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Relationship Manager

1 month ago

Salt Lake, Utah, United States Top Stack Full time
Job Overview

We are seeking a skilled Relationship Coordinator to join our team at Top Stack. As a liaison between healthcare plans, you will play a critical role in resolving claims-related issues and ensuring timely service delivery.

Key Responsibilities:

  • Trend Analysis: Track and analyze trends related to claims processing and service delivery to identify areas for improvement.
  • Root Cause Analysis: Provide in-depth analysis of escalated issues and collaborate with internal teams to resolve them efficiently.
  • Education and Training: Develop and deliver educational materials for providers on claims policies and processing to enhance their understanding.
  • Issue Resolution: Manage inquiries and issues from partner plans from start to finish, ensuring timely resolution and excellent customer service.
  • Compliance and Reporting: Work closely with various departments to ensure compliance with healthcare products and standards, utilizing internal reporting tools to analyze data and meet healthcare plan requirements.
  • Operational Efficiency: Lead initiatives to identify and implement system updates or changes to improve operational efficiency and streamline processes.

Requirements:

  • Education: High School Diploma or GED with 4 years of experience in a claims/service operations environment; or Bachelor's degree with 2 years of experience in a claims/service operations environment.
  • Skills: Strong understanding of inter-plan policies, processing standards, and Host/Home responsibilities; familiarity with Inter-Plan Systems and healthcare products; experience in developing and executing customized education programs in the healthcare industry is preferred.

About Top Stack:

We launched Top Stack to solve a problem in the human capital industry: Technology has replaced humanity. The business has become cold and impersonal. That's why we've made it our top priority to be people-focused, with consistent, transparent, timely communication. It sounds simple because it is. We think it's the only way to work.