Client Resolution Specialist

1 week ago


San Antonio, Texas, United States WebTPA Employer Services, LLC Full time
Job Summary

We are seeking a highly skilled Client Resolution Specialist to join our team at WebTPA Employer Services, LLC. As a key member of our customer service team, you will be responsible for resolving complex client-related issues and providing expert-level support to our clients.

Key Responsibilities
  • Provide standard client support, including handling inbound customer calls and resolving issues in a timely and professional manner.
  • Utilize systems to track client questions and concerns, and provide proactive support to identify and address client needs.
  • Work with Benefits Consultants to resolve complex or escalated issues that have not been successfully resolved by normal means.
  • Research claim appeals, benefit questions, and locate in-network providers to provide accurate and timely support to clients.
  • Provide direction and training to client-dedicated Customer Service Team staff, and assist with assigned special projects.
Requirements
  • 1+ years of 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 and be able to multi-task.
  • Must be motivated and possess a sound work ethic.
Preferred Qualifications
  • Some college courses in a related field.
  • Other experience in customer service for all types of medical claims would be helpful.
  • Proficiency and experience in WebTPA systems.
What We Offer
  • Comprehensive benefits, including medical, dental, vision, life, and global travel health insurance.
  • Income protection benefits: life insurance, Short- and long-term disability programs.
  • Leave programs to support personal circumstances.
  • Retirement Savings Plan includes employer contribution and employer match.
  • Paid time off, volunteer time off, and 11 holidays.
  • Additional voluntary benefits available and a comprehensive wellness program.


  • San Antonio, Texas, United States Diagnostic Clinic Medical Group Full time

    Job SummaryWe are seeking a highly skilled Client Resolution Specialist to join our team at WebTPA Employer Services, LLC. This role is responsible for handling inbound customer calls from providers and members, with a focus on resolving client-related issues and providing expert-level resolution to complex cases.Key ResponsibilitiesClient Support: Provide...


  • San Antonio, Texas, United States Dexian Full time

    Job Title: Escalation Resolution SpecialistJob Summary:Dexian is seeking a highly skilled Escalation Resolution Specialist to join our team. As an Escalation Resolution Specialist, you will be responsible for supporting less experienced individuals in providing resolutions for client inquiries and complaints.Key Responsibilities:Support internal and external...


  • San Antonio, Texas, United States Dexian Full time

    Job Title: Escalation SpecialistJob Summary:We are seeking an experienced Escalation Specialist to join our team at Dexian. As an Escalation Specialist, you will be responsible for supporting less experienced individuals in providing resolutions for client inquiries and complaints.Key Responsibilities:Support internal and external customers with inquiries...


  • San Antonio, Texas, United States South Texas Radiology Group Full time

    Job Title: Credit Balance Resolution SpecialistJob Summary:The Credit Balance Resolution Specialist is responsible for evaluating all accounts with credit balances and performing processes needed to resolve them. This role requires strong analytical and problem-solving skills, as well as the ability to maintain confidentiality and handle sensitive patient...


  • San Antonio, Texas, United States South Texas Radiology Group Full time

    Job Title: Credit Balance Resolution SpecialistJob Summary:The Credit Balance Resolution Specialist is responsible for evaluating all accounts with credit balances and performing processes needed to resolve them. This role requires strong analytical and problem-solving skills, as well as the ability to maintain confidentiality and handle sensitive patient...


  • San Antonio, Texas, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIES As a Claims Resolution Specialist at University Health, you will analyze complex problems related to claim payments, eligibility, and system issues that affect claims payment. You will work cooperatively with Configuration in testing of contracts used in business operations and reporting to assure auto adjudication....


  • San Antonio, Texas, United States MILLENNIUMSOFT Full time

    Job Summary:MillenniumSoft is seeking a highly skilled Complaints Resolution Specialist to join our team. As a key member of our quality assurance department, you will be responsible for managing the process of complaint handling, ensuring that all customer concerns are addressed in a timely and professional manner.Key Responsibilities:Manage the receipt and...


  • San Antonio, Texas, United States South Texas Radiology Group Full time

    Job Title: Credit Balance Resolution SpecialistJob Summary:The Credit Balance Resolution Specialist is a key member of the South Texas Radiology Group team, responsible for evaluating all accounts with credit balances and performing processes needed to resolve them.Key Responsibilities:Adhere to STRG Policies and Procedures at all timesEvaluate accounts with...


