Apply on Employer Site

Ameritas · 2 months ago

Dental Insurance Provider Network Representative

Lincoln, AZ, 68510-2234, United States

Full-time

Hybrid

Mid Level

Ameritas is an insurance, financial services and employee benefits provider seeking a Dental Insurance Provider Network Representative to drive network growth and persistency results at a state level. This role is responsible for recruitment projects, maintaining provider networks, and partnering with the sales team to ensure effective service delivery.

Financial ServicesInsurance

Responsibilities

The PNR (Provider Network Rep) is responsible for recruitment projects assigned by Director-Provider Networks and manager in various areas of the nation utilizing such methods as researching competitor data, developing recruitment call strategies, maintaining and posting reports, ensuring consistency through contact management leads, preparing fee increase requests, and obtaining policyholder names and approvals

The PNR works with the management team to improve his/her skills in recruitment methods and successes through utilizing PSS techniques, monthly coaching tips provided by the manager, recruitment ride-alongs, and through customized coaching plans and proficiency checklists identified and developed by the manager to specifically deliver increased recruitment project and overall job performance successes

This position assists the Sr. PNR or manager in the implementation of provider recruitment events and dental conventions in assigned recruitment project areas as necessary

The incumbent will be responsible for on-site reviews in their territories within the specified service standards timeframe, including scheduling and conducting office visits and educating the dental staff on Ameritas quality assurance standards. The position ensures that re-onsite follow up compliance is completed in assigned areas via phone calls, or in-office visits if necessary, and provides compliance status reports to the management team

This position maintains provider networks to overall persistency levels set by the company by conducting periodic "PR" calls and contacts with key providers as well as attempting to retain potentially- terminating providers in assigned areas

This position maintains Salesforce.com for each assigned recruitment project within specified deadlines

The PNR partners with the group sales reps and new STEP reps in their assigned project areas as well as local territories to offer "ride alongs" on recruiting calls and onsite visits

The PNR partners with the management team on a semi-annual basis to best determine key account service needs

The PNR will be available for enrollment and broker meeting participation, on an as needed basis

The PNR partners with Provider Relations in the provider contracting process; in researching provider inquiries; in identifying and creating Best Practices; and providing an overall seamless level of customer service to the provider network

This position attends PNR team and national team meetings as required

Qualification

Provider contract understandingDental product knowledgeSalesforce proficiencyProfessional Selling Skills certificationTime management skillsCustomer service commitmentInterpersonal skillsCommunication skillsOrganizational skillsPresentation skillsDecision making skillsAdaptability

Required

A four-year Bachelor's degree or equivalent combination of education and work experience is required

Proven results in individual production as demonstrated by consistently meeting or exceeding goals

Ability to manage multiple priorities through effective time management, organizational and decision making skills

Professional presentation and conduct at individual, managerial and corporate levels required

Comprehensive understanding of provider contracts

Detailed dental product and plan design knowledge is essential

Strong technical and computer skills are a must with advanced proficiencies in Word, Excel, PowerPoint, proficiency in Microsoft Teams, Internet applications, Salesforce and competitor analysis tools such as Network360

Completion of and certification in of Professional Selling Skills, PTS, Selling in A Competitive World is necessary

Demonstrated ability in interpersonal and human relations skills, including verbal, written, communication and presentation skills

A strong commitment to excellent customer service, as demonstrated by consistently meeting deadlines and effective relationship-building with customers, team members, management and internal staff

Travel is necessary and may require up to 80% travel in order to provide field recruitment, on-site provider visits, industry events, and sales presentations

This role is continually challenged to develop provider networks in a competitive managed care marketplace. Network development needs change and increase on a continuous level, requiring the PNR to be adaptive and responsive to quick shifts in business plans. Because of the multiple customers with whom this position builds relationships, the incumbent must be able to work in high-stress periods, with an innate ability to work independently. Adherence to deadlines and procedures is vital to the efficacy and accuracy required of this position. Assigned projects and goals are used as motivation and disciplinary action is employed for not meeting such standards