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

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.

• 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.

• 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.

• 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