Healthcare Client Relations Associate

Prime Health Services; Franklin (TN); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Disability Insurance

Life Insurance

PTO

Employee events

Job summary

Prime Health Services is seeking a Relationship Associate to deliver high-quality customer service to Providers and Clients, answer questions, resolve issues, locate in-network providers, and support contract negotiations.

You will generate client-centric reports, verify provider billing, participate in meetings, and assist members with locating in-network options. A degree in Business or related field and 1+ year of healthcare customer service are preferred.

Qualifications

• Associate’s or Bachelor’s Degree in Business Administration or related field.
• 1+ years of customer service experience, preferably in healthcare.

Responsibilities

• Manage and maintain all inquiries within Ticket System and accurate records of all customer interactions
• Respond to all Client requests via phone or email in a timely manner
• Answer incoming calls to the Account Management/Client Services (Customer Relations) Que promptly
• Populate a variety of Client-specific reports including complex PPO repricing logic, demographic requests, and interpreting /analyzing / remaining current on utilization/industry data/trends
• Input Provider Nominations and communicate with respective internal departments as needed
• Verify Provider billing information and demographics
• Participate in Client meetings as needed (MS Teams, on/off site – travel may be required)
• Assist members and injured workers with locating In-network Provider options

Skills

Customer service

Communication

Microsoft Office

MS Teams

Data analysis

Education

Associate’s or Bachelor’s Degree in Business Administration

Tools

MS Teams

Microsoft Word

Microsoft Excel

Outlook

Job description

Prime Health Services is seeking a Relationship Associate to deliver high-quality customer service to Providers and Clients, answer questions, resolve issues, locate in-network providers, and support contract negotiations.

You will generate client-centric reports, verify provider billing, participate in meetings, and assist members with locating in-network options. A degree in Business or related field and 1+ year of healthcare customer service are preferred.