Perform in the top 1% of my peers with a 97% accuracy rate.Assess initial documents for accuracy and completeness.Knowledge of and compliance with NCQA and state specific standards.Assist in the testing and implementation of procedures to improve efficiency. Verification of licensure and ensure file ready for committee review.Maintain provider profiling system.Communicate via verbal and written means with providers and matrix partners.Communicate with physicians both verbally and written to obtain information needed for file completion.Loading physician information to the appropriate system while meeting quality and timelessness measurements.

• Answer multi line phone and transfer to appropriate person.• Interact with employees, department managers, operations manager, vice president and president to get various task accomplished.• Prepare and print training schedule for the upcoming month.• Process and print checks to be mailed to publishers.• Review policy manual with newly hired employees.• Prepare new hire packets, to include W-4, I-9, emergency contact form and insurance forms.• Interact with staff to resolve some Human Resource issues.• Review employee timesheet’s for accuracy.• Prepare payroll to send to Checkmate for them to process payroll.• Schedule for Basch Subscriptions to attend trade conferences.• Make hotel and air reservations for sales representatives to attend trade shows.• Pack and ship for trade shows.

Entered applications into AWD and NUVENT systems to assure accuracy and efficiency.Review application in its entirety looking for any potential errors.Review forms for state compliance to maintain legal compliance. Maintain client information for accuracy.Contact medical vendors’ looking for labs and APS’s to get a quicker response.Use agent Licensing tools (Impact and licensing issue log In order to ensure agent is set up properly in system and licensed.Review illustrations for accuracy.

Entered orders from sales representatives checking for accuracy.Maintained and updated customer files.Scheduled commercials into three major radio stations maintaining rotation.Checked daily logs and reconcile using Visual Traffic program to be sure that everything played accurately.

Answered multi-line phone system and routed calls to the appropriate person.Maintained and updated customer files, with confidentiality.Assisted a staff of nine professionals with correspondences and schedules.Set up for meetings and Conferences.Ordered Office Supplies that were needed to complete task.Prepared contracts for customers to sign and return.

Effectively listened to customer complaints and made appropriate recommendations. Took customer orders efficiently and accurately.Advised and directed customers in determining appropriate needs.Assured customer satisfaction.