Details: BlueCross BlueShield of Louisiana Network Development RepresentativeServes as the Plan representative responsible for negotiating competitive provider reimbursementand terms within all contracts to result in improving the cost competitive position of BCBSLA in themarketplace. Makes recommendations to management as it relates to network development, network strategies for implementation and maintenance of contracts, policies, and procedures. Must demonstrate thorough understanding of all provider network requirements, including but not limited to credentialing and accreditation, network participation, complex reimbursement methodologies, contract performance measures, Plan quality initiatives, BCBSA initiatives, and corporate initiatives. Bachelor’s degree in a related field required. Four years of related health care experience may be used in lieu of degree. Minimum of three years of experience in the health care industry focusing on the establishment and maintenance of hospital and facility managed care contractual agreements, face-to-face interaction and business relationships with providers in a managed care setting and managed care hospital and facility contracting experience is required. Managed care contracting experience with other provider types is preferred. Must have ability to respond quickly to requests for provider on-site visits. Must have dependable transportation and be willing to travel frequently throughout the state as necessary.To apply visit our website atwww.bcbsla.com
Showing posts with label Representative. Show all posts
Showing posts with label Representative. Show all posts
Friday, 20 July 2012
Wednesday, 18 July 2012
Claims Representative Associate - Moline, IL
Details: Position Description:Positions in this function are responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims. Authorizes the appropriate payment or refers claims to investigators for further review. Conducts data entry and re-work; analyzes and identifies trends and provides reports as necessary. Consistently meet established productivity, schedule adherence, and quality standards.
Tuesday, 17 July 2012
Outside Sales Representative – Insurance Agent (Senior Market)
Details: If you are a self-motivated and competitive individual who is looking for a unique and rewarding new career, join the AmeriLife team! We are looking for a driven and personable Outside Sales Representative to sell insurance and other financial products designed specifically for the senior market, including health insurance (particularly Medicare supplements) life insurance and investment annuities. Our average agents make over $50,000 a year, but we have new agents who earn over $100,000 a year, and veterans who are earning $500,000 or more! This is a fantastic opportunity to cultivate a long-term career with AmeriLife, where you will earn a great income while helping to make a positive difference in the lives of seniors. Outside Sales Representative – Insurance Agent (Senior Market)Job ResponsibilitiesAs an Outside Sales Representative, you will work within an assigned territory and make in-home, “kitchen-table" sales presentations to seniors who have expressed interest in insurance products to augment their existing financial resources. You will receive pre-set appointments on a daily basis and will make your calls from 10:00 AM to 5:00 PM. This is a 1-2 call close sales cycle, and since you are provided with qualified leads you will not be required to make any cold calls. This leaves you free to do what you do best – sell! Your specific duties as an Outside Sales Representative will include: Following up on all leads and appointments provided to you Engaging in a preliminary conversational interview with prospective clients to determine their overall needs and priorities and to establish rapport Educating prospective clients on AmeriLife, our background and services and the ways in which we help seniors to avoid common pitfalls during retirement Engaging in some basic need analysis to determine specific details on prospective clients’ financial and investment status, health, concerns and objectives Presenting prospective clients with appropriate insurance solutions Responding to and overcoming objections with the goal of making a one-call close Meeting or exceeding all sales and performance goals on a consistent basis Ensuring that all contracts and paperwork are filled out correctly and filed on a timely basis Participating in daily team meetings Maintaining professional appearance and demeanor Outside Sales Representative – Insurance Agent (Senior Market)
Client Representative - Insurance
Details: Position Summary: Process insurance accounts to address claim issues and thereby affect payment and/or bringing them to resolution.Essential Job Functions:Status account and document all work performed in the company and client computer systems.Assess accounts to determine the next appropriate course of action in line with company policies and procedures.Place outbound calls to insurance companies, guarantors, patients, doctors’ offices and/or facilities and handle incoming calls as necessary utilizing proper customer service protocol.Process related correspondence from insurance companies and perform pertinent follow-up.Reconcile balances and payments between insurance companies and clients computer systems.Escalate issues to Team Lead or Manager as necessary.Other duties as assigned by managementDuties may vary by locationQualifications:Knowledge: Medical and insurance terminology (such as procedure codes, diagnoses, and patient liability), and full understanding of hospital/physician billing.Education: High school diploma or equivalentExperience: Minimum 1-2 years experience in Medical Billing/Follow-up for a facility, medical clinic, or doctor’s office and experience with Microsoft Office suite and standard office equipment (copier, fax machine) a must. Type 60 wpm and 12,000 kpm on 10-key adding machine.Skills/Aptitudes: Demonstrated communication and problem solving skills and the ability to act/decide accordingly. Ability to collect, create and research complex or diverse information. Exceptional customer service and the ability to plan organize and exercise sound judgment.Disclaimer:The above statements are intended to describe the general nature and level of work being performed. They are not intended to be an exhaustive list of responsibilities, duties and skills required.
