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Client Relations Specialist
Lincoln, NE, US
Office
High School or equivalent
Full Time, Temp to Hire
Experienced (Non-Manager)
On-site
Business Services - Other
First Shift (Day)
Lincoln, NE, US
Experienced (Non-Manager)
Full Time, Temp to Hire
Business Services - Other
On-site
Office
High School or equivalent
First Shift (Day)
Job details
Now hiring a Client Relations Specialist for our premier client in Lincoln, NE!
Pay: $20/hr
Hours: 8am-4:30pm, M-F
Location: Lincoln, NE 68510
Position Type: Temp to hire
Job Summary: You will serve as a liaison between the company and internal and external partners. You will develop and strengthen customer relationships by providing timely and accurate responses to inquiries and conducting analysis to solve problems under limited supervision. You may provide guidance, coaching, and training to associates.
Responsibilities
- Provide quality customer service through daily contact with providers ensuring they are educated on all contractual issues.
- Strengthen provider loyalty and ensure required persistency of network is achieved.
- Maintain contract knowledge of all networks to ensure the information provided to our customers is in accordance with guidelines and state requirements.
- Daily liaison for panel leasing arrangements including administration, customer complaint resolution, and claim discrepancy situations.
- Extensive knowledge and proficiency of the Managed Care imaging system.
- Responsible for the credentialing and re-credentialing of our network providers.
- Responsible for the reporting of providers to the HealthCare Integrity and Protection Data Bank and related state licensing boards.
- Assist in recruitment of providers in targeted areas and keep abreast of the current recruitment plan to provide accurate information to our customers.
- Partner with our Provider Network Representatives to help expand our growing network.
- Develop and maintain relationships with contacts from assigned files, and make the appropriate updates or changes to our system as needed.
- Assist in the fee negotiation process between active or potential network providers and our Actuarial department, providing the appropriate information for fee review.
- Provide effective complaint resolution for our insured members and network providers. This may involve educating dental offices regarding their agreement, and acting as a mediator between dental office and insured persons.
- Meet all functional measurements when processing work from the Managed Care Imaging queues.
- Partner with the Compliance and Law departments to ensure that we are following state laws involving PPO contracts and Credentialing requirements.
- Other duties as assigned.
Qualifications
- H.S. Diploma or GED required, Associate’s Degree preferred.
- 2-4 years related experience required.
- Ability to develop and interpret provider contracts.
Apply now for immediate consideration!
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