Justin Tomaszewski Email & Phone Number

Pittsburgh, PA, US

Pittsburgh, Pennsylvania, United States

ntoring/training new staff members. Employee schedules. On call rotation. Payroll. Collaborates with appropriate areas for hardware/software issues (R1 Forum Sharepoint, R1 Hub, Allscripts, Navinet, Accureg, etc.) Continued training as processes evolve to support day-to-day operations and system changes. Ensuring department has adequate supplies.

Pittsburgh, Pennsylvania, United States

ntoring/training new staff members. Employee schedules. On call rotation. Payroll. Collaborates with appropriate areas for hardware/software issues (R1 Forum Sharepoint, R1 Hub, Allscripts, Navinet, Accureg, etc.) Continued training as processes evolve to support day-to-day operations and system changes. Ensuring department has adequate supplies.

Pittsburgh, Pennsylvania, United States

Collects and ensures demographic information from patients is correct and up to date. Ensures insurance is current. Explains intricacies of insurance questions within ability. Provides copayment slip and explains benefits, point of service discount thoroughly. Processes payment for copayments when working in the office. Changes visit status when applicable.

Greater Pittsburgh Area

FBOA Claims Analyst specializing in Bluecard Home claims. Served in a Business Analyst and Business Process Analyst role. Primarily providing root cause analysis for claim adjudication issues. Root cause analysis was to determine if human error or system error. If human error, provided education and updated desk level procedures when appropriate. If.

Bluecard Home/Host/Worldwide customer service and claims lead. Managed and assigned daily work for Customer Advocates, Claim Processors and Claim adjusters based on staffing, volume and staff skillsets. Coached Claim Processors, Claim Adjusters, Customer Advocates, and other operational areas within Highmark for compliance with BlueCard claim adjudication.

Greater Pittsburgh Area

Managed and assigned daily work for Customer Advocates, Claim Processors and Claim adjusters based on staffing, volume and staff skillsets. Coached Claim Processors, Claim Adjusters, Customer Advocates, and other operational areas within Highmark for compliance with BlueCard claim adjudication guidelines. Mentored new Customer Advocates, Claim Processors.

Greater Pittsburgh Area

Answered telephone calls from members, providers and other Blue Cross Blue Shield plans that had questions regarding membership issues, benefits, claims, spending accounts, medical policies, claim appeals, and provider network information. Specialized in Navinet and Blue Squared general inquiries. Performed simple claim adjustments.

Bluecard: Bluecard Scorecard, Invalid SF, Invalid DF, Invalid RF, Invalid SF2, Invalid DF2, SF Build errors, missing ABKs, DF Build Errors, SF no DF, DF no RF, SF2 bypass, etc. | All things BlueSquared: GI, MRR, Claim Appeals, etc. | IBM Cognos | Microsoft Office – Access, Word, Excel, PowerPoint, Sharepoint | Data Gathering and Detailed Reporting |.