Account Specialist

• Submit medical claims in accordance with all federal, state, and payer-specific requirements.
• Ensure claims are correctly submitted and paid by reviewing and correcting edits, errors, and denials.
• Investigate and analyze claim errors and rejections to apply necessary corrections.
• Follow up with payers and collect assigned insurance accounts receivable.
• Stay informed about payer updates and process changes for accurate claims submission and follow-up.
• Evaluate reasons for non-payment and take appropriate action to resolve claims for clients.
• Prepare and submit first- and second-level appeals with supporting documentation in accordance with payer guidelines and timelines.
• Identify and document coding, clinical, and registration issues for referral to the appropriate teams to correct claim errors and prevent future denials.
• Escalate stalled claims to the payer or Currance leadership as needed.
• Verify and adjust claims so that client accounts reflect correct liability and balances.
• Perform other duties assigned to support business needs.

Account Resolution Specialist managing medical claims for healthcare revenue cycle.

Account Resolution Specialist II

Account Resolution Specialist managing insurance claims and payments for healthcare clients. Ensuring timely resolution of medical claims and maintaining financial stability for organizations served.

• Serve as primary point of contact and resource for designated producer(s), customers, and/or agents within the territory.
• Act as a relationship builder by using a combination of soft skills to connect with internal teams, customers and agents
• Partner with producers to service existing book and identify opportunities for partner placement agency (Parker Stevens Agency or Hortica Brokerage)
• Make detailed decisions and understand business risks and consequences of them
• Serve as primary point of contact and owner of all service-related items, such as incoming customer calls, emails, and faxes regarding service needs, changes, questions, and problems
• Provide proactive service needs to ensure completion, including quotes, renewals, policy changes, urgent recommendations, billing, and audits
• Create new and renewal applications to smaller businesses
• Act as a relationship builder and liaison between sales producer, underwriting, other internal departments, and/or customers or agents in gathering of underwriting requirements and customer documents/signatures

Account Specialist managing relationships with customers and internal partners at Sentry

Account Specialist managing relationships with customers and internal partners at Sentry. Involves servicing accounts and collaborating with various teams.

• The Regional Account Specialist in Centralized Diagnostics is specialized in selling and promoting complex medical diagnostics capital equipment for a particular product line to customers in the territory.
• Implements sales plans designed to achieve established revenue and financial goals.
• Responsible for significant key partner relationship management and development strategy for strategic accounts.
• Works in coordination with Account Managers to call on prospective and current customers.
• Conducts demonstration sessions on product characteristics
• Creates formal networks involving coordination among groups.
• Responsible for maintaining and continuously improving the quality system and achieving quality objectives through daily actions.

Regional Account Specialist selling complex medical diagnostics equipment

Regional Account Specialist

Regional Account Specialist selling and promoting medical diagnostics capital equipment. Managing strategic accounts and implementing sales plans in the Chicago area.

• Engage Hematologists and other key Oncology customers and deliver clinically focused selling messages to support our Multiple Myeloma bispecific antibody
• Facilitate partnership with multiple collaboration partners; Regional Director, Nurse Educator, Key Account Manager, Territory-based Oncology Account Specialists, and Reimbursement Specialists to proactively resolve customer needs
• Develop strong working relationships with aligned designated accounts and specialists
• Execute market profiling activities to ensure a deep understanding of regional and local health care delivery, influencers and payer systems
• Proactively identify business opportunities with assigned accounts and leads appropriate coordination of effort by the Regeneron Oncology account team
• Develop a breadth of relationships within each account to ensure an understanding of each account’s objectives, goals, and challenges
• Demonstrates dedication to compliance through understanding regulations and policies that govern customer interactions

Hematology Account Specialist engaging Oncology customers and driving product goals

Medical Account Specialist II – Hematology

Hematology Account Specialist engaging Hematologists and Oncology customers to support Multiple Myeloma launch. Building relationships and executing strategies in compliance with policies.

Account Specialist jobs in Wisconsin

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Account Resolution Specialist II

Account Specialist

Regional Account Specialist

Medical Account Specialist II – Hematology