Representative

• Ensure timely enrollment of new providers and facility sites with payors
• Maintain existing provider and facility-site enrollment, including re-enrollment and terminations
• Gather and maintain accurate provider directory and payor database information
• Follow up with payors to obtain effective dates, status updates, and billing identification numbers
• Update provider numbers and related data in internal and external billing software and production programs
• Maintain supporting documentation, including W-9, CLIA certificates, bank, IRS, and CMS letters
• Apply for or assist with individual practitioner and facility NPI applications through NPPES
• Notify payors and internal contacts about practitioner practice changes, terminations, malpractice cases, and legal matters
• Notify payors about new sites, site terminations, and site changes
• Follow up on enrollment-related denials and resolve accounts in accordance with federal and state regulations
• Respond to internal and external inquiries regarding research issues
• Review charges, claims-pending reports, and claim-edit work queues in Epic
• Work Epic follow-up queues to resolve enrollment-related issues
• Monitor changes in managed care and payor provider-enrollment requirements
• Complete work within departmental, compliance, and payor time limits
• Initiate enrollment for electronic claims submission
• Attend site-planning meetings, provide input, gather setup information, and provide updates

Provider enrollment representative managing payor enrollment for Sanford Health, a major rural U.S. health system

Provider Enrollment Representative

Provider Enrollment Representative managing provider and facility payor enrollment for Sanford Health, the largest rural U.S. health system.
Maintaining billing data, documentation, NPIs, claims queues, and regulatory compliance.

• Handle inbound and outbound customer service calls, including de-escalations to the best of your abilities with our clients placing their meal order
• Address questions, and provide exceptional customer service
• Input order information into the appropriate client order screen
• Document all conversations with client into client information database
• Ensure all assigned clients are contacted and have an order on file
• Contact case managers via telephone, email, and/or fax when a special situation arises regarding one of their clients
• Work quickly and efficiently without making the client feel rushed
• Assisting clients with reships (after training is completed)
• Assist callers who inquire about the Community Supports benefit, and submit a self-referral for those who meet the criteria to submit the referral.
• Notify clients of benefits ending soon within the 30 day time frame, and offering to assist with reauthorization when able, or explain next steps for those whose agency does not allow Mom’s Meals to initiate the request
• Explain benefits including nutritional counseling requirements and possible timelines for clients awareness

Customer Support Representative providing meal order assistance for a home-delivered meal service

Intake Community Supports Representative

Customer Support Representative providing excellent assistance to clients placing meal orders for a home-delivered meal service. Fully remote position located in Iowa with a starting wage of $17.50/hour.

• Advise Project Owner on all aspects of commercial construction projects from concept to completion.
• Ensure compliance with environmental regulations and permits throughout the construction process, including environmental impact assessments and mitigation measures.
• Monitor all project schedules, provide early feedback on performance and risk to those schedules, and support timely completion of all project milestones.
• Identify potential risks and develop mitigation strategies to better position the project for success.
• Monitor the Contractor’s quality control measures to ensure construction activities meet industry standards and Owner expectations.
• Serve as a key conduit of information exchange between all on-site stakeholders, providing regular updates on project progress and addressing any concerns that may arise.
• Observe and influence the activities of construction teams, subcontractors, and support staff on behalf of the Owner, fostering a collaborative and safety-focused work environment.
• Consult to ensure compliance with safety regulations and best practices and recommend corrective actions to maintain a safe work environment for all personnel.
• Maintain accurate project documentation, including contracts, permits, change orders, and progress reports, and provide regular reporting to stakeholders.

Construction Manager serving as Owner's Representative for large-scale projects

Owner's Representative

Construction Manager serving as Owner's Representative in remote environments. Overseeing construction management responsibilities and ensuring alignment with Owner's vision and objectives.

