Provider Support Associate

Premier Healthcare Exchange, Inc. Bedminster , NJ 07921

Posted 5 months ago

Zelis is a healthcare information technology company and market-leading provider of end-to-end healthcare claims cost management and payment solutions.

Inc.5000 award winner: One of the fastest growing privately held companies in the US!

Ranked #1 by NJ Biz as the Fastest Growing Company in NJ!

COMPANY BACKGROUND/CULTURE

Zelis Healthcare is a mid-cap healthcare technology growth company and market-leading provider of integrated healthcare cost management and payments solutions including network analytics, network access, network cost management, payment integrity and electronic payments to payers, healthcare providers and consumers in the medical, dental and workers' compensation markets nationwide. Zelis Healthcare is backed by Parthenon Capital Partners. www.zelis.com

Our Zelis Purpose

We founded Zelis to help control the rising cost of healthcare and make healthcare more affordable for all of us.

Position Overview

Serves customers by answering inquiries; resolving problems; fulfilling requests.

KEY RESPONSIBILITIES

  • Answer incoming phone calls from healthcare providers nationwide and identify the type of assistance the customer needs.

  • Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems

  • Resolves inquiries by researching and exploring answers and alternative solutions; implementing solutions with Team Lead; escalating unresolved problems to the appropriate department.

  • Required to meet specific call center performance metrics of productivity and quality assurance.

  • Performs other job-related duties as required.

  • Maintain awareness of and ensure adherence to ZELIS standards regarding privacy.

professional experience/qualifications

  • Understands Healthcare industry.

  • Has basic understanding and ability to interpret Explanation of Benefits, Complementary Network discounts, as well as all ZELIS cost management services.

  • Works on assignments that are minimally complex in nature in which judgment and initiative are required to make recommendations or resolve problems

  • Computer proficiency and technical aptitude with the ability to utilize CMS, External Network web-based repricing applications, MS Office applications and Internet Explorer

  • Thorough knowledge of company and departmental policies and procedures

  • High School Diploma and/or some College

  • 2+ years of experience within healthcare industry, preferable in a call center environment.

  • Outstanding written & verbal communication skills

  • Knowledge of MS Outlook, MS Word, MS Excel & Internet Explorer

  • Strong prioritizing & organizational skills

  • Excellent customer service & telephone skills

COMPENSATION:

An attractive compensation package comprised of base salary, plus incentives, as well as full benefits has been created to attract outstanding candidates.

OUR BIG 8 ZELIS VALUES

  • We take personal accountability

  • We look for a better way

  • We serve each other and are always there to help

  • We act level-less

  • We use humor

  • We develop serious expertise

  • We act with integrity

  • We celebrate

Thank you for your interest in the Zelis team!


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