Customer Relationship Liaison

2 weeks ago


Philadelphia, Pennsylvania, United States Contemporary Staffing Inc Full time
Customer Relationship Coordinator

Contemporary Staffing Solutions is seeking a skilled Customer Relationship Coordinator to join our client for a temporary to hire, hybrid opportunity in Philadelphia, PA. As the Relationship Coordinator, you will serve as a liaison between various health plans to resolve issues related to service delivery, claims processing, and procedural challenges across multiple products and business lines.

Key Responsibilities:
  • Resolve common, complex, and escalated provider claims issues by collaborating with internal teams and external health plan partners.
  • Track issues, conduct root cause analyses, and escalate problems to management for resolution at a national level.
  • Partner with internal provider teams to ensure compliance with benefits requirements and achieve timely issue resolution.
  • Manage inquiries from partner plans from start to completion, working cross-functionally as needed.
  • Analyze trends and identify systemic issues, proposing updates and changes to eliminate operational challenges and improve claims adjudication processes.
Requirements:
  • High School Diploma or GED with 4 years of experience in claims/service operations, or a bachelor's degree with 2 years of relevant experience.
  • Understanding of Inter-Plan policies and processing standards, including Host and Home responsibilities.
  • Knowledge of Medicare Advantage, Medicare Cross-over, State Health Plans, Administrative Services Only (ASO), and Fully Insured products.
  • Experience with developing and executing educational programs in the healthcare industry (preferred).
  • Strong problem-solving, communication, and leadership skills, with the ability to work both independently and in a team environment.

Contemporary Staffing Solutions has been a leading provider of contract, temporary, temporary-hire & direct hire solutions. We began as a staffing agency and evolved to a national provider of workforce management solutions with a niche recruitment focus in Accounting & Finance, Call Center & Office, Human Resources, Sales & Marketing, & Information Technology. To learn more about CSS, visit our website: www.ContemporaryStaffing.com.



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