  • San Antonio, Texas, United States South Texas Radiology Group Full time

    Job Title: Credit Balance Resolution SpecialistJob Summary:The Credit Balance Resolution Specialist is a key member of the South Texas Radiology Group team, responsible for evaluating all accounts with credit balances and performing processes needed to resolve them.Key Responsibilities:Adhere to STRG Policies and Procedures at all times.Evaluate accounts...


  • San Antonio, Texas, United States University Health Full time

    Job Title: Patient Resolution CoordinatorJob Summary: We are seeking a highly skilled Patient Resolution Coordinator to join our team at University Health. The successful candidate will be responsible for conducting operational role-based training for new hires, assisting the Executive Director and Assistant Directors, and developing and maintaining standard...


  • San Antonio, Texas, United States Insight Global Full time

    Incident Management RoleAt Insight Global, we are seeking a skilled Critical Incident Resolution Specialist to join our team. This role involves managing and resolving critical IT incidents efficiently, ensuring minimal disruption to our operations.Key Responsibilities:Lead major incident response efforts, including bridge calls, root cause analysis, and...


  • San Antonio, Texas, United States University Health Full time

    Job SummaryThe Patient Resolution Coordinator will play a crucial role in supporting the Executive Director and Assistant Directors in providing operational support to various functional teams within University Health. This position will be responsible for conducting training for new hires, developing and maintaining standard operating procedures, and...


  • San Antonio, Texas, United States Heard & Smith, LLP Full time

    Client Service SpecialistHeard & Smith, LLP is seeking a highly motivated and detail-oriented Client Service Specialist to join our team. As a Client Service Specialist, you will play a critical role in providing exceptional customer service to our clients, ensuring their needs are met, and resolving any issues that may arise.Key Responsibilities:Provide...


  • San Antonio, Texas, United States ARCXIS Full time

    Job Title: Client Service SpecialistAt ARCXIS, we are seeking a highly organized and detail-oriented Client Service Specialist to join our team. As a Client Service Specialist, you will be responsible for coordinating daily field operations, communicating with clients and field personnel, and ensuring seamless execution of our services.Key...


  • San Antonio, Texas, United States Credit Human Full time

    We are seeking a Credit Solutions Specialist for the Sustainable Home Credit Solution Department. The role of the Credit Solution Specialist is to provide additional support to the Portfolio Manager, Credit Solutions and Loss Mitigation and Credit Solutions Specialist, Solution, Credit, Microsoft, Portfolio Manager, Technology.Key Responsibilities:Support...


  • San Antonio, Texas, United States Insight Global Full time

    Job OverviewInsight Global is seeking a skilled Major Incident Engineer to lead critical IT incident response efforts. This role involves coordinating between IT teams, ensuring timely resolution, and developing policies for effective incident handling.Key ResponsibilitiesCoordinate incident response efforts between IT teams, including software, networking,...


  • San Antonio, Texas, United States Fresh Success Full time

    Job OverviewWe are seeking a highly motivated and results-driven Client Support Representative to join our team at Fresh Success. As a key member of our client-facing team, you will be responsible for delivering exceptional customer service and support to our clients in the telecommunications industry.Key Responsibilities:Provide proactive and timely support...


  • San Antonio, Texas, United States Summit Strive Consulting Full time

    Job Title: Client Liaison SpecialistJob Overview: As a Client Liaison Specialist at Summit Strive Consulting, you will play a pivotal role in connecting donors with causes they care about. Your responsibilities will include building relationships, ensuring donors feel valued and appreciated for their contributions, and fostering open lines of communication...


  • San Antonio, Texas, United States ARCXIS Full time

    Job Title: Client Service SpecialistAt ARCXIS, we are seeking a highly organized and detail-oriented Client Service Specialist to join our team. As a Client Service Specialist, you will be responsible for providing exceptional customer service to our clients, ensuring that their needs are met and exceeded.Key Responsibilities:Analyze and monitor client...


  • San Antonio, Texas, United States HealthEcareers - Client Full time

    Job OpportunityHealthEcareers - Client is seeking a highly skilled Neuroimaging Specialist to join their team. The ideal candidate will have fellowship training in Neuroradiology and be board-certified or board-eligible by the American Board of Radiology. Responsibilities will include teaching medical students, supervising residents, mentoring fellows, and...