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Representative - Client Service

Posted on Dec. 10, 2025

Ts, India
0 - 0 USD (yearly)

Full Time

About Us

Zelis is modernizing the healthcare financial experience in the United States (U.S.) across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients.

Why We Do What We Do

In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering solutions that improve transparency, efficiency, and communication among all parties involved. By addressing the obstacles that patients face in accessing care, navigating the intricacies of insurance claims, and the logistical challenges healthcare providers encounter with processing payments, Zelis aims to create a more seamless and effective healthcare financial system.

Zelis India plays a crucial role in this mission by supporting various initiatives that enhance the healthcare financial experience. The local team contributes to the development and implementation of innovative solutions, ensuring that technology and processes are optimized for efficiency and effectiveness. Beyond operational expertise, Zelis India cultivates a collaborative work culture, leadership development, and global exposure, creating a dynamic environment for professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we foster a holistic workplace experience. Additionally, the team plays a vital role in maintaining high standards of service delivery and contributes to Zelis’ award-winning culture.

Position Overview

Job Summary for Provider Outreach:

The Provider Outreach Team is responsible for managing and maintaining the accuracy of the Zelis Provider Directory. Federal and state legislation require quarterly outreaches be made to providers contracted with Zelis, requesting a review of our current provider directory information, and a confirmation response or a response outlining requested changes needed to their information Maintaining accuracy of the provider directory allows for proper provider licensing, prevents providers from committing fraud, ensures accurate claim payments, and correct billing to the patient for their services. The role focuses on increasing provider participation in healthcare networks and ensuring effective communication between providers and the organization.

This includes offering support to existing providers, addressing concerns, and ensuring that providers understand and comply with organizational policies and processes.

Job Responsibility:

Addressing provider concerns and resolving issues.

Attention to detail and ability to track and follow up on outreach activities.

Must have strong Excel skills, including the ability to manage data, create detailed reports, and analyze information effectively.

Knowledge of advanced functions like pivot tables, VLOOKUP, and data sorting will be a key asset.

Willing to work in nightshifts, and adherence to Time Management.

Ability to maintain strict adherence to cleanroom protocols and data entry in a paperless system, ensuring compliance with relevant standards and regulations.

Job Skills and Qualifications

Bachelor’s degree in any stream (preferably in Healthcare Administration, Business, or related fields).

Excellent oral and written communication skills for clear, effective interaction with healthcare providers and internal teams.

1-2 years of experience in a customer service role (either voice or non-voice), preferably in the healthcare or related industry, where interaction with clients or providers is a core aspect of the job.

Willingness and ability to work in a night shift schedule to support the provider outreach process across different time zones.

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.

Accessibility Support

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

talentacquisition@zelis.com

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