Current jobs related to Client Resolution Specialist - Irving - WebTPA Employer Services, LLC
-
Client Resolution Specialist
4 weeks ago
Irving, Texas, United States Diagnostic Clinic Medical Group Full timeJob Summary: The Client Resolution Specialist is a key role at Diagnostic Clinic Medical Group, responsible for handling complex client-related issues and providing expert-level resolution to claims and customer service inquiries. This position requires strong communication and problem-solving skills, as well as the ability to work independently and as part...
-
Client Resolution Specialist
3 weeks ago
Irving, United States Florida Blue Full timeJob Summary: The Client Resolution Specialist maintains responsibilities similar to a Customer Service Representative and is responsible for handling inbound customer calls from both providers and members but is more highly focused on resolving client-related issues and providing expert-level resolution to complex cases. The incumbent may have more...
-
Client Resolution Specialist
1 week ago
Irving, United States Florida Blue Full timeGet To Know Us! WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans. What is your impact? The Client Resolution Specialist maintains responsibilities similar to a Customer Service Representative and is responsible for handling inbound...
-
Claims Resolution Specialist
1 month ago
Irving, Texas, United States Jobot Full timeLiability Claims SpecialistAt Jobot, we're seeking a highly skilled Liability Claims Specialist to join our team. As a key member of our organization, you'll be responsible for managing and resolving complex liability claims in a timely and cost-effective manner.Key Responsibilities:Manage and resolve complex liability claims, including property casualty...
-
Irving, United States Indotronix International Corporation Full timeTitle: Customer Service with Issue resolution and Data research/Analysis Location: Irving TX, Alpharetta GA, Tampa FL, Rolling Meadows IL (HYBRID) Type: Contract Duration: Long Term Description: *** Locations: Irving TX, Alpharetta GA, Tampa FL, Rolling Meadows IL.**** Hybrid: Once a month in office with flexibility to change varying on business needs....
-
Client Services Associate
3 weeks ago
Irving, United States Solomon Page Full timeOur client, a national financial services company, is looking to hire a Client Services Associate in Irving, Texas. This position is a hybrid role. Responsibilities: Interfaces with customers to resolve 1st and 2nd tier / escalated customer service issues. Investigates, analyzes, coordinates and tracks moderately complex customer issues. Conducts research...
-
A/R Collections Specialist
2 months ago
Irving, United States Tandym Group Full timeTandym Group has several immediate opportunities for A/R Collections & Follow Up Specialists with a client in Texas. These contracts will be 100% remote. These resources will be focused on A/R, collections, follow-up, appeals, and denials specifically working with Epic Must Have Experience:5 years of revenue cycle experience focused in A/R, Collections &...
-
Client services representative
3 weeks ago
Irving, United States Randstad Full timeRandstad has an exciting opportunity currently available in Irving, TX! We are looking for experienced Client Service Representatives to join this team! This position has permanent potential with one of our clients, a Financial Services Company. ***Candidates must be willing to work onsite for 4 weeks for training and 1 day per week once training is...
-
Client Services Associate
5 months ago
Irving, United States Solomon Page Full timeOur client, a national financial services company, is looking to hire a Client Services Associate in Irving, Texas. This position is a hybrid role.Responsibilities:Interfaces with customers to resolve 1st and 2nd tier / escalated customer service issues.Investigates, analyzes, coordinates and tracks moderately complex customer issues.Conducts research as...
-
Client services representative
4 months ago
Irving, United States Randstad Full timeRandstad has an exciting opportunity currently available in Irving, TX We are looking for experienced Client Service Representatives to join this team! This position has permanent potential with one of our clients, a Financial Services Company. ***Candidates must be willing to work onsite for 4 weeks for training and 1 day per week once training is...
-
Client Relations Associate
6 months ago
Irving, United States Elite GI. Full timeAt Elite Generations, our dedicated team is deeply committed to making a positive impact on our community. We're looking for a Client Relations Associate to provide exceptional assistance to our nonprofit clients, new and existing, in their efforts to expand their charitable outreach. In this role, you'll take a proactive approach to support innovative...
-
Support Specialist L3
3 weeks ago
Irving, United States OscarMike Full timeDescription Support Specialist L3 Direct Hire 1099 or W2 only. The client is not offering subcontracting for this position. This role is onsite in Irving, TX. [11390] We are seeking a highly skilled and detail-oriented L3 Escalation Specialist to join our team. The primary focus of this role is to manage day-to-day Hypercare escalations, review dashboards...
-
Business Operations Specialist
4 weeks ago
Irving, Texas, United States Innova Solutions Full timeJob Summary:Innova Solutions is seeking a skilled Business Operations Specialist to join our team. As a Business Operations Specialist, you will engage in projects with broad scope and large-scale planning for Technology Business Systems Consulting.Key Responsibilities:Contribute to the resolution of complex situations, requiring a strong understanding of...
-
A/R Collections Specialist
5 days ago
Irving, United States Tandym Group Full timeTandym Group is working with a client in Texas to fill several immediate A/R Collections Specialist positions. These contracts will be 100% remote. The ideal candidates will have extensive experience in accounts receivable, collections, billing, cash posting, denials, and appeals, particularly in working with the Epic system.About the Opportunity:Hybrid or...
-
Desktop Support Specialist
4 weeks ago
Irving, Texas, United States Michaels Stores Full timeAt Michaels Stores, we are seeking a skilled Desktop Support Specialist to join our team. As a Desktop Support Specialist, you will be responsible for providing technical assistance to our team members, ensuring that our hardware and software systems are running smoothly and efficiently.Key Responsibilities:Address user tickets regarding hardware, software,...
-
Data Remediation Specialist
4 weeks ago
Irving, Texas, United States TriOptus LLC Full timeJob Title:Data Remediation SpecialistJob Description:The Data Remediation Specialist is a strategic professional who stays abreast of developments within own field and contributes to data transformation and remediation strategy by considering their application in own job and the business.Recognized technical authority for an area within the business....
-
Irving, United States Simple Solutions Full timeJob Title: Level 3 Specialist (Perimeter Security Operations)Job Location: Irving TX (Hybrid 3 Days Onsite)Duration: 12 Months Job Summary:Duties include providing support to perimeter security infrastructure which includes firewall proxy and remote access systems; Investigation documentation and resolution of outages to critical business systems that may...
-
Irving, United States Simple Solutions Full timeJob Title: Level 3 Specialist (Perimeter Security Operations)Job Location: Irving TX (Hybrid 3 Days Onsite)Duration: 12 Months Job Summary:Duties include providing support to perimeter security infrastructure which includes firewall proxy and remote access systems; Investigation documentation and resolution of outages to critical business systems that may...
-
Data Remediation Specialist
1 month ago
Irving, Texas, United States TriOptus LLC Full timeJob Title:Data Remediation SpecialistContract:06 months with potential extension/Conversion on W2Location:Tampa FL /Irving TX (Hybrid Onsite)Job Description:The Data Remediation Specialist is a strategic professional who stays abreast of developments within own field and contributes to data transformation and remediation strategy by considering their...
-
Information Security Specialist
4 weeks ago
Irving, Texas, United States Mindlance Full timeJob Title: Information Security SpecialistJob Summary:We are seeking an experienced Information Security Specialist to join our team at Mindlance. The ideal candidate will have a strong background in Information Security Engineering and be able to contribute to large-scale planning and deliverables.Key Responsibilities:Consult on and participate in...
Client Resolution Specialist
1 month ago
Job Summary:
The Client Resolution Specialist maintains responsibilities similar to a Customer Service Representative and is responsible for handling inbound customer calls from both providers and members but is more highly focused on resolving client-related issues and providing expert-level resolution to complex cases. The incumbent may have more interaction with Benefits departments in trying to solve complex issues.
Location:
In office 8500 Freeport Pkwy Irving, Texas 75063
Essential Functions:
The essential functions listed represent the major duties of this role, additional duties may be assigned.
- Provide standard client support (60%):
- Primary client contact for claims and customer service issues and question for assigned accounts. Main customer service contact to resolve issues and identify customer needs on a pro-active basis.
- Utilize systems to tract all assigned clients questions or concerns.
Assisting with customer service phone calls and queues as assigned.
- Provide expert level of assistance to members who have complex or escalated issues that have not been successfully resolved by normal means (20%):
- Identify members who have high claim volumes or excessive calls to customer service, which may be an indication that they need help understanding their plan or help with finding solutions
- Work directly with the Benefit Consultant for the employer group, to resolve claim or customer service issues.
- Other responsibilities include researching claim appeals, researching benefit questions, locating in-network providers. (10%)
- Provide direction and training to client-dedicated Customer Service Team staff (5%):
- Provide instruction and training to Customer Service Team when directed by the employer group or the Customer Service Manager.
- Provide instruction and training to Customer Service Team when directed by the employer group or the Customer Service Manager.
- Assisting with assigned special projects. (5%)
Qualifications
1+ years related work experience in customer service
High school diploma or GED
Knowledge of CPT and ICD-9 coding required.
Knowledge of COBRA, HIPAA, pre-existing conditions, and coordination of benefits required.
Data entry and 10-key by touch/sight required.
Concise written and oral communication skills required, including the ability to deal with conflict.
Proficiency in maintaining good rapport with physicians, healthcare facilities, clients and providers.
Knowledge of all MS Office products.
Customized programs for medical CPT coding, review of multiple surgical procedures, and establishment of reasonable and customary fees.
Must possess proven judgment, decision-making skills and the ability to analyze.
Must learn quickly as well as be able to multi-task.
Must be motivated as well as possess a sound work ethic.
Preferred Qualifications:
Some college courses in related field
Other experience in customer service for all types of medical claims would be helpful. Proficiency and experience in WebTPA systems
General Physical Demands
Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally.
Physical/Environmental Activities
Must be able to travel to multiple locations for work (i.e. travel to attend meetings, events, conferences). Occasionally
We are an Equal Opportunity/Protected Veteran/Disabled Employer committed to creating a diverse, inclusive and equitable culture for our employees and communities.
