Current jobs related to Client Resolution Specialist - Irving, Texas - GuideWell

  • Specialist, Customer Care Resolutions

    6 days ago

    Irving, Texas, United States Synapse Health Full time $20 - $22

    Who We Are: With the collective efforts of our epic team members, we're trailblazing a new path in the DME industry. Synapse Health was founded in 2016 with a goal to fix the fractured DME ecosystem and completely transform the industry. Built on decades of industry and leadership experience, we've launched tech-based solutions that eliminate age-old...

  • Client Care Services Specialist

    2 days ago

    Irving, Texas, United States Louis Vuitton Full time

    PositionThe Digital Care Services Specialist is responsible for servicing Clients through proper and accurate handling of inquiries related to Care Services via phone, email and video. The Care Services Expert will also be responsible for achieving assigned objectives in the areas of productivity, and quality; as well as maintaining high operational...

  • AR Specialist

    6 days ago

    Irving, Texas, United States divcon Full time

    About UsHeadquartered in Dallas, Texas,*Divcondelivers fully integrated automation solutionsnationwide*that optimize performance, energy efficiency, and reliability across HVAC, lighting, power monitoring, and mission-critical systems. Leveraging advanced technologies - including Allen-Bradley PLCs, Ignition SCADA, and Delta DDC systems - we combine deep...

  • Member Services Specialist

    6 days ago

    Irving, Texas, United States SGS Consulting Full time

    Summary:The Member Services Specialist will play a crucial role in ensuring our members' highest level of customer satisfaction. The Specialist will be responsible for providing exceptional customer service and resolving inquiries, concerns, and complaints professionally and on time. The primary focus will be on assisting members with their...

  • Waste Solutions Specialist

    1 week ago

    Irving, Texas, United States TAS Environmental Services Full time

    Full-time Description Waste Solutions SpecialistThe Waste Solutions Specialist will be responsible for evaluating, classifying, and pricing various waste streams for proper disposal. This role ensures compliance with environmental regulations while optimizing cost-effective disposal solutions for our clients. The ideal candidate will have a strong...

  • PEO Client Advocate

    2 weeks ago

    Irving, Texas, United States Paychex, Inc. Full time

    About Us: Imagine Your Future with Us Since 1971, Paychex has been at the forefront of simplifying HR, payroll, and benefits for American businesses. Our digital HR technology and advisory solutions cater to the changing needs of employers and their employees. With our award-winning training and endless opportunities for growth and development, you can build...

  • Accounts Payable Specialist

    6 days ago

    Irving, Texas, United States Shermco Industries, Inc. Full time

    Overview:About ShermcoSince 1974, Shermco has become North America's largest and fastest growing NETA-accredited electrical testing organization. Our focus is to make sure electrical power systems are functioning properly and safely. Add to that our Professional Engineering Group, Rotating Machinery Division, Renewable Energy Services, and Field Repair and...

  • Collections Specialist

    2 days ago

    Irving, Texas, United States Meriton Full time

    Meriton is a national team of experts driving HVAC innovation through a network of high-performing companies. From strategy and support to systems and solutions, we work behind the scenes to strengthen operations and build value—for our partners and our people.If you're looking to make an impact, we're glad you're here. At Meriton, you'll join a team that...

  • Intervention Specialist

    18 hours ago

    Irving, Texas, United States Netwatch North America Full time

    :Job Title: Intervention SpecialistJob Location: Lake Forest, CA.Job Type: Full-Time; NonexemptShift Time:12:00 am -8:30 am Sunday and Monday offStarting Pay Commensurate with Experience Pay Rate: $20.00 per hour up to $21.00 per hourCompany OverviewAs the global leader in video monitoring services, Netwatch North America is dedicated to making businesses...

  • Store Customer Service Specialist

    1 week ago

    Irving, Texas, United States Sherwin-Williams Full time

    This position is essential to the success of our retail stores. Customer Service Specialists work closely with wholesale and retail customers to determine their needs, answer their questions about Sherwin-Williams products, and recommend the right solutions. Customer Service Specialists are also expected to promptly resolve any customer concerns and ensure...

Client Resolution Specialist

2 weeks ago

Irving, Texas, United States GuideWell Full time
Description

What is your impact?
The Client Resolution Specialist maintains responsibilities similar to a Customer Service Representative and is responsible for handling inbound customer calls from both providers and members but is more highly focused on resolving client-related issues and providing expert-level resolution to complex cases. This may include partnering with Benefits departments in trying to solve complex issues.

Location:

In-office at either location: 

  • 25 W 18th St, New York, NY 10011
  • 6535 SH 161 Irving Texas 75039

Essential Functions:

  • Provide standard client support:
    • Primary client contact for claims and customer service issues and question for assigned accounts. Main customer service contact to resolve issues and identify customer needs on a pro-active basis.
  • Utilize systems to tract all assigned clients questions or concerns.
    Assisting with customer service phone calls and queues as assigned.
  • Provide expert level of assistance to members who have complex or escalated issues that have not been successfully resolved by normal means
    • Identify members who have high claim volumes or excessive calls to customer service, which may be an indication that they need help understanding their plan or help with finding solutions
    • Work directly with the Benefit Consultant for the employer group, to resolve claim or customer service issues.
  • Other responsibilities include researching claim appeals, researching benefit questions, locating in-network providers. 
  • Provide direction and training to client-dedicated Customer Service Team staff
    • Provide instruction and training to Customer Service Team when directed by the employer group or the Customer Service Manager. 
  • Assisting with assigned special projects. 

Qualifications
1+ years related work experience in customer service 
High school diploma or GED 
Knowledge of CPT and ICD-9 coding, COBRA, HIPAA, pre-existing conditions, and coordination of benefits
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. 
Must possess proven judgment, decision-making skills and the ability to analyze. 

Preferred Qualifications:
Some college courses in related field 
Other experience in customer service for all types of medical claims would be helpful. Proficiency and experience in WebTPA systems

General Physical Demands
Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally. 
Physical/Environmental Activities
Must be able to travel to multiple locations for work (i.e. travel to attend meetings, events, conferences). Occasionally 

We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission. All qualified applicants will receive consideration for employment.