Zelis
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.
Client Service Specialist
🕒 May 29
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Zelis
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
• Stakeholder Engagement: Independently lead and facilitate meetings with clients, external partners and internal teams to drive collaboration and resolve operational challenges. • Communicate the Zelis Payer experience vision to clients and teams, ensuring alignment with organizational goals. • Guide clients toward optimal product configuration, collaborate to align on delivery timelines and manage each interaction with a solution and service-oriented mindset. • Serve as a technical expert, offering specialized guidance and solutions to enhance Payer Experience. • Maintain comprehensive knowledge of Zelis offerings, production fulfillment processes, healthcare enrollment procedures, and payment optimization strategies. • Apply technical troubleshooting skills to resolve complex issues involving client mapping and data ingestion. • Advocate for clients across all Zelis departments, assisting with technical aspects of payments and related business needs. • Deliver training sessions, as needed, to support client success. • Independently manage daily casework, ensuring timely resolution and continuous progress on long-term milestones across multiple client projects. • Oversee and update project milestones to support ongoing client success. • Communicate proactively and thoroughly with Payers, managing the overall service experience. • Collaborate with cross-functional teams internally and externally to design, develop, test, and deploy client change requests. • Analyze complex data sets and business rules to deliver actionable insights that support client objectives. • Ensure accurate translation of complex data into client-facing materials, demonstrating deep expertise in healthcare industry practices, claims communications, payment processing, and ID card production.
🎯 Requirements
• Bachelor’s degree preferred • 2-3 years of experience in client service and business analysis, preferably within healthcare or financial services • Experience in requirements gathering, root cause analysis, business rule configuration, and software configuration testing • Proficiency with Jira and/or Salesforce preferred • Demonstrated experience as a relationship or client service manager, implementation/project manager, business process consultant, or sales engineer.
🏖️ Benefits
• Health insurance • 401(k) matching • Paid time off • Professional development opportunities
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