Consumer Advisor (Dec. 2015- present)
Answer incoming member and prospective U500 and Major Account member calls concerning claims, billing, benefits, prior authorizations, denials, etcResearching policies and claims to confirm if they were accurately processedWebsite support and resetting passwords onlineWork as a customer advocate by calling doctor offices, collection agencies and/ or billing offices inquiring about claims, bills, setting appointments, etcHandle internal inquiries regarding prior authorizations, appeals, subrogation, remittances, etc
Customer Service Rep/ Trainee (Jul. 2015- Dec. 2015)Answered incoming member and prospective U500 member calls concerning claims, benefits, prior authorizations, denials, etc.Ensured stats were above standard department goalsResearching policies and claims to confirm if they were accurately processedMailed various correspondences to members on a daily basis
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