Provider relations representative vs telesales representative

Differences between provider relations representative and telesales representative duties and responsibilities

Provider relations representative example responsibilities.

• Help manage ACO program and review measures with provider offices.
• Advise clients on health care and manage care products including POS, PPO and medical management programs.
• Provide keen oversight in developing and maintaining quality improvement programs while managing payroll.
• Manage software maintenance renewal partner and assist with upselling additional and higher functionality licenses to increase revenue.
• Review the provider contracts, paid members claims, base on the CPT code & ICD-9 that are submitted.
• Review provider claims for CPT and ICD-9 coding accuracy and generate payment of claims base upon current fee schedule.
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Telesales representative example responsibilities.

• Contact medicare eligible recipients to sell medicare advantage plans through in-home meetings, community seminars and direct telesales.
• Exceed expectations in cross-selling and upselling on all inbound and outbound calls.
• Solicit cross-selling and upselling opportunities to new prospects and current customers.
• Upgrade current customers who have Comcast services through outbound telephone solicitation.
• Counter customer objections by remaining knowledgeable of Comcast and its competitor's services and initiatives.
• Demonstrate superb organizational and multitasking abilities
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