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Client Relations Manager
2 months ago
About the Position
The Client Relations Manager plays a pivotal role in fostering and sustaining positive relationships with both new and existing clients, ensuring their satisfaction and promoting loyalty.
This role demands a candidate who is meticulous, professional, and articulate, ensuring that all communications—both written and verbal—are clear and precise.
Key Responsibilities- Develop and maintain effective working relationships with clients.
- Serve as the main liaison between Brighton Health Plan Solutions and its clients.
- Provide timely and accurate responses to all client inquiries, whether through written communication or verbal discussions.
- Communicate effectively with clients, providers, and members in both spoken and written formats.
- Document all client interactions in the internal tracking system.
- Handle advanced claims processing, including professional, facility, and ancillary claims.
- Investigate inquiries regarding claim payments and pricing as requested by clients.
- Apply medical policies, contractual terms, and operational procedures to ensure precise adjudication and adjustments.
- Generate and analyze reports to identify the root causes of client payment issues.
- Identify negotiation solutions and resolve conflicts to ensure client satisfaction.
- Act as a liaison between internal teams and clients.
- Manage eligibility and coordination of benefits issues.
- Prepare comprehensive cases for second-level appeals.
- Preferred Bachelor's Degree.
- Minimum of 1 year of experience in claims adjudication.
- Expertise in advanced claims processing.
- Thorough understanding of healthcare customer service.
- Exceptional communication skills, both verbal and written.
- Strong attention to detail and self-review capabilities.
- Excellent time management and organizational skills.
- Enthusiastic team player, adaptable to changing circumstances.
- Outstanding problem-solving abilities.
- Capacity to prioritize, multitask, and work independently.
- High level of computer literacy and technical skills.
- Able to collaborate with various stakeholders to resolve issues.
- Establish and maintain positive working relationships with clients, colleagues, members, and providers.
About Us
At Brighton Health Plan Solutions, LLC, we are dedicated to enhancing how healthcare is accessed and delivered.
Joining our team means becoming part of a diverse and inclusive culture that values respect and encourages every individual to bring their authentic selves to work.
We partner with self-insured employers, health systems, and other third-party administrators to address contemporary healthcare challenges through our innovative third-party administration services.
Our unique insights are derived from extensive health plan management experience, proprietary provider networks, and a cutting-edge technology platform.
As a healthcare enablement organization, we unlock opportunities for our clients, providing them with customizable tools to enhance member experiences and achieve their healthcare objectives.
Together with our trusted partners, we are transforming the health plan experience, turning today's challenges into tomorrow's solutions.
Company Mission
To transform the health plan experience by delivering exceptional products and services to our partners.
Company Vision
To redefine healthcare quality and value by aligning the incentives of our partners in innovative ways.
DEI Purpose Statement
At BHPS, we encourage all team members to embrace their authentic selves and unique abilities.
We value diverse perspectives and welcome individuals to bring their full experiences into the workplace.
We are committed to nurturing a culture that prioritizes diversity, inclusion, and a sense of belonging at every level.
