Amanda Middleton Email & Phone Number

Perform account follow-up and resolution of insurance and patient receivables. Work insurance pools and contact insurance companies to resolve claims that are not paid in a timely manner. Work with Blue Cross and Blue Shield, United Healthcare, Cigna, Humana, and Aetna contacts for claim resolution. Review Explanation of Benefits, payment remits and payer correspondence while performing account follow-up. Identify problem accounts, complete extensive research, and escalate as appropriate. Document patient accounts to identify all actions taken on the account. Work with patients and guarantors to resolve payer requests and discrepancies to promptly resolve pending claims.

Jacksonville, Florida

Managed day-to day pension center operations and supported 15 associates. Vendors contact for Lucent, Avaya, Sears, and Boeing regarding Retirement Survivor Benefits. Orchestrated training to avoid and reduce operation costs. Responsible for staffing, coaching and developing team members. Validated and managed staffing budget by providing appropriate measures for client change orders to ensure operational expenses were not exceeded. Identified and implemented operational business efficiencies through process improvements and workflow adjustments. Exceeded 90% customer satisfaction feedback on surveys.

Jacksonville, Florida

Managed team of 8 associates by assigning tasks, providing on-going training and facilitated team meetings. Evaluated quality and productivity measures bi-annually to guarantee client service level agreement levels were met. Assigned tasks and managed workflow. Audited associates’ work to ensure accurate and timely completion of all processes. Provided personnel actions including counseling, performance reviews and training requirements. Assisted with interviews and provided feedback for potential candidates. Managed monthly and quarterly productivity reports for management and client review.

Jacksonville, Florida

Prioritized and managed workloads for the team to achieve performance standards and meet client deadlines. Provided participants with quick resolution to escalated issues. Audited and reconciled all payment set-ups for beneficiaries. Monitored team and individual performance for quality and productivity improvement.

Jacksonville, Florida

Processed and audited death benefit requests for beneficiaries. Assisted with new client data conversion clean-up projects. Primary vendors contact for 401(k) and health and welfare service providers. Contributed to the recovery of death benefit and annuity overpayments by implementing and deploying overpayment recovery procedures.

Tallahassee, Florida

Processed location requests from Florida and other state agencies regarding the location of custodial and non-custodial parent in child support cases. Collaborated with Federal Probation Officers, Department of Children and Family Counselors, and International Location Offices to locate missing parents. Utilized administrative and judicial remedies to ensure financial and medical support obligations were being upheld.

Jacksonville, Florida

Created participant retirement packages and survivor benefit packages.