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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 with minimum noise. As a Senior Client Services Representative, you will assist assigned clients with various requests and act as a liaison between Reliant and its clients, ensuring quality customer service is delivered.

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

Qualification

Insurance claims experienceCustomer service experienceHealthcare policy understandingClaims workflow toolsAnalytical skillsTeam trainingCommunication skills