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Reliant Health Partners · 1 month ago

Senior Client Services Representative

United States

Full-time

Remote

Mid, Senior Level

$50K/yr - $65K/yr

4+ years exp

Reliant Health Partners is an innovative medical claims repricing service provider, helping employers achieve maximum health plan savings. The Senior Client Services Representative is responsible for assisting clients with requests, providing support to Customer Service and Negotiator teams, and ensuring quality service delivery through effective communication and issue resolution.

Health CareHealth InsuranceInsuranceMedical

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