Adrienne Mcclellan Email & Phone Number

Phoenix, AZ, US

Peoria, Arizona, United States

• Assist clients in choosing the most appropriate policies based on their individual needs and budgets.
• Educate clients about prescription drug, vision, and dental policies.
• Identify any gaps or areas where clients may need additional coverage.
• Present the benefits and costs of each option to clients and help them make informed decisions.
• Help clients understand the benefits, limitations, and costs associated with each policy.
• Provide information to customers about… Show more

Phoenix, Arizona, United States

• Effectively presented and articulated products.
• Arranged and coordinated company presence at community events.
• Strong knowledge of Medicare Advantage HMO, PPO, POS, Medicare Supplement, and PDP plans.
• Designed and implemented highly successful strategies for growing membership.
• Delivered sales presentations and facilitated the development of materials to better serve the client base.

Phoenix, Arizona, United States

• Developed, implemented, and coordinated health expo events/projects in support of health plan members.
• Communicated with all members requesting or, have requested disenrollment from the health plan to determine areas of dissatisfaction, recover the disenrollment and/or gather trend information to assist in reporting.
• Provided backup to the Sales staff for walk-in sales.
• Responsible for the development, coordination, and implementation of expanded Retention Department programs… Show more
• Responsible for the development, coordination, and implementation of expanded Retention Department programs and responsibilities. Show less

Sun City West, Arizona, United States

• Maintained crucial data integrity testing to ensure the correctness of data analysis.
• Developed and maintained positive relationships with payer(s) and resolved open facility issues.
• Completed follow-up, collection, and allocation of outstanding claims payments.
• Reviewed electronic and auto-adjudicated claims to determine appropriate reimbursement based on contract language.
• Recorded details of payer interactions, inquiries, complaints, and comments, as well as actions… Show more
• Recorded details of payer interactions, inquiries, complaints, and comments, as well as actions taken.

Phoenix, Arizona, United States

• Loaded practitioner contracts into the system to facilitate timely and accurate claims payment (contract addendums, rate renewals, rate escalators, etc.).
• Provided ongoing support to department members by completing research and analysis to ensure proper claims payment.
• Partner with Sales Staff and Contract Negotiators to ensure appropriate contract negotiation and implementation requirements are met.
• Responsible for responding to complex inquiries, solving non-routine problems… Show more
• Responsible for responding to complex inquiries, solving non-routine problems using independent judgment and discretion, and ensuring client satisfaction with products and service.
• Researched and resolved claim issues.

Phoenix, Arizona, United States

• Loaded newly credentialed physicians for Arizona and Nevada Health plans.
• Modified data to existing provider demographics.
• Researched and resolved pending claims issues.
• Maintained physician contract file.

Phoenix, Arizona, United States

• Handled incoming calls for the individual/small group medical insurance plan.
• Communicated with broker(s) and client(s) regarding the application process.
• Researched and assisted the underwriting department.
• Obtained additional documentation needed to process pending applications.
• Prepared approval and decline insurance letters.
• Posted payments and adjustments.

Bachelor Of Science In Health Administration - Bsha

Arizona Life, Health, Accident