Crystal Etheridge, Mpa Email & Phone Number

Birmingham, Alabama, United States

Birmingham, Alabama, United States

Responded to inbound customer calls in a professional manner, identify the needs of the customer and apply the ability to explain verbally and in writing the findings of complex and simple issues stated by the customer· Achieved individual performance goals targeted by the company to ensure first call resolution and excellent customer service· Utilized multiple systems to research necessary information to analyze, investigate and resolve customer questions or issues in relation to medical, dental and vision claims, eligibility and benefits for individual, group active employee, group cobra and group retirement insurance plans· Provided information and advice in relation to plan options when selecting coverage, different benefit levels of the plans offered, coordination of benefits in relation to Medicare and other insurance coverage and advising members of convenience options such as the company mobile application to utilize their virtual member id card or online access to benefit information, online claim filing and making online payments · Responded to an average of 60-100 calls per day in an inbound call center environment· Accurately and promptly documented all calls in system for quality assurance purposes· Determined if Medicare is primary or secondary to group coverage based off group size by using the Medicare primary/secondary tool

Verifies receipt of all encounter formsSchedule surgeries Obtain precertifications, prior-authorizations and referrals for clinic visits and imaging proceduresCharge entrySchedules return or follow-up appointmentsChecks voicemail and/or email, as assignedObtains and/or verifies all patient demographics and insurance informationProcesses, distributes, and receives medical records and mailDocument, process and mail any UPS and FED EX packagesDigitize and print x-ray filmsCollection, recording and deposit of clinic revenue

Master Of Public Administration - Mpa, 3.9

Bachelor Of Science, Criminal Justice

Accounting

Activities and Societies: Member of the Golden Essence Dance Team 2004-2005