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SalaryPosition Overview:
The Client Service Specialist 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.
Key Responsibilities:
- 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 client’s 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 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.
Professional Experience:
- 2-4 years of medical claims or customer service experience.
- 1-3+ years of experience in client facing role within a claim environment.
- 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.
- Proficient knowledge of Microsoft Outlook, Word, and Excel.
- Detail-oriented and able to work in a fast-paced environment.
Education:
- High School Diploma required
- Associates degree and/or 2-4 years customer service, medical claims related experience and/or training; or equivalent combination of education and experience.
Work Environment:
- Travel requirements to (primarily) domestic destinations should not exceed 10%.
- A standard work week exists but with the understanding that additional time/effort outside of the usual parameters can/will occur based upon the overall needs of the integration, where deadlines exist and when necessary due to the needs of the integration team.
- A standard business environment exists with moderate noise levels.
- Ability to lift and move approximately thirty (30) pounds on a non-routine basis.
- Ability to sit for extended periods of time.
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As a leading payments company in healthcare, we guide, price, explain, and pay for care on behalf of insurers and their members. We’re Zelis in our pursuit to align the interests of payers, providers, and consumers to deliver a better financial experience and more affordable, transparent care for all. We partner with more than 700 payers, including the top-5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, over 4 million providers, and 100 million members, enabling the healthcare industry to pay for care, with care. Zelis brings adaptive technology, a deeply ingrained service culture, and a comprehensive navigation through adjudication and payment platform to manage the complete payment process.
Commitment to Diversity, Equity, Inclusion, and Belonging
At Zelis, we champion diversity, equity, inclusion, and belonging in all aspects of our operations. We embrace the power of diversity and create an environment where people can bring their authentic and best selves to work. We know that a sense of belonging is key not only to your success at Zelis, but also to your ability to bring your best each day.
At Zelis, we champion diversity, equity, inclusion, and belonging in all aspects of our operations. We embrace the power of diversity and create an environment where people can bring their authentic and best selves to work. We know that a sense of belonging is key not only to your success at Zelis, but also to your ability to bring your best each day.
Equal Employment Opportunity
Zelis is proud to be an equal opportunity employer. All 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.
Zelis is proud to be an equal opportunity employer. All 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 encourage members of traditionally underrepresented communities to apply, even if you do not believe you 100% fit the qualifications of the position, including women, LGBTQIA people, people of color, and people with disabilities.
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 TalentAcquisition@zelis.com
SCAM ALERT: There is an active nationwide employment scam which is now using Zelis to garner personal information or financial scams. This site is secure, and any applications made here are with our legitimate partner. If you’re contacted by a Zelis Recruiter, please ensure whomever is contacting you truly represents Zelis Healthcare. We will never asked for the exchange of any money or credit card details during the recruitment process. Please be aware of any suspicious email activity from people who could be pretending to be recruiters or senior professionals at Zelis.
