Crystal Strouse Email and Phone Number

• Established effective working relationships with a variety of customers and partnered with them on best practices to identify and solve pest problems.• Keep abreast of Orkins product/service offerings and industry conditions, to enhance service and sales of pest prevention/elimination solutions. • Use handheld computerized equipment to manage service and document structural, sanitation and pest issues.Provided timely and cost effective pest detection, elimination and prevention solutions to an established route of Residential and commercial customers. Provided brand protection to your around-the-clock customers including commercial businesses such as restaurants, hotels, hospitals, nursing homes, schools, retail stores, and food and beverage processing plants.

Verified insurance and benefit eligibility for. Provided consumer insurance and benefit guidance to internal and external customers. Verifying and entering data relevant to the authorization for payment of services. Verifying and accessing various benefit resources and completing electronic eligibility checks. Entering and tracking authorization information with approval dates for timely payment of services. Initiating required paperwork for authorization of services. Monitoring and maintaining communication to prevent expired or denied claims for payment. Extensive Knowledge of insurance, medical terminology, managed care industry, and benefits. Ability to maintain and build friendly rapport with internal and external associates at all levels of the organization. Demonstrated ethical and sound professional practices by acting consistently and according to mission and core values, promoting organizational and personal integrity, and adhering to confidentiality policies and upholding trustworthiness. Ability to make specific changes in system or personal work methods to improve performance, while routinely seeking constructive and critical feedback, and appreciating the need to learn and grow. Ability to understand a situation, issue, or problem, set priorities on a rational basis, analyzes relationships among several parts of the problem or situation and use analytical techniques to identify potential solutions. Ability to work cooperatively with others as part of a team. Support team decisions, keep team members informed of happenings, share relevant information, express positive attitude and, value others input, and display willingness to learn from others. Possesses an exceptional underlying curiosity and desire to know more, seeking information and delving deeper than the surface. Resolving discrepancies by asking probing questions to get at the root of a situation, problem, or opportunity. Uses others to get perspective, background, and experience.

Accurately collected and corrected required information for claim submission.Effectively researched and corrected insurance information to reduce and prevent claim errors.Successfully implemented processing changes to correct claim errors and prevent a high accounts receivable.Successfully implemented project organization, time management, and job task prioritization skill sets.Processed existing inquiries and written correspondence.Opened and consolidated information to have claims adjusted and processed accordingly.Handled questions, concerns and acted as a liaison between the company, provider and members in order to achieve the highest level of customer satisfaction.Analyze current billing practices to insure accuracy, and prevent billing errors on a major scale.

As a Information Release Specialist I am responsible for processing all release of information requests in a timely manner while ensuring accuracy. I effectively provide the highest level of efficient customer service and insure that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.I am also responsible for project organization, time management, and job task prioritization. To do this I enhance patient, staff and requester satisfaction while responding to changes in regulations an proactively taking action to attain required annual certifications, along with continuing educational training requirements.

I responded to incoming telephone inquiries for assistance, and entered all referral and phone requests for patient assistance in the system.Reviewed qualifications for medication prescribed by the health care providerEffectively communicated all options to customers, through a solid understanding of services and productsContacted prescription manufacturers to locate free or low cost programsHandled customer questions and concerns related to prescription assistance programsGuided team members with questions and concerns pertaining to customer inquires Maintained an average quality score of 96% for customer satisfaction and accuracy I entered all application information into appropriate program database in order to determine patient assistance eligibility based on program guidelines.I was also responsible for the review of all applications for approval/denial/additional information, presenting denials to supervisor for review. I sent request to mail all appropriate letters.I updated all current patient information and maintain patient files with current information within the database.I also acted as a liaison with the sponsoring pharmaceutical company in handling all phone and correspondence issues, as well as performed other duties and functions as assigned.

Handled questions, concerns and acted as a liaison between the company, provider and members in order to achieve the highest level of customer satisfaction.Opened and consolidated information to have claims adjusted and processed accordinglyProcessed existing inquiries and written correspondenceEnsured that customer issues were dealt with in an efficient manner when typical channels of resolution were not successful Sent out coverage details, eligibility letters, denial letters, fee schedules, and ID cards to membersUpdated members and healthcare provider information as well as providing assistance to the provider relations departmentClarified required information for claim submissionAnalyzed and counseled benefit information to members and healthcare providers

Operated a Multi-line phone systemScheduled patient appointments, consultations, follow ups, screenings, and referralsChecked-in patients, updated insurance information, and verified insurance coverageManaged and updated patients charts, and personal informationCoordinated and scheduled surgeries with the facilities associated hospital

Handled customers questions/concerns, explaining and differentiating Verizon Wireless`s products/services from their competitorsRecommended equipment to meet customer needs, considering salable features, such as flexibility, cost, capacity, and the economy of operation. Stayed well informed on Verizon Wireless`s products and services in order to increase opportunities for account growth and new businessResponded to billing questions as well as correcting billing issuesAdjusting customers’ bills along with analyzing the customers usage tailoring Verizon Wireless`s services to their needs and finances Assisting with technical issues dealing with phones and signalExcelled with the companies mission on first call resolutionAssisted with Customer service support for internal issues

Reviewed qualifications for medication prescribed by the healthcare providerHandled any questions and concerns from customers/team membersHandled any and all escalation callsClarified required information needed to approve prior authorizations for medicationsContacted the healthcare provider to retrieve required documentationOpened inquiries, collected required documentation, and ultimately approved, denied, or requested additional information regarding the prior authorization for the prescribed medication Demonstrated leadership and the ability to accept higher responsibilities by assisting with acting Team leader when needed