Experience and Qualification:
Role: Account Manager 80% + 20% Sales
7-10 years Healthcare claims processing or Healthcare equivalent work experience.
KEY SKILLS:
• A minimum of 5 years client involvement with a proven record of interacting with clients in a positive, professional and tactful manner.
• Understand system interfaces, the import/export of claims, eligibility, providers, accumulators, etc.
• Baseline triaging for all customer submissions.
• Communicate directly with customer to resolve problems.
• Work with other departments to research and resolve customer issues.
• Produce high quality work that is thorough, accurate and timely.
• Accurately maintain records while meeting reporting deadlines.
• Work with internal and external customers including all levels of management.
• Responsible for running and managing customer meetings.
• Detailed business knowledge of Health Plans or TPAs.
KEY SEARCH CRITERIA:
• Client engagement manager profile with responsibility of growth (mining) of the account. He /she should have also managed accounts where multiple lines of business is being delivered – like platform implementation, Application support (AMS), operations (BPS) etc.
• Account manager experience for a payer account where platform implementation (Javelina or equivalent) play exists.
Key Skills: Healthcare claims processing, claims, eligibility, providers, accumulators, etc
Any Gradute