Reliant Health Partners
Reliant Health Partners
Reliant Health Partners ajută planurile de sănătate autofinanțate să gestioneze costurile medicale prin repricingul bazat pe date al cererilor de despăgubire și soluții de tarifare la valoarea echitabilă de piață. Compania specializată în controlul costurilor din domeniul sănătății sprijină administratorii terți, brokerii și organizațiile de verificare a facturilor prin înlocuirea planurilor cu acces deschis, repricingul cererilor din afara rețelei și al cererilor rezultate din accidente, gestionarea contestațiilor și procesarea rapidă a cererilor. Instrumentele sale analitice proprietare sunt concepute pentru a identifica oportunități de economisire, reducând în același timp disputele cu furnizorii și complexitatea administrativă.

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.

Descriere

  • 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

Cerințe

  • 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

Beneficii

  • 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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