• Assist clients remotely via email, phone, and messaging platforms
• Answer travel-related inquiries in a clear, professional, and friendly manner
• Support itinerary updates, cancellations, changes, and special requests
• Provide guidance on destinations, travel requirements, and agency procedures
• Monitor upcoming trips and proactively communicate with clients when needed
• Resolve issues efficiently while maintaining a positive customer experience

Remote Travel Customer Representative assisting travelers with inquiries and support

Travel Customer Representative

Remote Travel Customer Representative assisting clients with travel-related inquiries and support. Collaborating remotely to ensure smooth travel experiences for clients.

• Execute brand strategy and tactics in field, sales performance, effectively manage assigned territory and targeted accounts, build strong customer relationships and customer needs solving capability
• Deliver sales performance, brand KPIs, financial targets, marketing objectives, etc. to meet or exceed on those objectives
• Create pre-call plan objectives and execute post-call evaluation to continuously improve sales performance
• Effectively handle objections, misunderstandings, concerns and consistently gain logical and reasonable calls to action to close on every sales call
• Proactively and continuously aspire to serve customer needs, customer expectations and challenges
• Develop and execute a call plan that achieves set call metrics and optimizes coverage and frequency to key customers to maximize access and sales opportunities
• Continuously build understanding on customer needs and expectations, territory market landscape, competitors, market segments/dynamics, accounts, disease, product, clinical and sales expertise and share this market intelligence information

Specialty Representative managing migraine therapy sales in Iowa for AbbVie

Specialty Representative, Migraine

Specialty Representative for AbbVie managing migraine therapy sales in Des Moines. Building strong customer relationships and executing brand strategies within the neuroscience therapeutic area.

• Service multiple customer locations.
• Receive and stock purchased product in designated customer locations, ensure product stocking levels by scanning for ordering purposes as inventory is depleted.
• Resolve customer problems promptly to retain and promote customer loyalty.
• Follow designated route defined by routing software tools and maintain route guides.
• Identify continuous improvement opportunities in productivity, process, and cycle time.
• Comply with safety and inspection requirements of the facility where the service is being provided.
• Help create new orders by engaging with customers to identify additional product needs
• Probes for customer needs during each site visit and works with sales partners to expand Grainger offerings.

On-Site Service Representative servicing multiple customer locations

On-Site Service Representative, Part Time

On-Site Service Representative responsible for servicing multiple customer locations in Cedar Rapids, IA. Collaborating with sales partners to expand Grainger offerings and manage customer inventory.

• Provide disability case management and claim determinations based on complex medical documentation and the applicable disability plan interpretation.
• Determine benefits due and making timely payments/approvals and adjustments.
• Medically manage disability claims; coordinate investigative efforts; thoroughly review contested claims.
• Negotiate return to work with or without job accommodations.
• Evaluate and arrange appropriate referral of claims to outside vendors.
• Communicate clearly with claimant and client on all aspects of claims process either by phone and/or written correspondence.
• Inform claimants of documentation required to process claims, required time frames, payment information and claims status.

Disability Representative managing complex claim determinations at Sedgwick.

Senior Disability Representative

Disability Representative handling disability case management and claim determinations. Collaborating with teams to evaluate claims and manage medical documentation under Sedgwick’s standards.

• To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not limited to, expediting the claims process and providing detailed claim notes on all calls
• Acts as primary liaison with callers from multiple client accounts within a shared services environment
• Follows specifications in assisting with questions and solving problems related to the claims application and servicing processes
• Performs claim intake and full-service customer support within regulatory requirements, company, and client expectations at all times
• Educates and informs the customer about documentation required to file/process a claim, required time frames, payment information, and claim status
• Educates claimants/callers on client requirements and benefit plans documenting all required details of the call in a concise professional manner
• Enters verbal and written claim information that meets both the internal and external customer’s requirements accurately into the appropriate system
• Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist/management as needed
• Attendance during scheduled work hours is required

Care Team Representative providing empathy and support for claims

Care Team Representative

Care Team Representative offering empathetic service to callers regarding claims for multiple lines of business. Collaborating within a shared services environment to expedite the claims process and resolve issues.

• Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments/approvals and adjustments
• Medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations
• Coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors

Disability Representative managing complex claims and case management processes

Disability Representative providing case management and claims determinations for disability plans. Collaborating on complex claims and ensuring timely payments and support for claimants.

• Make outbound calls to hospitals and healthcare clinics across the U.S.
• Conduct brief surveys focused on after-hours and emergency response protocols
• Ask approximately 3 standardized questions per call
• Accurately document responses during each call using provided systems
• Maintain a professional and courteous demeanor with healthcare staff
• Follow call scripts and guidelines to ensure consistency and compliance
• Handle a high volume of calls while maintaining quality standards
• Protect confidential information and adhere to company policies
• Communicate any issues or escalations to supervisors as needed
• Meet performance and attendance expectations in a remote work environment

Healthcare Survey Agents conducting outbound calls for brief surveys

Outbound Survey Representative

Healthcare Survey Agents conducting outbound calls to hospitals for brief surveys. Requires strong communication skills and professionalism in a remote work environment.

• Execute brand strategy and tactics in field, sales performance, effectively manage assigned territory and targeted accounts, build strong customer relationships and customer needs solving capability to maximize short and long term sales performance placing the patient into the center of any efforts and operating within AbbVie’s business code of conduct, policies and all applicable laws and regulations.
• Deliver sales performance, brand KPIs, financial targets, marketing objectives, etc. in order to meet or exceed on those objectives.
• Create pre-call plan using SMART objectives and execute post-call evaluation in order to continuously improve sales performance.
• Effectively handle objections, misunderstandings, concerns and consistently gain logical and reasonable calls to action in order to close on every sales call.
• Proactively and continuously aspire to serve customer needs, customer expectations and challenges in order to build trusted customer relationships and to achieve win-win agreements between AbbVie and customers.
• Develop and execute a call plan that achieves set call metrics and optimizes coverage and frequency to key customers in order to maximize access and sales opportunities.
• Continuously build understanding on customer needs and expectations, territory market landscape, competitors, market segments/dynamics, accounts, disease, product, clinical and sales expertise and share this market intelligence information with in-field team, brand team and sales manager to achieve alignment, to anticipate environmental changes and challenges and to optimize brand strategy and its execution.
• Differentiate AbbVie’s value proposition with health providers assigned and identify, develop and maintain disease state experts and speakers/advocates in order to maximize brand performance.

Specialty Representative executing brand strategies and maximizing sales in assigned territory.

Specialty Representative, Rheumatology

Specialty Representative executing brand strategies and maximizing sales in assigned territory for AbbVie. Building strong customer relationships and meeting sales performance objectives.

• Answer incoming emergency and non-emergency calls, following protocols to determine priorities and dispatch responses accordingly.
• Provide compassionate customer support using scripted and non-scripted responses.
• Monitor a high volume of medical alerts and alarms, offering genuine care during potentially stressful situations.
• Record call details, dispatches, and messages into a database in real-time while maintaining focus and accuracy.
• Communicate with empathy, respect, and patience to ensure a positive experience for our members.
• Verify and update customer information in the system to ensure records are accurate.
• Troubleshoot alarm systems and report issues to ensure timely maintenance.
• Proactively inquire about and recommend preventative healthcare services to members.
• Manage access to highly sensitive materials and maintain strict confidentiality.
• Talk and type simultaneously while navigating multiple screens and systems efficiently.
• Successfully complete new hire training and pass all required compliance testing.
• Perform other duties as assigned.

Care Center Representative assisting with medical alerts and providing support

Care Center Representative – 2ND SHIFT ONLY

Care Center Representative responding to emergency and non-emergency calls, assisting members with medical alerts. Ensuring proper dispatch and providing compassionate customer support in a remote setting.

Care Center Representative providing support during emergency and non-emergency calls

Care Center Representative – Overnight

Care Center Representative providing compassionate support and monitoring medical alerts during emergency situations. Importance placed on customer service in a remote setting.

