Hybrid Relationship Associate bei Prime Health Services

Description

***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. 

Essential Relationship Associate Duties

• 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

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

Competencies Required for a Relationship Associate

• 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

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

About Us

Prime Health Services (PHS) is a national medical cost containment company with a noteworthy PPO Network used by insurance carriers, TPA’s, self-insureds, and governmental entities. Our tech-focused nature allows clients to take advantage of the flexibility of customization while not compromising on bill processing speed. Since 2001, we have specialized in medical provider network development and offer clients a tailored approach to medical cost containment: quality health care at discounted rates.