Specialist in Claims Management and Sales
1 week ago
We are seeking a highly skilled and motivated Claims Specialist to join our team.
**Responsibilities**:
- Process insurance claims efficiently and accurately, from submission to resolution
- Verify patient eligibility and coverage benefits
- Communicate with insurance companies to resolve claim issues and ensure timely reimbursement
- Maintain detailed records of claims and follow up as needed
- Collaborate with healthcare providers to obtain necessary documentation and information
- Build and nurture relationships with doctors and medical facilities to facilitate patient referrals
- Stay informed about changes in insurance regulations and industry trends
- Provide excellent customer service to patients and healthcare partners
- Identify and target healthcare providers who are potential referral sources
- Build and maintain relationships with doctors, medical practices, and hospitals
- Educate healthcare professionals about our services and the benefits to their patients
- Develop and implement sales strategies to achieve targets and drive revenue growth
- Collaborate with the marketing team to create promotional materials and campaigns
- Stay informed about industry trends, competitor activities, and market developments
**Requirements**:
- Bachelor's degree in business, marketing, or related field (preferred)
- Proven track record of success in sales, preferably in the healthcare or insurance industry
- Strong networking and relationship-building skills
- Excellent communication and presentation skills
- Ability to work independently and as part of a team
- Goal-oriented with a drive to succeed
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