Anna Maclean Email & Phone Number

Salt Lake City, UT, US

Leading team of Claims Settlement Specialists who execute pre and post service Single Case Agreements with out of network providers, and handling of claims where members are subject to balance billing. Team is also responsible in handling Independent Dispute Resolution (IDRs) initiated by non participating providers who are disputing services that fall.

Responsible for adding and updating pricing configuration requests using various software applications within the business. Working closely with outside departments to get detailed pricing requirements that align with provider contracts, designing and implementing requirements, and testing configuration to ensure accuracy and functionality within the.

Claims monitoring and quality assurance for the Medicare Advantage product at SelectHealth. I ensure claims are processed according to CMS guildelines and second reviewed for accuracy.

Provider Relations