Elizabeth Fitter Email & Phone Number

Rio Rancho, New Mexico

Rio Rancho, New Mexico, United States

Albuquerque, New Mexico Area

-Research, identify and obtain data/information needed to help process claims or resolve claims issues (e.g., verify pricing, prior authorizations, applicable benefits)-Ensure that proper benefits are applied to every claim-Apply knowledge of customer service requirements to process claims appropriately (e.g., Service Level Agreements, performance guarantees-Identify and apply knowledge of new plans/customers to process their claims appropriately-Identify and resolve claims processing errors/issues and trends, as needed (e.g., related to system configuration, network, eligibility, data accuracy, vendor-related, provider)-Resolve or address new or unusual claims errors/issues as they arise, applying appropriate knowledge or prior experience-Communicate and collaborate with external stakeholders (e.g., members, family members, providers, vendors) to resolve claims errors/issues, using clear, simple language to ensure understanding-Collaborate with internal business partners to resolve claims errors/issues (e.g., Subject Matter Experts, -Network Management, IT/systems staff, Compliance, vendor management teams, contract teams)-Document and communicate status of claims/investigations to stakeholders as needed, adhering to reporting requirements (e.g. status letters/reports)-Achieve applicable performance metrics (e.g., productivity, quality, TAT)

Albuquerque, New Mexico Area

Colorado Springs, Colorado Area

-Drafted and distributed mass and individual written communications to donors and supporters in the community increasing donations and awareness of the organization-Built and maintained relationships with key members of community-Attained a new boutique area worth over $2,000 by soliciting monetary and in-kind donations-Coordinated monthly business women’s networking group with over 20 members-Presented program orientations and image lessons to clients and community members on a bi-weekly basis-Trained volunteers-Developed operating procedures for the organization’s youth program and the Dress for Success inventory room and boutique, increasing efficiency by 40%-Assisted in the production of fundraising benefits including concerts, silent auctions, and formal nights-Designed several materials for promoting events and branding the organization using Microsoft Office tools-Answered phones and advised clients on how to meet their career goals by utilizing the organization's services and services offered by other non-profit organizations in the community

Certificate, Data Science, Pass

Data Science, data modeling, machine learning, deep learning, neural networks, data cleaning, natural language processing, databases.

Bachelor Of Business Administration - Bba, Operations Management And Supervision