Highly enthusiastic customer service professional with 25 years client interface experience, truly a team player or independent and self motivated.
•New business sold case processing for Northeast and Southeast regions for Small Group Business (SGB)
•Intake and outbound calls from plan sponsors and brokers
•Facilitated special projects for three regions supporting membership of 50,000 -100,000
•Identified and collected information critical to decision making as necessary
•Provided accurate benefit explanations to groups as requested
•Handled a variety of customer service and administrative task and resolve customer issues with expediency
•Responsible for intake and triage for appropriate healthcare management including customer service, demographics and limited clinical data collection
• Used appropriate criteria sets for pre-certification and referral processing
•Knowledge of both risk and non-risk products
•Proficient in medical terminology as well as IDC-9 and CPT coding
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