Reliant Health Partners is an innovative medical claims repricing service provider, helping employers achieve maximum health plan savings with minimum noise. We tailor our services to each client’s needs, providing everything from individual specialty claims repricing, to full plan replacement as a high-performance, open-access network alternative.
As a Client Services Representative, you are responsible for validation and maintenance of critical provider information in the system. This includes performing online research and/or conducting phone calls to obtain/verify information on file. You will also assist Senior Client Services representatives with client/administration requests.
Primary Responsibilities:
- Perform research internally and externally (via internet) to obtain supporting information within the Data Management department.
- Have the ability to identify information by categorizing and recognizing differences and similarities.
- Interact with providers to obtain and verify necessary information.
- Work assigned provider data queues.
- Develop a comprehensive understanding of our various products.
- Adhere to client specific and Reliant protocols, scripts, and other requirements.
- Perform other job-related duties and special projects as required.
- Other duties as assigned
Qualifications:
- 2-3 years of related job experience in health insurance and customer service.
- Experience conducting outreach to providers via phone calls or other communication means.
- Broad healthcare policy and payment understanding.
- Experience with claims workflow tools or systems.
- Experience with cross-team collaboration.
Individual compensation will be commensurate with the candidate's experience and qualifications. Certain roles may be eligible for additional compensation, including bonuses, and merit increases. Additionally, certain roles have the opportunity to receive sales commissions that are based on the terms of the sales commission plan applicable to the role.
Pay Transparency
$40,000—$50,000 USD
Benefits:
- Comprehensive medical, dental, vision, and life insurance coverage
- 401(k) retirement plan with employer match
- Health Savings Account (HSA) & Flexible Spending Accounts (FSAs)
-
Paid time off (PTO) and disability leave
- Employee Assistance Program (EAP)
Equal Employment Opportunity: At Reliant, we know we are better together. We value, respect, and protect the uniqueness each of us brings. Innovation flourishes by including all voices and makes our business—and our society—stronger. Reliant Health Partners is an equal opportunity employer and we are committed to providing equal opportunity in all of our employment practices, including selection, hiring, performance management, promotion, transfer, compensation, benefits, education, training, social, and recreational activities to all persons regardless of race, religious creed, color, national origin, ancestry, physical disability, mental disability, genetic information, pregnancy, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, and military and veteran status, or any other protected status protected by local, state or federal law.
Requires 2–3 years of related health insurance and customer service experience, provider outreach experience, healthcare policy and payment knowledge, claims workflow systems experience, and cross-team collaboration skills.
Key Responsibilities
- researching information
- verifying information
- managing data
Job Details
- Category: Customer Service
- Seniority: Entry Level
- Commitment: Full Time
- Workplace: Remote — United States
- Salary: USD 40,000 – 50,000 / year
- Languages: English
Benefits
- 401k matching
- Retirement plan
About Reliant
A medical claims repricing service provider helping employers reduce health plan costs. — Industry: Healthcare