Relationship Associate

Prime Health Services•Franklin, TN

18d•Hybrid

About The Position

HYBRID POSITION General Summary of Relationship Associate Position A Relationship Associate is responsible for providing high-quality customer service to Providers and Clients to include answering questions, resolving issues, locating in-network providers, nominating out-of-network providers, generating Client centric reports, contract negotiations, and providing information/education about Prime Health Services product and service offerings.

Requirements

Associate’s or Bachelor’s Degree in Business Administration or related field of study from an accredited college or university is required; direct work experience may be substituted for up to 50% of the education requirement
1+ years of customer service experience, preferably in the healthcare industry
Exceptional organization and time management skills – ability to handle a high volume of accounts, multi task, and adapt as business needs demand
Ability to work effectively/collaboratively in a fast paced, deadline driven, and changing environment
Strong critical thinking, problem solving (attention to detail), and investigative skills
Friendly, calm, and professional demeanor (customer focused), results driven, and collaborative
Strong work ethic and the ability to maintain confidential information as required
Excellent communication skills (verbal and written)
Proficient in Microsoft Office Suite, including Word, Excel, Outlook, and MS Teams

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

Benefits

Medical Insurance (high deductible plan with an HSA)
Dental Insurance
Vision Insurance
Short-term and long-term disability paid by the company
Group term life paid by the company
PTO - 160 hours (4 weeks) with the ability to roll over 40 hours and cash out 40 hours at the end of the year
Fitbit program with monetary rewards
Employee recognition programs with monetary rewards
Corporate office amenities - specialty coffee machines, assorted tea options, smoothie bar, collaborative workspaces, fruit provide by company and an onsite market
Regular employee events such as potlucks, video game tournaments, door decorating contests, Mental Health Awareness Month activities, and a company carnival just to name a few of our past events