Reliant Health Partners
Reliant Health Partners
Reliant Health Partners o‘z mablag‘i hisobidan moliyalashtiriladigan tibbiy sug‘urta rejalariga ma’lumotlarga asoslangan da’volarni qayta narxlash va adolatli bozor narxlari yechimlari orqali tibbiy xarajatlarni boshqarishda yordam beradi. Sog‘liqni saqlash xarajatlarini maqbullashtirishga ixtisoslashgan kompaniya uchinchi tomon ma’murlarini, brokerlarni va hisoblarni ko‘rib chiquvchi tashkilotlarni ochiq foydalanish mumkin bo‘lgan rejani almashtirish, tarmoqdan tashqari va baxtsiz hodisalar bo‘yicha da’volarni qayta narxlash, apellyatsiyalarni boshqarish hamda da’volarni tezkor ko‘rib chiqish xizmatlari bilan qo‘llab-quvvatlaydi. Uning xususiy tahlil vositalari tibbiy xizmat ko‘rsatuvchilar bilan nizolar va ma’muriy murakkablikni kamaytirgan holda tejash imkoniyatlarini aniqlashga mo‘ljallangan.

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.

Tavsif

  • 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

Talablar

  • 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

Imtiyozlar

  • 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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