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Solutions Consultant (Bill Review)

Company: Prime Health Services
Location: Franklin
Posted on: January 23, 2023

Job Description:

The Solutions Consultant reports to the VP of Product Development and serves as the Subject Matter Expert (SME) to the Prime Health Services' (PHS) Product Management team. This position is charged with providing the team the necessary resources to ensure services (emphasis on Bill Review) are delivered effectively, efficiently, and timely. The collaboration with the Product Management team is essential to maximize productivity and to adhere to stated/defined goals and objectives.

Essential Job Functions
Maintains all Bill Review product related content in collaboration with Sales and Marketing
Performs regular audits of Bill Review pricing results to ensure accuracy and quality
Communicates with Product Development, Product Management and Clients as the SME regarding all Bill Review workflows and Client workflow customizations
Ensures Service Center deliverables, associated with Bill Review and Adjuster role requirements, are matched to Client standards
Participates in the development of the Service Center model to integrate Bill Review as a full service product offering
Develops/updates product training materials related to Bill Review and delivers Bill Review product training and demonstrations to prospective Clients, active Clients, as well as to internal departments as needed
Ensures deadlines are met for all assignments and plans and facilitates meetings as needed
Maintains working knowledge of market trends and tools, specifically related to Bill Review
Provides consistent feedback related to furthering innovative solutions for PHS Clients and internal departments
Communicates effectively and timely with members of PHS management staff

Education and Experience Requirements
Must possess a Bachelor's degree in Information Technology, Management, or related field of study from an accredited college or university and 2 years of Bill Review experience;
6 + years of direct Bill Review work experience serving in a similar position may be substituted for the college/university degree requirement
Demonstrated proficiency with Microsoft Office Suite - (Word, Excel, PowerPoint)
Experience working in a deadline driven customer focused environment
Effective project management skills and the ability to multitask (attention to detail)
Ability to exchange information effectively in a concise and logical way
Possess strong technology (healthcare), organizational, documentation, and interpersonal skills
Demonstrated understanding of information technology concepts and processes
Excellent communication skills (oral/written) and ability to communicate complex systems operations
Friendly, tactful, and professional demeanor when dealing with others and with handling sensitive issues
Desire/ability to work successfully in a fast paced, project driven, and collaborative work environment
Excellent strategic, critical thinking, time management, and problem-solving skills (attention to detail)
Physical Requirements
This is a largely sedentary role, however while performing the duties of this job, the employee is regularly required to talk or hear and is frequently required to sit, stand, walk, use hands to finger, handle or feel; and reach with hands and arms. Some light lifting may be required (i.e. the ability to lift files, open filing cabinets and bending or standing on a stool as necessary).

Who We Are
Prime Health Services is a national medical cost containment company offering a PPO network to the workers' compensation, group health, corrections, and auto liability markets. Our preferred provider network has been expanding since 2001 and now has over 800,000 medical providers and health care facilities nationwide with over 900,000 locations. The Prime Health Services PPO Network is available to insurance carriers, third-party administrators (TPAs), self-insured employers, governmental entities, corporations, and associations.

We look for candidates who build a culture of teamwork and positive results. To be successful at Prime, you need to be forward-thinking, have an innovative spirit, be empowered to do your job well, act collaboratively, and be reliable. We're a company on the move and strive for excellence in everything we do!
If this sounds like you, please submit your application today or pass this along to anyone who is searching for their next role with a growing company.



Keywords: Prime Health Services, Franklin , Solutions Consultant (Bill Review), Professions , Franklin, Tennessee

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