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Account Manager
$102k-135k (estimate)
Full Time | Business Services 5 Months Ago
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Global Excel Management is Hiring an Account Manager Near Miami, FL

Job Description

Reports to: Director Client Services

Department Goals:

This position exists to ensure proper processes and business needs of an assigned group of clients are being followed and addressed proactively and efficiently. This position involves working in close collaboration with operational teams across the organization to ensure that we provide an excellent service and customer experience to our clients.

Job Description/ Account Management:

Some of the main daily duties and responsibilities are, but not limited to:

  • Main point of contact between strategic clients and Global Excel
  • Participate in strategic initiatives/projects with the sales person
  • Client problem resolution: Claim related (balance billing, request claims, member receiving statements, etc.)
  • Client request: provider referral, PPO participation, international provider referral.
  • Make recommendations and steer clients to in best in network facility
  • Review batches for: Accuracy, benefits applied correctly, highest possible discounts, proper documentation
  • Run weekly and monthly claims report. Analyze trends and discuss results with client and upper management to determine if internal changes are required.
  • Review Negotiations log: Follow up on claims sent to negotiations for prompt return.
  • Follow up with client on payment status of claims based on one or more of the following: large dollar amount claims outstanding for long periods, VIP members, GEM-provider relationship, negotiation, etc.
  • Request advance payments when necessary to meet payment deadline and avoid loss of discount. Get approval from client for payments in advance. 

Requirements:

  • High School diploma or equivalent - College level preferred
  • 7 years of experience in related field (healthcare)
  • Bilingual (English/Spanish)
  • Demonstrated ability to communicate, present and influence credibly and effectively at all levels of the organization, including executive and C-level
  • Experience in delivering client-focused solutions based on customer needs, strategies & new products
  • Proven ability to manage multiple projects at a time while paying strict attention to detail Excellent listening, negotiation and presentation skills
  • Excellent verbal and written communications skills

Job Summary

JOB TYPE

Full Time

INDUSTRY

Business Services

SALARY

$102k-135k (estimate)

POST DATE

11/04/2023

EXPIRATION DATE

04/05/2024

WEBSITE

globalexcel.com

HEADQUARTERS

MIAMI, FL

SIZE

25 - 50

FOUNDED

1996

CEO

NATHALIE LAFOND

REVENUE

<$5M

INDUSTRY

Business Services

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About Global Excel Management

Global Excel is a full-service provider of global healthcare risk management solutions. Global Excel, together with its subsidiaries based in Canada, USA, Mexico, Europe, Africa, and Asia, offers a complete range of risk mitigation, cost containment, claims management and medical assistance services to over 366 clients located in more than 90 countries around the world. As a group, Global Excel will manage approximately 360,000 inpatient, outpatient and non-medical cases per year and processes in excess of $1.9B USD in healthcare claims annually. The Global Excel family encompasses approximate...ly 900 employees internationally located in Sherbrooke, Canada, in Windsor, Canada, Miami, USA, Mexico City, Mexico, Europe and Africa, as well as Jakarta, Indonesia. Gestion Global Excel inc. est un fournisseur de solutions globales compltes dans la gestion des risques associs aux soins de sant. Global Excel et ses filiales situ au Canada, tats-Unis, Mexique, Europe, Afrique et en Asie offrent une gamme complte de services dattnuation des risques, de contrle des cots, de gestion des rclamations et serves dassistance mdicale plus de 366 clients rpartis dans plus de 90 pays travers le monde. Agissant en tant que groupe, Global Excel grera dornavant prs de 360 000 cas mdicaux et non mdicaux annuellement, et ce, en milieu hospitalier et en consultation externe. Elle traite plus de 1,9 milliards de dollars .-U. en rclamation associe aux soins de sant par an. La famille Global Excel emploie plus de 900 employs aux quatre coins du globe situs Sherbrooke, Canada, Windsor, Canada, Miami, Etats-Unis, Ville de Mexico, Mexico, Europe et en Afrique, ainsi qu' Jakarta, Indonsie. More
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