Relationship Associate

Prime Health Services, Inc. • Franklin, TN

2d

About The 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
• Generous PTO Policy
• Employee recognition programs with monetary rewards
• Corporate office amenities
• Regular employee events

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree