Edie Smith Email and Phone Number

Acted as main point of contact for patients, doctors and hospital staff by closely reviewing medical charts and maintaining high levels of communication.Delivered excellent patient experiences and direct care.Worked closely with patients to deliver excellent and direct individualized patient care.Fax provider updates on PrescriptionsMaintain daily Follow up calls for deliveries and updates on patient prescriptionsCollect appropriate data for new patients such as medical history and drug allergiesContinuously maintaining above average metric scores monthly.

Acted as main point of contact for patients, doctors and hospital staff by closely reviewing medical charts and maintaining high levels of communication.Delivered excellent patient experiences and direct care.Worked closely with patients to deliver excellent and direct individualized patient care.Fax provider updates on PrescriptionsMaintain daily Follow up calls for deliveries and updates on patient prescriptionsCollect appropriate data for new patients such as medical history and drug allergiesContinuously maintaining above average metric scores monthly.

Scheduling / Cancelling non emergency medical Transportation, for various Managed Care organizations thru AS400 system.Answered customer telephone calls promptly to avoid on-hold wait times.Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.Offered advice and assistance to customers, paying attention to special needs or wants.Provided primary customer support to internal and external customers.

Answer incoming phone calls for Medicaid Government Business Division, Managed Care OrganizationAssisted Medicaid Members with benefit and eligibility questions and prior authorization Inquiries/ and or submissionsPerform PCP changes, COB updates and InquiriesAssisted with provider inquires, benefit verification, Prior Authorization StatusFaxed correspondence/ forms needed to providersClarified issues with Pharmacy ClaimsProvided coverage information on, medical, vision, dental and pharmacy BenefitsEnsured each member/provider received assistance in a timely mannerOutbound calls to members/providers to ensure and verify issues were resolvedMeet the performance goals established for the position in the areas of: efficiency, accuracy, quality, member