Sunday, 15 July 2012
Sr. Medicare Account Representative
Details: Sr. Medicare Account Representative Responsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare-Medicaid recipients within approved market areas to achieve stated revenue, profitability and retention goals, while following ethical sales practices and adhering to established policies and procedures. Will also be responsible for the development and management of provider, community and partnership relationships, growth campaigns and tracking ESSENTIAL FUNCTIONS • Develop sales strategies to procure sufficient number of referrals and other self-generated leads to meet sales targets through active participation in community events and targeted community outreach to senior/disabled group associations, community centers, resource centers, residences and other potential marketing sites. • Generate leads from referrals and local-tactical research and prospecting. • Work assigned (company generated) leads in a timely manner. • Schedule individual meetings and group presentations from assigned/self generated leads. • Achieve/Exceed monthly sales targets. • Conduct presentations with potential customers. Customize sales presentations and develop sales skills to increase effectiveness in establishing rapport, assessing individual needs and communicating product features and differences. • Enroll eligible individuals in Molina Medicare products accurately and thoroughly complete and submit required enrollment documentation, consistent with Medicare requirements and enrollment guidelines. Assist the prospect in completion of the enrollment application. Forward completed applications to appropriate administrative contact within 48 hours of sale. • Ensure Medicare beneficiaries accurately understand the product choices available to them, the enrollment process (eligibility requirements, Medicare review/approval of their enrollment application, timing of ID card receipt, etc.) and the service contacts and process. • Track all marketing and sales activities, as well as update and maintain sales prospects daily, weekly and monthly results in SalesForce.com. • Work closely with network providers to identify and educate potential members; participate in provider promotional activities. • Develop quarterly marketing plans and manage monthly activities and tactics for network providers, hospitals or other partnered relationships. • Participate, if applicable, in Medicaid quarterly meetings/JOM’s with provider groups and report on membership growth, disenrollment, issues etc. • Assist in training Medicare Account Representatives. • Work with Sales Manager on various projects • Ability to be on the road 90-100% of the time in the local service area. Maintain a valid driver’s license and acceptable driver’s record • Other duties as assigned • Possess thorough knowledge of industry and state regulations including but not limited to HIPAA, CMS and Medicaid. • Additionally, this position will bring and/or develop relationships with local, regional and state organizations/associations related to the qualification, placement and management of qualified prospects (Medicare and Medicaid). • Maintain current state Life Agent license Knowledge, Skills and Abilities • Excellent verbal and written communication skills • Ability to abide by Molina’s policies • Maintain regular attendance based on agreed-upon schedule • Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA) • Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers • Proficient computer skills to access customer information, utilizing technology to effectively communicate with customers and coworkers. QUALIFICATIONS Required Education • High School diploma/GED required Preferred Education • BA degree • Required Experience • 4+ years Medicare, Medicaid, managed care or other health/insurance related sales experience • Experienced in self generating leads through local area marketing • Current relationships with centers of influence for Medicare/Medicaid beneficiaries Preferred Experience • Bi-lingual preferred, membership in related service organizations Required Licensure/Certification • Life & Health (Disability) Agent license To all current Molina employees if you are interested in applying for this position please fill out an Employee Transfer Request Form (ETR) and attach it to your profile when applying online. Be sure to let us know you are a current employee by selecting “Molina Employee (current) in the source section of the online application. Molina Healthcare offers competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Community Medicare Representative
Details: Community Medicare Representative Responsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare-Medicaid recipients within approved market areas to achieve stated revenue, profitability and retention goals, while following ethical sales practices and adhering to established policies and procedures. Will also be responsible for the development and management of provider, community and partnership relationships, growth campaigns and tracking ESSENTIAL FUNCTIONS Duties and Responsibilities Develop sales strategies to procure sufficient number of referrals and other self-generated leads to meet sales targets through active participation in community events and targeted community outreach to senior/disabled group associations, community centers, resource centers, residences and other potential marketing sites. Generate leads from referrals and local-tactical research and prospecting. Work assigned (company generated) leads in a timely manner. Schedule individual meetings and group presentations from assigned/self generated leads. Achieve/Exceed monthly sales targets. Conduct presentations with potential customers. Customize sales presentations and develop sales