Medicare Sales Jobs in Iowa

Experience in Pharmacy Benefit Management and/or Health Insurance

Exceptional organizational, project management and time management skills

8 years of experience in business development, business to business sales or sales support

Exceptional communication and relationship development skills both internally and externally

Excellent business development acumen, critical thinking and customer orientation skills

Conduct ongoing business development activities to build a pipeline of prospective sales within existing and in new sales channels

Associates degree in accounting or equivalent work experience; Bachelor’s degree preferred

A minimum of two years Medicare billing experience

Working knowledge of accounting principles and Medicare reimbursement system

Review all billing for coding accuracy.

Maintain patient information and make appropriate changes.

Communicate with Medicare, clinical and audit team to promote timely payments.

Oversight of a large Contact Center staffed with Trained Medicare Specialists handling case management activities.

Oversight and reporting to management and client for Financial Management Operations and legislative reporting functions.

Experience finding trends, errors, and reviewing data with report writing skills.

Project Management Professional (PMP) Certified.

Develop and maintain knowledge, awareness, and understanding of company policies and procedures, goals, and objectives.

Bachelor’s degree in a business discipline plus 5 years’ program/project experience working in government programs such as Medicare and Medicaid.

The Associate will be part of a small team working in a fast-paced environment, requiring excellent time management and prioritization skills.

Qualifications (Minimum education & experience level required):

Experience with Health Plan Management System (HPMS) and CMS PBP software preferred.

Experience with benefit development, CMS bid submissions, benefit implementation, regulatory documents, or claims experience is ideal.

This position requires the candidate to have experience in healthcare, preferably with Medicare programs.

This is a highly visible role and strong interpersonal skills are a necessity.

Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization

1+ years administrative or customer service experience

Excellent verbal and written communication skills

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Proven experience working with tight deadlines/timeframe in an ever changing environment

Proficient and/or experience with medical terminology and/or ICD-10 codes

Equivalent combination of education and sales/account management experience will be considered. High school diploma required.

1 to 3 years’ Supervisory experience within a managed care of organization, health insurance carrier, third party administrator, or related industry

Directs the team and ensures compliance and quality customer experience interactions

1 to 3 years’ experience in progressively responsible sales or customer service positions

Knowledge of Medicare sales and CMS rules and regulations a plus

Supervises, motivates, and tracks sales team’s performance, productivity, and schedule adherence to drive quality results

Experience in proactively applying analytical, problem solving and / or technical abilities to daily responsibilities.

In-depth knowledge of pharmacy benefit coding.

Must have Medicare Part D Benefit Experience

Strong written and verbal communication skills, and ability to experience, establish and maintain effective relationships.

Partner with customer service and contract services for language needed to develop and maintain the benefit quoting tool (BQT) database.

Bachelor’s degree or four years equivalent experience. (Required)