Amber Rose Email & Phone Number

Salem, Oregon, United States

Portland, Oregon Area

Salem, Oregon, United States

Monitor various Medicare/Medicaid claim types including Inpatient/Outpatient, Professional and Facility claims. Monitor payment reports ensuring accurate provider reimbursements and identify claim processing anomalies. Review and approve high dollar claims. Generate claims inventory and statistic reports using SQL Squirrel software and distribute to appropriate personnel. Create member notification mailings on a weekly, monthly and quarterly basis. Timely delivery of Compliance required monthly and quarterly reports. Audit manually entered claims for accurate data entry and correct processing. Received provider refund checks, matched to correct claim(s), scanned and updated check log spreadsheet, notified appropriate personnel. Created Work Instructions for all Claims Monitoring duties

Salem

Educate Medicare beneficiaries, at Sales and Education meetings and in an office setting, to make sure they understand all of their options under Original Medicare so they can feel confident in making a value-based decision that is right for them. Continue to provide excellent service and build strong relationships with members by actively listening, asking probing questions, finding problem resolutions and accurately following up as needed. Promote company growth through current membership retention and new sales activities.

United States

Responsible for accurately and efficiently processing enrollments, dis-enrollments and other member status changes as defined in Chapter 2 of the Centers for Medicare and Medicaid Services (CMS) Managed Care Manual and ATRIO Health Plans Billing and Enrollment Policies and Procedures. Quality check for accuracy and completeness of member data and eligibility requirements throughout all systems.

Salem Or

Report directly to the CEO and provide extensive support to all executive staff. Anticipate and manage needs of daily work flows, prioritize various projects, prepare and create presentation materials, and coordinate internal and external meetings. Provide member services with accuracy and efficiency to create member rapport and trust within the community ATRIO serves.

United States

Provide personal service to retirees through house calls. Listen to their goals, evaluate needs (realized & unrealized) and create solutions to leave every home better than it was found. Create agent sales goals by setting quarterly, monthly and weekly objectives ensuring agent success and company growth. Continuous education on product knowledge, sales practices, and insurance law.

Corvallis, Oregon Area

Manage and maintain 40-60 personal injury claims for 3 experienced and respected legal attorneys. Communicate regularly with clients, treatment providers, claims adjusters and other legal representatives. Maintain accurate client files, correspondence, and calendars. Manage all in-coming calls for attorneys in professional, courteous manner.

Boise, Idaho Area

Responsible for accounts receivable, dispatching and administrative duties for a growing, reputable petroleum equipment company. Worked under two owners as a secretary, dispatcher, scheduler, and accounting clerk. Maintained roughly 300 customer accounts, 60-75 weekly service calls and all out going billing, as well as posting of all incoming revenue.

Bachelor Of Science (Bs), Criminal Justice

Activities and Societies: ITT Tech Criminal Justice Games 2009 - 2nd Place physical agility ITT Tech Criminal Justice Games 2008 - 1st.

High School Diploma