skills to increase effectiveness in establishing rapport, assessing individual needs and communicating product features and differences. Enroll eligible individuals in Molina Medicare products accurately and thoroughly complete and submit required enrollment documentation, consistent with Medicare requirements and enrollment guidelines. Assist the prospect in completion of the enrollment application. Forward completed applications to appropriate administrative contact within 48 hours of sale. Ensure Medicare beneficiaries accurately understand the product choices available to them, the enrollment process (eligibility requirements, Medicare review/approval of their enrollment application, timing of ID card receipt, etc.) and the service contacts and process. Track all marketing and sales activities, as well as update and maintain sales prospects daily, weekly and monthly results in SalesForce.com. Work closely with network providers to identify and educate potential members; participate in provider promotional activities. Develop quarterly marketing plans and manage monthly activities and tactics for network providers, hospitals or other partnered relationships. Participate, if applicable, in Medicaid quarterly meetings/JOM’s with provider groups and report on membership growth, disenrollment, issues etc. Assist in training Medicare Account Representatives. Work with Sales Manager on various projects Ability to be on the road 90-100% of the time in the local service area. Maintain a valid driver’s license and acceptable driver’s record. Other duties as assigned State Plan/Department Specific Duties and Responsibilities Possess thorough knowledge of industry and state regulations including but not limited to HIPAA, CMS and Medicaid. Additionally, this position will bring and/or develop relationships with local, regional and state organizations/associations related to the qualification, placement and management of qualified prospects (Medicare and Medicaid). Maintain current state Life Agent license Knowledge, Skills and Abilities Excellent verbal and written communication skills Ability to abide by Molina’s policies Maintain regular attendance based on agreed-upon schedule Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA) Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers Proficient computer skills to access customer information, utilizing technology to effectively communicate with customers and coworkers. QUALIFICATIONS Required Education: High School diploma/GED required Preferred Education: BA degree Required Experience: 4+ years Medicare, Medicaid, managed care or other health/insurance related sales experience. Experienced in self generating leads through local area marketing. Current relationships with centers of influence for Medicare/Medicaid beneficiaries. Preferred Experience: Bi-lingual preferred, membership in related service organizations Required Licensure/Certification: Life & Health (Disability) Agent license To all current Molina employees if you are interested in applying for this position please fill out an Employee Transfer Request Form (ETR) and attach it to your profile when applying online. Be sure to let us know you are a current employee by selecting “Molina Employee (current) in the source section of the online application. Molina Healthcare offers competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Saturday, 14 July 2012
Insurance Sales Representative (Outside Sales Rep / Agent)
Details: An Outside Sales Rep position with Combined Insurance offers you a full-time, direct employee position where you’ll receive company support, comprehensive training, competitive compensation and benefits. No experience is required, but prior exposure to sales and customer service is helpful. Experienced and licensed insurance agents are highly encouraged to apply. Responsibilities: Conduct needs-based, consultative sales presentations to a wide range of individuals and independent business people Utilize marketing tools and resources to generate new business Secure referrals and set appointments to present to prospective customers Deliver excellent customer service to existing policyholders and prospective customers alike Develop and maintain a professional presence in the communities in which you work
Insurance Sales Representative (Outside Sales Rep / Agent)
Details: An Outside Sales Rep position with Combined Insurance offers you a full-time, direct employee position where you’ll receive company support, comprehensive training, competitive compensation and benefits. No experience is required, but prior exposure to sales and customer service is helpful. Experienced and licensed insurance agents are highly encouraged to apply. Responsibilities: Conduct needs-based, consultative sales presentations to a wide range of individuals and independent business people Utilize marketing tools and resources to generate new business Secure referrals and set appointments to present to prospective customers Deliver excellent customer service to existing policyholders and prospective customers alike Develop and maintain a professional presence in the communities in which you work
Business Dev Representative
