Evelyn Etheridge Email & Phone Number

Remote, Va

• Resolve pending HCFA-1500 and UB04 claims• Work Claim Review forms for Corrections and Replacements• Calculate markups for allowable billing• Resolve and apply authorizations and Provider referrals• Stay up to date on Medicare CMS policies and Fraud, Waste and Abuse training• HealthEdge platform used

Chesapeake, Va

• Getting consumers approved and covered in both Term and Whole Life Insurance• Ability to convey the need to Accidental Death and Dismemberment coverage • Ensured beneficiaries were connected to the correct agents to file death claims• Keeping the consumers happy by provider great customer service• Actively listened to consumers on phone while keying information and maintaining empathy

Chesapeake, Va

• Adjudicate Medicare claims and determine appropriate action to resolve discrepancies• Prioritize and work backlog of denied claims for timely resubmission• Manage assigned queues to ensure claims are up to date and meeting productivity goals• Flagging billing errors and submitting a request for a corrected claim • Stay up to date on Medicare CMS policies and training material• Created training material for Quality Analyst• FACETS platform used

Chesapeake, Virginia, United States

• Provided customer service to members calling in regards to Healthcare Reform• Provided information on BCBS insurance plans based off of members needs and budget• Completed data entry updating or adding new PHI forms for covered individuals• Temporary trainer role till position was filled• Helped management listen to agent calls for Quality scoring