Reliant Health Partners
Reliant Health Partners
Reliant Health Partners डेटा-आधारित क्लेम रीप्राइसिंग और Fair Market Pricing समाधानों के माध्यम से स्व-वित्तपोषित स्वास्थ्य योजनाओं को चिकित्सा लागत प्रबंधित करने में सहायता करता है। यह स्वास्थ्य सेवा लागत-नियंत्रण कंपनी थर्ड-पार्टी प्रशासकों, ब्रोकरों और बिल-समीक्षा संगठनों को ओपन-एक्सेस प्लान रिप्लेसमेंट, नेटवर्क से बाहर और कैजुअल्टी रीप्राइसिंग, अपील प्रबंधन तथा तेज़ क्लेम निपटान जैसी सेवाएँ प्रदान करती है। इसके स्वामित्व वाले विश्लेषणात्मक उपकरण बचत के अवसरों की पहचान करने के साथ-साथ प्रदाता विवादों और प्रशासनिक जटिलता को कम करने के लिए तैयार किए गए हैं।

Remote Client Services Representative - Healthcare Claims

Support provider data management for Reliant Health Partners by researching records, verifying information with healthcare providers, and handling client requests related to medical claims repricing.

विवरण

  • Research internal and online sources to gather supporting information for the Data Management department
  • Classify information and identify relevant differences and similarities
  • Contact providers to obtain and confirm required information
  • Process assigned provider data queues
  • Build thorough knowledge of the company’s products
  • Follow client-specific procedures, Reliant protocols, scripts, and related requirements
  • Complete additional job-related tasks and special projects as assigned
  • Support Senior Client Services representatives with client and administrative requests

आवश्यकताएँ

  • Two to three years of relevant experience in health insurance and customer service
  • Experience contacting providers by phone or other communication methods
  • Working knowledge of healthcare policies and payment processes
  • Familiarity with claims workflow tools or systems
  • Experience collaborating across teams

लाभ

  • Medical, dental, vision, and life insurance coverage
  • 401(k) retirement plan with employer matching
  • Health Savings Account and Flexible Spending Accounts
  • Paid time off and disability leave
  • Employee Assistance Program

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