Jada B. Email & Phone Number

Plymouth Meeting, Pennsylvania

• Handle some escalated and complex cases in a timely manner to identify opportunities to resolve the issue by working with plan documents, carriers, providers and member• Research plan information and identify where there may be conflicting information• Research billing issues to determine the possible cause of the error, and assisting with claims re-submission when needed to correct the issue• Educate member on plan documents and plan benefits• Interpretation of benefits• Resolve Medical, dental, vision, behavioral health billing and claims adjudication• Resolve issues with FSA, HRA and HSA plans

King Of Prussia, Pennsylvania

• Responsible for providing third party support to existing network providers, doctors ,billing companies and payers regarding their claims processing and payment status inquiries•* Follow up for payments calling WC carriers and speaking professionally with adjusters.* Call and verify worker’s compensation claim status with WC carrier.• Received inbound phone calls in a high call volume environment as well as respond to emails/faxes from providers and payers daily.• Field and provide timely response to all daily inquiries from providers & collection staff regarding claim status.• Create/update MedVanatage Billing Issue when unable to triage/resolve the inquiry and ensure issue is created/updated accurately on a consistent basis.• Review all case/existing MedVantage issue information to ensure accurate information is relayed to the caller.• Consistently maintain the Total Agent Availability (TAA) goal monthly.• Verifying HCFA/UB information for accuracy•Maintained and updated provider spreadsheets and emails regarding claim status

• Responsible for providing third party support to existing network providers, doctors ,billing companies and payers regarding their claims processing and payment status inquiries• Received inbound phone calls in a high call volume environment as well as respond to emails/faxes from providers and payers daily.• Field and provide timely response to all daily inquiries from providers & collection staff regarding claim status.• Create/update MedVanatage Billing Issue when unable to triage/resolve the inquiry and ensure issue is created/updated accurately on a consistent basis.•* Follow up for payments calling WC carriers and speaking professionally with adjusters.* Call and verify worker’s compensation claim status with WC carrier.• Review all case/existing MedVantage issue information to ensure accurate information is relayed to the caller.• Consistently maintain the Total Agent Availability (TAA) goal monthly.• Verifying HCFA/UB information for accuracy

Handle incoming calls from patients and attorneys 3rd parties to resolve problems and answer questions regarding insurance.• Navigate both the billing software and intranet to provide the most accurate answers to the inbound callers.• Follow-up on complicated calls to ensure customer satisfaction.• Correspond directly with the collection agency representative• Familiarized with payor and state rules and regulations and codes.• Review Collection Status Change requests and correspond with patients regarding their collection status change.• Make outbound calls to patients that have been seen in the emergency room • Submit claims to medical insurances

Record open-ended responses verbatim, probing for additional information and clarify all answers as needed.• Schedule qualified respondents for research project with a focus on strong closes to enhance respondent show rates.• Understand and follow specific project specifications as specified by the project manager.• Productively use time to dial assigned phone list and keep supervisor aware when there are issues with the numbers provided.• Meet/exceed production goals and metrics. Update software system with outcome of calls.• Interact with Project Management team regarding employees issues• Place calls to existing database or client list respondents to read specific questions verbatim and accurately record their responses