I worked for Pacific Source Insurance as a Health Service Representative in Medical Management. I worked for BlueCross of Idaho in November 2009 as a Customer Advocate. I was successful in this position and transferred to the Claims Unit for the State of Idaho in April 2011. In November 2012, I transferred back to Customer Service and worked temporarily in the Customer Service Specialist team . January 2013, I took the CS class again incorporating both Dental and Medical training. I worked in Customer Service until my employment with Pacific Source. The value of working in these various positions has given me more knowledge and insight as to what I would like to do and accomplish as a team member within the Insurance Industry. I am seeking greater opportunities.
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Health Services RepPacific Source Nov 2013 - Nov 2016Boise, Idaho Area• Effectively handled incoming department telephone calls and incoming faxes including those related to preauthorization requests, referrals, hospital admissions and medical information for Medicare members • Entered information into computer system and set up an event in Dynamo to send to the RN for review• Submitted requests for utilization review from hospitals• Sent notices to providers, facilities, and members, and completed departmental documentation• Checked Facets for claim history prior to sending to the RN for review• Documented the event for review• Worked with AIM- Advanced Imaging Services for providers that sent their imaging request to the company
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Customer Service Representative/ Claims ExaminerBlue Cross Of Idaho Nov 2009 - Nov 2013Meridian, Idaho• Answered inbound calls averaging 40 calls daily• Knowledge of Facets, Express Scripts, ITS, BlueCard and other systems• Conducted research in great depth numerous contracts & company policies• Knowledge of all the systems & interpretation of the policies & contracts • Also worked as a Claims Examiner for 2 years to process medical, pharmacy and hospital claims for the state of Idaho Unit -
Health Savings Account Deposit AdministratorAmerican Health Value Feb 2005 - Jul 2009Boise, Idaho Area• Talked to brokers & individuals from all over the country explaining the rules of HSA accounts• Followed the IRS guidelines and regulations• Entailed data entry of all deposits from existing Employer groups & Individuals• Made sure that everything balanced prior to exporting the file to the bank• Processed anywhere from $60,000.00- $450,000.00 in a day• Recorded the data in Microsoft AccessWorked with excel spread sheets & scanned the checks into a file to be exported to a bank in Delaware
Deborah St. Pierre Skills
Deborah St. Pierre Education Details
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Law Enforcement Post Academy -
Merced Jr. CollegeHorse Husbandry/Equine Science And Management
Frequently Asked Questions about Deborah St. Pierre
What is Deborah St. Pierre's role at the current company?
Deborah St. Pierre's current role is Customer Service/Non- Clinical Medical.
What schools did Deborah St. Pierre attend?
Deborah St. Pierre attended Santa Rosa Junior College, Merced Jr. College.
What skills is Deborah St. Pierre known for?
Deborah St. Pierre has skills like Customer Service, Claims Examiner, Health Savings Account Deposit Administrator, Microsoft Office, Multiple Data Bases For Health Insurance, Windows/mac/ Internet, Research, Team Building, Microsoft Outlook, Windows, Mac, Facets.
Not the Deborah St. Pierre you were looking for?
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Debbie St. Pierre
Walnut Creek, Ca2ggu.edu, astound.net -
1jri.org -
Deborah St Pierre
Belmont, Mi2gmail.com, spectrum-health.org -
Deborah St Pierre
United States
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