Account Payables

♦ Verify benefits and obtain any necessary authorizations for Benslysta administration using system generated queues. ♦ Obtain benefits and authorizations using payer websites and direct calls. ♦ Document all information obtained from payer during verification telephone calls. ♦ Notify patients by letter of expected benefits, estimated patient responsibility, and payment requirements in advance of service. ♦ Notify practice of any discrepancies or non-covered services that would require cancelling or rescheduling of procedure

Responsible for working with customers/clients/providers to determine the best method to resolve problems to ensure customer satisfaction utilizing company policies, processes and practices. Responsibilities:Accepts incoming calls from customers in a call center environmentTracks complaints to resolution or closure within established guidelinesManages customer relations in a calm, courteous and professional mannerResponds to customer inquiries or complaints regarding company products and servicesReviews and researches issues obtaining necessary information from policies, procedures or practicesCoordinates problem resolution with appropriate departments and informs customers according to standard proceduresDocuments all customer interactions in Customer Service logProvides outstanding customer service to all customersExemplary customer service skillsExcellent oral and written communication skillsAbility to multi-task in a fast paced work environment meeting established business expectationsAbility to identify, analyze and resolve issues in a timely manner.Interpersonal skills

Professionally communicated and handled incoming customer service calls Performed written correspondence for Claims, Premium Services and New BusinessesIdentified, resolved and provided alternative to issue uncovered during course of call madeappropriate adjustments through correspondenceBenefit ApproverReviewed and processed medical, dental and managed care claimsMaintained appropriate standards, daily production and qualityFamiliarity with ICD9, CPT coding, as well as COB, Subrogation, Pre-Existing Conditions and re-pricing networks

Reviewed/processed medical and disability benefits for self-funded groups Conducted investigations for pre-existing conditionsManaged all written correspondence with company contacts, clients, provider and attorneys