Amy Springer Email & Phone Number

Goleta, California, United States

California, United States

Entering paper claim information into the computer system accurately and efficiently. Processing claims in accordance to the member's plan benefits. Reviewing and interpreting benefits and eligibility accurately. Assisting in claims projects as requested from management. Adjusting to new guidelines as they are updated internally or imlplemented by the State of California.

California, United States

Assisted in external audit requests. Coordinated with external clients on scheduling audits and verifying the documentation needed for the audit period. Lead a team of Audit Coordinators, distributing the workload, and answering questions from the team, assisting in the daily tasks as needed. Coordinated internal departments through email and/or meetings to gather reporting and clarifying documentation. Created and reviewed reports for accuracy and completion. Ensured timely submission of the… Show more Assisted in external audit requests. Coordinated with external clients on scheduling audits and verifying the documentation needed for the audit period. Lead a team of Audit Coordinators, distributing the workload, and answering questions from the team, assisting in the daily tasks as needed. Coordinated internal departments through email and/or meetings to gather reporting and clarifying documentation. Created and reviewed reports for accuracy and completion. Ensured timely submission of the requested documentation. Assisted with follow-up inquiries and outstanding items. Show less

Sacramento, California Area

Review incoming member and provider complaints and appeals. Determine the course of action to address member/provider concerns. Conduct research regarding Plan guidelines and member benefits and Plan limitations. Request and review member dental records from network providers. Make decisions regarding the Plan's ability resolve member/provider concerns. Educate members/providers about Plan policies and procedures. Respond to appeals and grievances within the required time-frame, as… Show more Review incoming member and provider complaints and appeals. Determine the course of action to address member/provider concerns. Conduct research regarding Plan guidelines and member benefits and Plan limitations. Request and review member dental records from network providers. Make decisions regarding the Plan's ability resolve member/provider concerns. Educate members/providers about Plan policies and procedures. Respond to appeals and grievances within the required time-frame, as determined by the State. Communicate verbally or in written correspondence with members and/or providers in a clear and concise manner. Provide reports as needed for internal and external clients/business partners. Work closely with the Dental Director for clinical review. Work closely with other departments, as necessary, to resolve complaints. Communicate and complete cases received from State Agencies, including, but not limited to, Department of Managed Health Care (DMHC), Department of Insurance (DOI), Department of Health Care Services (DHCS), Better Business Bureau (BBB). Show less

Goleta, California, United States

Scorekeeper for the Little League Minors Team. Kept accurate records of scoring and plays during the Little League 2023 season.

Goleta, California, United States

Scorekeeper for the Little League Minors Team. Kept accurate records of scoring and plays during the Little League 2023 season.

Goleta, California, United States

Volunteering as Co-Team Parent. Provided information to parents to ensure team members were available and present. Collected and maintained funds for the coordination of the end-of-year celebration, within the available budget. Worked with outside vendor to create custom gifts for the Coaches, within the team budget.

Goleta, California, United States

Scorekeeper for the Little League Minors Team. Kept accurate records of scoring and plays during the Little League 2022 season.

Sacramento, California Area

Volunteering with the school's PTA. Organizing and executing fundraising events. Coordinating with outside vendors for donations. Marketing events in school and online, for maximum school participation. Leading events from beginning to end. Recruiting volunteers and delegating duties to available persons. Ability to follow directions appropriately, when not leading a fundraising event.

Grew and maintained a list of clients. Built relationships internally and externally. Learned about the merchandise to sell appropriate products based on indiviual customer's needs. Tested products to evaluate and provide personal experience and opinions. Created and distributed flyers for marketing and sales.

Sacramento, California Area

Volunteering as Team Parent. Provided information to parents to ensure team members were available and present. Collected and maintained funds for the coordination of the end-of-year celebration, within the available budget. Worked with outside vendor to create custom gifts for the Coaches, within the team budget.

Sacramento, California Area

Provided customer service for network providers, including answering contract questions and some Plan benefit information. Assisted in recruiting and credentialing potential dentists to the Plan's network. Assisted providers in completing credentialing packets and worked with the Dental Director to ensure providers qualified with network standards. Handled communications with the providers via email, fax, phone and/or mail.

Rancho Cordova, Ca