Client Data Specialist

🕒 June 15

⛷️ Utah – Remote

⛷️ Utah – Remote

⏰ Full Time

🟢 Junior

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Zelis

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

💸 Finance

💰 $20.1M Venture Round on 2020-01

Healthcare Insurance • Finance

Zelis is a company committed to transforming the healthcare financial experience by providing comprehensive solutions across the healthcare system. They work with payers, providers, and members to optimize healthcare networks, manage claims, and facilitate seamless payments. Zelis focuses on harmonizing the healthcare financial landscape with purpose-built solutions that address issues like payment integrity, compliance, and member engagement. The company leverages technology and industry expertise to help their clients save costs, improve administrative efficiency, and enhance the overall healthcare experience. Known for its flexibility and strong partnerships, Zelis supports a wide range of healthcare stakeholders, including health plans, hospitals, dental practices, and insurance carriers.

📋 Description

• Maintain up-to-date payer contracts and fee schedules for customer accounts. • Perform data discovery and entry tasks, including formatting spreadsheets and accurately modeling fee schedules. • Read, interpret, and understand payer contract terms. • Quickly complete task lists and provide timely updates on progress. • Deliver high-quality, detail-oriented work to ensure account readiness. • Communicate with clients about the details of their payer contracts. • Coordinate with internal teams for additional research, problem resolution & preventative measures. • Support escalated and complex issues further investigating solution and clearly communicating with stakeholders. • Participate in team meetings and contribute to the development of client service strategies and high-quality client service experience. • Support other team members during peak times or when additional help is needed.

🎯 Requirements

• Associates degree & 1 year OR HS Diploma and 3 yrs • Good understanding of physician and/or hospital reimbursement methodologies. • Experience modeling fee schedules or working with physician and/or hospital billing. • Requires proficiency using AI tools skillfully with an understanding of how to develop/create intelligent prompts and/or agents. • Excellent verbal and written communication skills. • Excellent problem-solving abilities and attention to detail. • Proficiency in using CRM software and support tools. • Ability to manage multiple tasks and prioritize effectively. • Empathy and patience when dealing with clients. • Ability to work independently as well as part of a team.

🏖️ Benefits

• Health insurance • 401(k) matching • Flexible working hours • Paid time off