Client Relationship Manager

5 days ago


Georgia, United States Zelis Full time
Job Title: Client Relationship Manager

At Zelis, we are seeking a highly skilled Client Relationship Manager to play a vital role in ensuring service excellence to our Open Access Pricing clients and their members. This client-facing role interacts with providers and members and is considered a subject matter expert (SME) in supporting clients, their employer groups, and health plan members with inquiries, services, or issues.

Key Responsibilities:
  • Handle escalated issues, and contacts as assigned, ensuring timely and thorough research and proper resolution
  • Respond to inbound inquiries from TPA clients, their Client Employer Groups as well as from Plan members and providers
  • Collaborate and coordinate interdepartmentally to research and solution for client issues, requests, and needs to bring about resolution within a timely manner
  • Participate in new client implementations, subsequent group implementations, business requirement sessions, and User Acceptance Testing
  • Participate in client conference calls as needed
  • Exemplify professionalism, diplomacy, service excellence, and compliance with established policies, procedures, and protocols
  • Assist with Memorandums of Understanding and Single Case Agreements, and code pricing within the VisiumTM system
  • Respond to and assist Patient Advocates and Patient Advocacy Supervisor with their questions/issues
  • Assist with client reporting as needed for Patient and Resolution Advocacy
  • Identify and recommend opportunities for efficiencies, performance improvement, and system enhancements to ensure service excellence.
  • Comply with HIPAA regulations and ensure confidentiality of calls, documents, and other sensitive information
  • Properly document activity and calls in the appropriate system
Qualifications:
  • High school diploma or equivalent required, Bachelor's degree preferred
  • 5+ years within the Health Insurance industry, patient advocacy, customer service, provider relations, or claims administration
  • Excellent attention to detail, time management and decision-making skills


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