Reliant Health Partners
Reliant Health Partners
Reliant Health Partners helps self-funded health plans manage medical costs through data-driven claims repricing and Fair Market Pricing solutions. The healthcare cost-containment firm supports third-party administrators, brokers, and bill-review organizations with open-access plan replacement, out-of-network and casualty repricing, appeals management, and rapid claim turnaround. Its proprietary analytics are designed to identify savings opportunities while reducing provider disputes and administrative complexity.

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.

Description

  • 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

Requirements

  • 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

Benefits

  • 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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