Revenue Cycle Support Management Resume Example

• Identify issues and inquiries over 10,000 annuitants weekly from plan participants regarding health and welfare benefits and deductions through telephone, email and in-person interactions.
• Enroll Retirees to start receiving there pension benefits by calculating monthly payment, reconcile figures, writing up benefit applications, making photocopies of important documents, provide data on different annuities available for retirees. Analyzed and modified benefit compensation and benefits policies to establish competitive programs and ensure compliance with legal requirements.
• Makes decisions in partnership with management throughout life of claim (initial adjudication and ongoing claims management) based upon claim facts, thorough evaluation and gathering of pertinent information to formulate appropriate action plans. Develops case files that demonstrate appropriate decision making based on documented procedures using claim facts, pertinent policy provisions, customer expectations and special handling agreements.
• Determines eligibility based on contract language, payroll records, and other supporting documentation. Adheres to ERISA and other federal/state laws concerning group disability insurance. Remains abreast of industry changes, federal and state legislation and regulations, as well as changes in internal processes and procedures.

• Managed over 40 calls per day and exceeded Monthly scorecard every month.
• Develop and maintain current knowledge of company's products, policies and services.
• Reported to supervisor when training team members to discuss what maybe impacting team members scorecard.
• Professionally helping them meet teams monthly goals.
• Resolve billing issues or insurance gap issues following company procedures.
• Proactively identified projects and initiatives for purposes of supporting sales distribution.
• Issued payouts to claimants.
• Communicated with claimants, employers and medical professionals regarding open claims.
• Took initial concepts and developed project plans.
• Maintained contact with claimants and attorneys to determine treatment status.
• Made referrals to appropriate services.
• Completed initial site preparation and maintained neat work areas for duration of job.

Manage an investor, insurer or portfolio specific portfolio. Receive inbound or make outbound calls to assist members with inquiries regarding their home retention option, supporting documentation requirements or general loan servicing questions. Meet investor and or state-specific guidelines to set up approved repayment, trial or forbearance plans. Update member financial information based off change in circumstance or to address member hardship at plan. Respond to member communications and authorized third parties to ensure items are acknowledged and processed in a timely manner. Ensure investor and state specific letters and call attempts are completed as required. Collaborate and coordinate with servicing departments, including collections, property preservation, foreclosure and bankruptcy. Accountable for performing all duties in accordance with company policies and procedures and state and federal laws. Demonstrate behaviors which are aligned with organization's desired culture and values. Evaluated employee skills and knowledge regularly, providing hands-on training and mentoring to individuals with lagging skills. Managed schedules, accepted time off requests and found coverage for short shifts.