Client Relationship Associate
- Customer relationship management with Anthem® Blue Cross Blue Shield National Accounts assisting health care providers and members with the subscriber's health insurance benefits and claims processing services.
- Resolved customer inquiries by researching benefits and insurance claims status via navigating Anthem® databases.
- Contacted providers, HR, and benefit centers for members to verify details about: Anthem® policies, eligibility, medical coding and billing.
- Intercommunicated effectively with parties to ensure proper understanding of coverage, benefits, and information regarding claims.
- Verified and documented provider and member information adhering to HIPPA guidelines.
- Adjusted claims based on provider’s status, member's eligibility and policy, and coordination of benefits following Anthem® medical policies.