, transfer, compensation, benefits, education, training, social, and recreational activities to all persons regardless of race, religious creed, color, national origin, ancestry, physical disability, mental disability, genetic information, pregnancy, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, and military and veteran status, or any other protected status protected by local, state or federal law.

Responsibilities

Assist assigned clients with various requests and serve as a liaison between Reliant and its clients. Deliver quality customer service and resolve issues for negotiators, providers, and payors.