Details: Infinity Property & Casualty, based in Birmingham, AL is a leading writer of automobile insurance in the United States. Our Company offers personal automobile and classic collectors insurance to individuals and commercial auto insurance to businesses. Infinity distributes its products primarily through a network of more than 12,000 independent agencies and brokers. Started in 1950s, Infinity became a public company in 2003 and is traded on NASDAQ (symbol = IPCC). Since 2003, Infinity?s stock has increased over 300% and the company has experienced double digit growth in the last several years creating multiple job opportunities for exceptional candidates.Infinity is seeking qualified, dynamic and enthusiastic individuals for our Business Development Team. This self starter will enter our organization as a Business Development Representative. Key attributes we look for include: individuals who have demonstrated excellent character and integrity, high achievers in academics and proven hard workers who have achieved outstanding results. We prefer people who are involved in their community and with organizations that serve others.As a team member, you?ll be assigned to a specific territory to manage that generates millions of dollars in business. We?ll teach you how to manage and grow the business, how to maximize profits and how to motivate individuals. You?ll learn how to network and manage time. We?ll show you how to build a marketing strategy that helps you reach your goals as well as how to give back to your community.We?ll take your existing knowledge and your drive to succeed, and supplement it with training that will help you achieve your goals. We start immediately with orientation and a combination of hands-on training/ classroom training. You'll work with and learn from team members who were once in your shoes. Finally, you?ll be part of an organization that provides you with a defined career path which recognizes and provides advancement opportunities for high achievers, including the potential for movement into management positions.This is a salaried position with the opportunity to earn additional incentive pay. Travel is required daily within your assigned territory and some overnight travel may be necessary. Representatives work out of his/her home. We offer a competitive salary, excellent benefits, performance incentives, company vehicle, a comprehensive training program and the excellent growth/promotional opportunities.Infinity is an Equal Opportunity Employer.
Insurance Sales Representative (Outside Sales Rep / Agent)
Details: An Outside Sales Rep position with Combined Insurance offers you a full-time, direct employee position where you’ll receive company support, comprehensive training, competitive compensation and benefits. No experience is required, but prior exposure to sales and customer service is helpful. Experienced and licensed insurance agents are highly encouraged to apply. Responsibilities: Conduct needs-based, consultative sales presentations to a wide range of individuals and independent business people Utilize marketing tools and resources to generate new business Secure referrals and set appointments to present to prospective customers Deliver excellent customer service to existing policyholders and prospective customers alike Develop and maintain a professional presence in the communities in which you work
Insurance Sales Representative (Outside Sales Rep / Agent)
Details: An Outside Sales Rep position with Combined Insurance offers you a full-time, direct employee position where you’ll receive company support, comprehensive training, competitive compensation and benefits. No experience is required, but prior exposure to sales and customer service is helpful. Experienced and licensed insurance agents are highly encouraged to apply. Responsibilities: Conduct needs-based, consultative sales presentations to a wide range of individuals and independent business people Utilize marketing tools and resources to generate new business Secure referrals and set appointments to present to prospective customers Deliver excellent customer service to existing policyholders and prospective customers alike Develop and maintain a professional presence in the communities in which you work
Friday, 13 July 2012
Insurance Sales Representative (Outside Sales Rep / Agent)
Details: An Outside Sales Rep position with Combined Insurance offers you a full-time, direct employee position where you’ll receive company support, comprehensive training, competitive compensation and benefits. No experience is required, but prior exposure to sales and customer service is helpful. Experienced and licensed insurance agents are highly encouraged to apply. Responsibilities: Conduct needs-based, consultative sales presentations to a wide range of individuals and independent business people Utilize marketing tools and resources to generate new business Secure referrals and set appointments to present to prospective customers Deliver excellent customer service to existing policyholders and prospective customers alike Develop and maintain a professional presence in the communities in which you work
Insurance Sales Representative (Outside Sales Rep / Agent)
Details: An Outside Sales Rep position with Combined Insurance offers you a full-time, direct employee position where you’ll receive company support, comprehensive training, competitive compensation and benefits. No experience is required, but prior exposure to sales and customer service is helpful. Experienced and licensed insurance agents are highly encouraged to apply. Responsibilities: Conduct needs-based, consultative sales presentations to a wide range of individuals and independent business people Utilize marketing tools and resources to generate new business Secure referrals and set appointments to present to prospective customers Deliver excellent customer service to existing policyholders and prospective customers alike Develop and maintain a professional presence in the communities in which you work
Insurance Sales Representative (Outside Sales Rep / Agent)
