Bianca Ware Email & Phone Number

 Performs quality audits of all medical claims  Addresses inquiries received from internal and external  Provides cross-functional support for operational functions, including development training, one-on-one coaching and feedback, trending, or complex root cause analysis Provides objective feedback and recommends corrective actions and process Achievements: Consistently met daily goals with a 100% accuracy audit rate. Expanded my knowledge in commercial, large group, and small group billing and claims. Help integrate Facets into the daily business needs as well as help train offshore auditors.

Cary, North Carolina

 Read claims, interpret EOBs/EORs for members and providers Send claims for reprocessing when there is an error Assist members in grievance and appeals rights, procedures, and status Explain healthcare insurance policies including benefits and eligibility, pharmacy and medical claims Process payments and answer medical billing and enrollment questions Calculate premiums and establish payment methods Train new hires Train on Medicare/Medicaid Appeals process Achievements: Lead my team to consistently exceed monthly target goals in quality assurance, ECHO surveys, and phone time metrics. Created and delivered performance improvement plans for team members. Received training and certificates in pharmacy benefits, pharmacy claims, medical benefits and eligibility, medical claims, medical billing and enrollment

Bachelor Of Applied Science (B.A.Sc.), Accounting And Finance

Associate Of Arts (Aa), Accounting And Business/Management

As a student of Colorado Tech I obtained my Associates in Accounting learning Quick Books, basic accounting principles and procedures.