Brandon Colbert Email & Phone Number

Atlanta, Ga, Us

*Oversee EDI project work from inception to go-live in conjunction with an EDI Engineer*Deliver a high quality solution that best matches the client’s requirements, leveraging best practices*Update Namely benefit and payroll configurations to match carrier specifications*Provide technical guidance to EDI engineers on usage of proprietary EDI tool *Contact carriers and/or clients to resolve data or structural discrepancies*Demonstrate strong communication to clients and carriers when information is needed, especially for complex EDI builds *Passionate about finding a solution with a “can-do” attitude because there is always a way to get it done*Independently manage multiple projects at various stages, holding yourself and clients accountable to deadlines in a respectful and helpful manner

Greater Atlanta Area

* Conducting analysis of clients' needs and financial situation by scheduling fact-finding appointments; determining extent of present coverage; ascertaining long-term goals.* Delivering and explaining policy to potential policyholders, analyze insurance program and suggest additions or changes, or to change beneficiaries.* Customize insurance programs to suit individual customers, often covering a variety of risks.* Ensure that policy requirements are fulfilled, including any necessary medical examinations and the completion of appropriate forms.* Perform administrative tasks, such as maintaining records and handling policy renewals.

Greater Atlanta Area

*Partner with internal and external team members to provide expertise for data related to our platforms and benefits administration*Provide management of assigned client import/exports, payroll/carrier files, and discrepancy reports, inclusive of prioritization dependent upon complexity and delivery deadlines for up to 15 clients on average*Provide technical support and responses to inquiries regarding partner feeds, working to pro-actively resolve issues, relaying to the appropriate internal/external person(s)*Routinely conduct analysis of data transactions for assigned clients, assisting team members as necessary*Make recommendations and apply resolutions for data problems while actively solving new and non-routine errors*Develop and execute various test plans to deliver accurate results to internal/external partners*Prepare required documentation and other reports as requested by internal/external partners*Ensure all projects follow corporate security policies*Learning new tools and processes*Other ad hoc projects

* Identifying root cause of denials and address/report the denial issue with the appropriate payor/internal department* Assisting in development of preventative measures in response to denial patterns identified by claims denial data and reviews*Attaches applications to appropriate client files in Microsoft CRM* Utilize all appropriate systems to effectively research claims and complete steps to submit information necessary to process or appeal denied claims* Effectively utilizing ICD, CPT/HCPCS and related material to investigate and ensure that questions and requests for information are responded to in a timely and professional manner to ensure resolution of outstanding claims* Organizing work flow to ensure that denials are worked according to timely filing deadlines and payor conditions of payment

Greater Atlanta Area

* Liaising between patients, insurance companies and other law offices to research and resolve insurance claims and billing issues* Generating, updating and maintaining profiles for both current and new clients to enable claims submissions to medical centers while managing the quality and timeliness of deliverables * Bringing outstanding accounts up to date and continuously closing out accounts in the queue by following up consistently with parties involved * Maintaining an awareness of all large and potentially complicated claims related matters and working proactively with colleagues to resolve them * Assisting claims personnel in the negotiation of equitable claim settlements on client’s behalf * Maintaining strict confidentiality and privacy compliance with client information while communicating with internal and external parties; adhering to HIPAA guidelines and firm regulations

Greater Atlanta Area

Educated and informed clients on the concept of buying term life insurance, reducing and eliminating debt, and saving and investing for the future

Fayetteville, North Carolina Area

Assisted patients with eligibility, insurance coverage and billing questions Assisted with completing admission forms, discussed hospital policies and fee schedules Prepared admitting and discharge records and forwarded them to proper departments Provided administrative support to physicians, nurses, social workers and other administrative and medical staff throughout the hospital system Supported account payables and receivables by discussing client and insurance provider’s financial responsibility and processing payments Collected and verified demographic and insurance information, verified insurance eligibility, co-pays and deductibles, scheduled and notified patients of appointments, labs and x-rays utilizing ICD-10 and CPT-4 coding, and managed consultation requests and electronic waiting list