Position Overview:

The Zelis Network Services Coordinator - Provider Support position requires adaptable knowledge including all elements of the Zelis Proprietary Networks and Zelis Clients. A process and service expert whose responsibilities include client communication, support and resolution, as the individual in this role will serve as a liaison to ensure provider needs are met in a prompt and efficient manner. The ability to efficiently organize and prioritize requests and follow through to meet deadlines is essential to success to generate provider satisfaction and optimal revenue potential.

Summary of Responsibilities:

• Service requests from providers and consultants regarding issues involving claim inquiries and Client connection escalations
• Maintain, record, and communicate provider requests within databases
• Verify and maintain accurate provider demographic information for optimal re-pricing
• Ability to interpret and implement proprietary client access limitations and nuances
• Track, collaborate and follow through all open cases with Zelis client service team on behalf of the providers to aid in client connection or claim dispute
• Provide thorough resolution communication to the provider with information provided by the Zelis client team
• Review and place provider OPT OUT requests
• Share results and escalations with Supervisor
• Maintain daily interaction with internal departments
• Special team projects as needed and assigned by management

Summary of Qualifications:

• A strong aptitude for listening and problem solving
• Dependable, resourceful, self-motivated team player
• Strong time management skills with the ability to change priorities quickly as needed
• Strong organizational skills with an ability to handle multiple priorities
• Ability to independently make administrative/procedural decisions and judgments
• Ability to investigate and analyze information and draw conclusions
• Maintain confidentiality of Zelis Assets

Education and Experience:

• Previous experience in provider-facing role involving network plans
• Education Level: High School Diploma/GED
• At least two (2) years' experience customer focused positions
• Advanced level knowledge and proficiency of MS Office, including Excel, Word, Outlook, PowerPoint etc. and related applications

If you are driven by your own personal commitment to these values and desire to work in a team-focused, collaborative, and supportive environment - while still being valued for your individual strengths - Zelis is the place for you. Equal Opportunity Employer Minorities/Women/Veterans/Disabled

As a leading payments company in healthcare, we guide, price, explain, and pay for care on behalf of insurers and their members. We're Zelis in our pursuit to align the interests of payers, providers, and consumers to deliver a better financial experience and more affordable, transparent care for all. We partner with more than 700 payers, including the top-5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, over 4 million providers, and 100 million members, enabling the healthcare industry to pay for care, with care. Zelis brings adaptive technology, a deeply ingrained service culture, and a comprehensive navigation through adjudication and payment platform to manage the complete payment process.

Commitment to Diversity, Equity,Inclusion, and Belonging
At Zelis, we champion diversity, equity, inclusion, and belonging in all aspects of our operations. We embrace the power of diversity and create an environment where people can bring their authentic and best selves to work. We know that a sense of belonging is key not only to your success at Zelis, but also to your ability to bring your best each day.

Equal Employment Opportunity
Zelis is proud to be an equal opportunity employer. All applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

We encourage members of traditionally underrepresented communities to apply, even if you do not believe you 100% fit the qualifications of the position, including women, LGBTQIA people, people of color, and people with disabilities.

Accessibility Support

We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email TalentAcquisition@zelis.com

SCAM ALERT: There is an active nationwide employment scam which is now using Zelis to garner personal information or financial scams. This site is secure, and any applications made here are with our legitimate partner. If you're contacted by a Zelis Recruiter, please ensure whomever is contacting you truly represents Zelis Healthcare. We will never asked for the exchange of any money or credit card details during the recruitment process. Please be aware of any suspicious email activity from people who could be pretending to be recruiters or senior professionals at Zelis.