Customer Relationship Coordinator

Contemporary Staffing Solutions is seeking a Customer Relationship Coordinator to join our client for a temporary to hire, hybrid opportunity in Philadelphia, PA! As the Relationship Coordinator, you will serve as a liaison between various health plans to resolve issues related to service delivery, claims processing, and procedural challenges across multiple products and business lines. This role offers $25-30/hour!

Responsibilities of the Customer Relationship Coordinator Include:

• Resolve common, complex, and escalated provider claims issues by collaborating with internal teams and external health plan partners.
• Track issues, conduct root cause analyses, and escalate problems to management for resolution at a national level.
• Partner with internal provider teams to ensure compliance with benefits requirements and achieve timely issue resolution.
• Manage inquiries from partner plans from start to completion, working cross-functionally as needed.
• Analyze trends and identify systemic issues, proposing updates and changes to eliminate operational challenges and improve claims adjudication processes.

Qualifications:

• High School Diploma or GED with 4 years of experience in claims/service operations, or a bachelor’s degree with 2 years of relevant experience.
• Understanding of Inter-Plan policies and processing standards, including Host and Home responsibilities.
• Knowledge of Medicare Advantage, Medicare Cross-over, State Health Plans, Administrative Services Only (ASO), and Fully Insured products.
• Experience with developing and executing educational programs in the healthcare industry (preferred).
• Strong problem-solving, communication, and leadership skills, with the ability to work both independently and in a team environment.

Contemporary Staffing Solutions (CSS) has been a leading provider of contract, temporary, temporary-hire & direct hire solutions. We began as a staffing agency and evolved to a national provider of workforce management solutions with a niche recruitment focus in Accounting & Finance, Call Center & Office, Human Resources, Sales & Marketing, & Information Technology. To learn more about CSS, visit our website: www.ContemporaryStaffing.com.