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Provider Engagement Specialist I

Zelis Healthcare, LLC
United States, Georgia, Atlanta
Nov 05, 2024

Position Overview:

The Provider Engagement Specialist I will be responsible for Tier I provider engagement and enrollment activities. This role will communicate with providers via outbound phone calls and e-mails to support enrollment and engagement activities across all Zelis products and services. This position will also be responsible for reviewing and understanding the data used for engagement activities.

Essential Duties and Responsibilities:

  • Encourage engagement and adoption of Zelis payment methods and services as required based on client contractual standards and business needs (i.e., EFT enrollment, Virtual Card and Patient Financial Engagement)
  • Communicate with providers via e-mail and phone calls to support enrollment and engagement activities
  • Inform providers of payer relationship with Zelis
  • Explain the benefit and value of utilizing the Zelis platform for applicable services, including Core payments, Member Payments, and Patient Financial Engagement Services
  • Assist providers in navigating through the portal to complete enrollment
  • Answer questions regarding the Zelis enrollment process
  • Communicate and encourage utilization of Zelis' suite of best practices
  • Track all call activity via Salesforce
  • Open support tickets as needed via the JIRA platform
  • Create and track data via Excel workbooks as needed
  • Support and facilitate training webinars as needed

Knowledge, Skills, and Abilities Required:

  • Excellent interpersonal communication skills, both verbal and written
  • Active listening skills and attention to detail
  • Ability to ask probing questions and diffuse tense situations
  • Ability to navigate various computer systems
  • Problem-solving skills
  • Adaptability and accountability
  • Exceptional customer service skills and professional phone voice
  • Ability to multitask, set priorities and manage time effectively
  • Proficiency with computers, especially CRM software like Salesforce
  • Motivated, energetic, and driven work ethic
  • Proficient in all Microsoft Office programs including, but not limited to MS Word, MS Excel, MS Outlook, and PowerPoint
  • Exceptional relationship-building skills
  • Ability to train and present material
  • Strong typing skills with the ability to type a minimum of 40 wpm

Requirements

  • 1-2 years related call center/customer service experience
  • Previous financial services or healthcare services (insurance) experience is preferred
  • Previous experience in an outbound, sales or quota driven environment
  • Bilingual/Spanish a plus
  • High school diploma or equivalent required.

Location and Workplace Flexibility:

We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture and all of our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies.

Zelis is modernizing the healthcare financial experience by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients.

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 qualified 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.

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