Client Service Specialist - Payer - Insurance Claims
Client Service Specialist - Payer - Insurance Claims
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Salary Not Disclosed
1 Vacancy
Job Description
At Zelis we Get Stuff Done. So lets get to it!
A Little About Us
Zelis is modernizing the healthcare financial experience across payers providers and healthcare consumers. We serve more than 750 payers including the top five national health plans regional health plans TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify optimize and solve problems holistically with technology built by healthcare experts driving real measurable results for clients.
A Little About You
You bring a unique blend of personality and professional expertise to your work inspiring others with your passion and dedication. Your career is a testament to your diverse experiences community involvement and the valuable lessons youve learned along the way. You are more than just your resume; you are a reflection of your achievements the knowledge youve gained and the personal interests that shape who you are.
Position Overview
The Client Service Specialist Insurance Payer - Claims will be responsible for building and maintaining outstanding relationships with ZELIS client contacts as well as assisting all internal staff members in obtaining and verifying any necessary information needed to successfully and efficiently process claims. This job entails developing and nurturing strong customer relationships with the ability to multi-task in order to handle the daily influx of matters with a quick turnaround time for a timely resolution to every request.What Youll Do:
Serve as direct liaison for ZELIS clients regarding all daily claim matters and inquiries.
Work closely with internal staff/departments and respond to claim related inquiries.
Process client cancellation and adjustment requests.
Research status of outstanding claims and expedite the processing of priority claims per clients request.
Monitor turnaround to ensure timely processing of claims.
Provide assistance to Account Management and Sales as needed.
Participate in client conference calls with Account Managers as requested.
Assist Finance with outstanding fees due from clients.
Demonstrates ability to learn and subsequently utilize Zelis Healthcare proprietary systems.
Ensure clients are serviced in the utmost professional manner as well as building and maintaining exceptional relationships with client contacts.
Maintain awareness of and ensure adherence to ZELIS standards regarding privacy.
What Youll Bring to Zelis:
Must have 1 years of insurance payer claims experience in a client facing environment.
Proficient knowledge of Microsoft Outlook Word and Excel.
Excellent organizational skills are required to prioritize responsibilities thus completing work in a timely fashion.
Ability to communicate articulately via telephone and email.
Must maintain a professional demeanor in sensitive situations.
Detail-oriented and able to work in a fast-paced environment.
Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future.
Location and Workplace Flexibility
We have offices in Atlanta GA Boston MA Morristown NJ Plano TX St. Louis MO St. Petersburg FL and Hyderabad India. We foster a hybrid and remote friendly culture and all our employees work locations are based on the needs of the position and determined by the Leadership -office work and activities if applicable vary based on the work and team objectives in accordance with Company policies.
Equal Employment Opportunity
Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion age sex national origin disability status genetics protected veteran status sexual orientation gender identity or expression or any other characteristic protected by federal state or local laws.
We welcome applicants from all backgrounds and encourage you to apply even if you dont meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all.
Accessibility Support
We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process please email .
Disclaimer
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race color religion sex gender identity national origin disability status protected veteran status or any other characteristic protected by law.
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities duties and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities duties and skills from time to time.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
