Earlene Ross Email & Phone Number

United States

Atlanta Ga

Collects information from members concerning problems with accessing services and/or benefits and uses that information to recommend modifications to plan policies and procedures to improve the service to members. Conducts self in a manner consistent with the mission and philosophy of the organization at all times. Coordinates members' use of the complaint process and assists Members, as needed, at all levels of the complaint process according to policy. Determines if the member needs intervention by the Care Manager for emergent or urgent situations as directed by protocol.

New Castle De

• Identify and report trends in carrier payments and denials• Follow–up with payers and other third parties for ensuring timely claims submission• Resolve accounts including secondary billing, appeals process, and patient liability

Roswell Ga

Newark Delaware

Receive and review medical documentations and information for associates with and without workRestrictions, temp and permanent accommodations request as well as disability related Accommodations.

Chattanooga, Tennessee Area

Responsible for processing transaction reply reports on a daily basis which requires Facets.M360 and Marx software. Ensures that information if processed accurately and appropriately.Process return mail which also includes verifying mailing address using all three systems

Alpharetta Ga

Claims tech controller, provided client support and technical issue resolution via email, phone set up educational market claims for accident and illness claims, assisting examiners with eligibility verification process, evaluate policy coverage including special account instructions update status notes in file.

Wilmington Delaware

coordinate review of yearly GMD production results by country, line of business and production channel. Utilized a multinational database to prepare analysis explaining actual results versus budget and prior periods. Consulted with actuaries. controllers and operating departments as needed Reported findings recommendations for improvement, and initiated follow up actions to profit center managers.

Wilmington Delaware

Pulled all requested medical records promptly and facilitated accurate tracking of medical records sorted, performed quality assurance checks on all medical records, assisted with daily clinic visits.