|
|
•Identified how to best assist beneficiary callers with our appeal services
•Maintained effective working relationships with both external and internal customers
•Utilized internal quality control tools to assess individual work and team processes
•Lead trainer for all new hires
•Triaged all Quality of Care calls to determine the best resolution
•Gave referrals for external agencies outside of our quality of care scope
•Completed all immediate advocacy complaints within CMS guidelines
•Provided status updates to both Medicare Providers and beneficiaries
•Prepared all quality of care complaint and consent forms for review
•Conducted second tier business-specific customer support to IOCR Advantage Clients
•Answered client inquiries regarding incorrect claim and billing processing
•Gathered detailed root cause analysis from operator processing errors
•Interacted with service partners from the Health Care Imaging team to ensure accurate and timely client feedback and resolution
•Trained all employees on newly implemented processing procedures
By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy
Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.
By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy