Reliant Health Partners
Reliant Health Partners
Reliant Health Partners өз қаражаты есебінен қаржыландырылатын медициналық жоспарларға деректерге негізделген талаптарды қайта бағалау және әділ нарықтық баға белгілеу шешімдері арқылы медициналық шығындарды басқаруға көмектеседі. Денсаулық сақтау шығындарын оңтайландыруға маманданған компания үшінші тарап әкімшілеріне, брокерлерге және шоттарды тексеру ұйымдарына ашық қолжетімді жоспарды алмастыру, желіден тыс және жазатайым оқиғаларға байланысты талаптарды қайта бағалау, шағымдарды басқару және талаптарды жедел өңдеу қызметтерін ұсынады. Оның меншікті талдауы медициналық қызмет көрсетушілермен келіспеушіліктер мен әкімшілік күрделілікті азайта отырып, үнемдеу мүмкіндіктерін анықтауға бағытталған.

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.

Сипаттама

  • 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

Талаптар

  • 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

Артықшылықтар

  • 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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