• Serve as the primary technical field support resource for Rebel Power and communications products
• Provide on-site assistance to defense, government, and commercial customers
• Support customer demonstrations, training, product integration, troubleshooting, and operational field exercises
• Serve as the technical liaison between customers and internal teams
• Work closely with Business Development, Sales, Program Management, and Engineering to ensure successful product deployment

Field Service Representative providing technical support for Rebel Power products

Field Service Representative

Field Service Representative providing technical support for Rebel Power and communications products. On-site assistance for customers, supporting demos, training, and deployments.

• Educate clients on financial planning and insurance options.
• Provide excellent customer service and build lasting relationships.
• Collaborate with a local supportive team.

Financial Representative educating clients on financial planning at Northwestern Mutual

Outside Representative

Financial Representative at Northwestern Mutual educating clients on financial planning and insurance options. Collaborating with a supportive local team to provide excellent customer service and build lasting relationships.

• process entry-level and intermediate claims with a 99% or greater accuracy rate
• adhere to approved claim workflow requirements to maximize efficiency
• serve as backup to Claim Administration team for entry-level adjustments to claims as necessary
• serve as back up to call center during peak periods by taking provider and member calls
• successfully complete basic claim-related projects

Claim Processing Representative managing insurance claims with high accuracy

Claim Processing Representative

Claim Processing Representative handling entry-level and intermediate claims with high accuracy for DentaQuest. Supporting call center operations and completing claim-related projects as needed.

• Demonstrates good customer service skills while initiating outbound calls and receiving inbound calls from customers.
• Negotiates account resolution and accurately inputs and documents actions within the collection systems.
• Maintains up-to-date customer contact information in the collections systems.
• May be required to support other queues to facilitate teamwork in the department.
• Escalates and assists other team members with calls as needed.
• Serves as a resource/subject matter expert and may provide training to fellow team members.
• May be required to initiate external contact with customers and may perform advanced loss prevention activities.
• Review the Month to Date (MTD) sent by the clubs for accuracy.
• Daily review of ABC on prior day dues collections and all club entries.
• Process all refunds from ABC and Point of Sale (POS). Research all refunds from the clubs for accuracy.
• Oversees 3rd party collections and all communication that is needed to the clubs from Swift.
• Works as the liaison between ABC and the Club Operations Managers.
• Timely, responsive, courteous communication with all member inquiries, questions, concerns, and needs.

Member Services Representative handling day-to-day management of dues growth

Member Services Representative

Member Services Representative working for UFC GYM managing dues growth and providing customer service via calls. Responsible for account resolutions and supporting team members.

• Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments/approvals and adjustments
• Medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations
• Coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors
• Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan
• Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan
• Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines
• Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed
• Determines benefits due pursuant to a disability plan, makes timely claims payments/approvals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets
• Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and/or claims system
• Communicates with the claimants’ providers to set expectations regarding return to work
• Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions
• Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and/or claims system
• Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims
• Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and/or related disability activities
• Negotiates return to work with or without job accommodations via the claimant’s physician and employer
• Refers cases to team lead and clinical case management for additional review when appropriate
• Maintains professional client relationships and provides excellent customer service

Disability Representative managing complex claims and providing case management.

Disability Representative managing complex claims and providing case management for disability cases. Working with medical documentation to determine benefits and manage claims effectively.

Representative jobs in Iowa

See all jobs on JobTailor

Provider Enrollment Representative

Intake Community Supports Representative

Owner's Representative

Travel Customer Representative

Specialty Representative, Migraine

On-Site Service Representative, Part Time

Senior Disability Representative

Care Team Representative

Senior Disability Representative

Outbound Survey Representative

Specialty Representative, Rheumatology

Care Center Representative – 2ND SHIFT ONLY

Care Center Representative – Overnight

Field Service Representative

Outside Representative

Claim Processing Representative

Member Services Representative

Senior Disability Representative