Details: An Outside Sales Rep position with Combined Insurance offers you a full-time, direct employee position where you’ll receive company support, comprehensive training, competitive compensation and benefits. No experience is required, but prior exposure to sales and customer service is helpful. Experienced and licensed insurance agents are highly encouraged to apply. Responsibilities: Conduct needs-based, consultative sales presentations to a wide range of individuals and independent business people Utilize marketing tools and resources to generate new business Secure referrals and set appointments to present to prospective customers Deliver excellent customer service to existing policyholders and prospective customers alike Develop and maintain a professional presence in the communities in which you work
Insurance Sales Representative (Outside Sales Rep / Agent)
Details: An Outside Sales Rep position with Combined Insurance offers you a full-time, direct employee position where you’ll receive company support, comprehensive training, competitive compensation and benefits. No experience is required, but prior exposure to sales and customer service is helpful. Experienced and licensed insurance agents are highly encouraged to apply. Responsibilities: Conduct needs-based, consultative sales presentations to a wide range of individuals and independent business people Utilize marketing tools and resources to generate new business Secure referrals and set appointments to present to prospective customers Deliver excellent customer service to existing policyholders and prospective customers alike Develop and maintain a professional presence in the communities in which you work
Insurance Sales Representative (Outside Sales Rep / Agent)
Details: An Outside Sales Rep position with Combined Insurance offers you a full-time, direct employee position where you’ll receive company support, comprehensive training, competitive compensation and benefits. No experience is required, but prior exposure to sales and customer service is helpful. Experienced and licensed insurance agents are highly encouraged to apply. Responsibilities: Conduct needs-based, consultative sales presentations to a wide range of individuals and independent business people Utilize marketing tools and resources to generate new business Secure referrals and set appointments to present to prospective customers Deliver excellent customer service to existing policyholders and prospective customers alike Develop and maintain a professional presence in the communities in which you work
Insurance Sales Representative (Outside Sales Rep / Agent)
Details: An Outside Sales Rep position with Combined Insurance offers you a full-time, direct employee position where you’ll receive company support, comprehensive training, competitive compensation and benefits. No experience is required, but prior exposure to sales and customer service is helpful. Experienced and licensed insurance agents are highly encouraged to apply. Responsibilities: Conduct needs-based, consultative sales presentations to a wide range of individuals and independent business people Utilize marketing tools and resources to generate new business Secure referrals and set appointments to present to prospective customers Deliver excellent customer service to existing policyholders and prospective customers alike Develop and maintain a professional presence in the communities in which you work
Insurance Sales Representative (Outside Sales Rep / Agent)
Details: An Outside Sales Rep position with Combined Insurance offers you a full-time, direct employee position where you’ll receive company support, comprehensive training, competitive compensation and benefits. No experience is required, but prior exposure to sales and customer service is helpful. Experienced and licensed insurance agents are highly encouraged to apply. Responsibilities: Conduct needs-based, consultative sales presentations to a wide range of individuals and independent business people Utilize marketing tools and resources to generate new business Secure referrals and set appointments to present to prospective customers Deliver excellent customer service to existing policyholders and prospective customers alike Develop and maintain a professional presence in the communities in which you work
Insurance Sales Representative (Outside Sales Rep / Agent)
Details: An Outside Sales Rep position with Combined Insurance offers you a full-time, direct employee position where you’ll receive company support, comprehensive training, competitive compensation and benefits. No experience is required, but prior exposure to sales and customer service is helpful. Experienced and licensed insurance agents are highly encouraged to apply. Responsibilities: Conduct needs-based, consultative sales presentations to a wide range of individuals and independent business people Utilize marketing tools and resources to generate new business Secure referrals and set appointments to present to prospective customers Deliver excellent customer service to existing policyholders and prospective customers alike Develop and maintain a professional presence in the communities in which you work
Insurance Sales Representative (Outside Sales Rep / Agent)
Details: An Outside Sales Rep position with Combined Insurance offers you a full-time, direct employee position where you’ll receive company support, comprehensive training, competitive compensation and benefits. No experience is required, but prior exposure to sales and customer service is helpful. Experienced and licensed insurance agents are highly encouraged to apply. Responsibilities: Conduct needs-based, consultative sales presentations to a wide range of individuals and independent business people Utilize marketing tools and resources to generate new business Secure referrals and set appointments to present to prospective customers Deliver excellent customer service to existing policyholders and prospective customers alike Develop and maintain a professional presence in the communities in which you work
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