Provide top-tier customer service to insured members while managing a client portfolioArrange network contracts with medical providers nationwide for efficient claims processingGenerate concise reports on account health and wellnessOversee an effective system for auditing wellness claims and ensuring accuracyDevelop and maintain up-to-date standard operating procedures for staff trainingCollaborate on launching new products and systems with internal teams

Acted as a liaison for members throughout their Wellness Journey, offering high-quality serviceCoordinated diagnostic tests with facilities nationwide, handling scheduling, billing, and medical recordsReceived and processed preventative orders from physicians, educated members on diagnostic tests, and reviewed clinical resultsUtilized problem-solving skills to address daily challenges faced by a startup companyTrained new teammates on database navigation, scheduling protocols, insurance terminology, and customer serviceConducted research and prepared a Pediatric Wellness Journey outline for executive review

Coordinated the purchase of a vehicle between customers, auction locations, and wholesalers. Collected funds, important documents, lien information, and title work for each sale. Worked within a database through the N.C. DMV that allowed updating and distributing new vehicle plates and registrations.Kept up with very detailed reports for a vast array of administrative duties; not limited to monthly expenses, contact information for vendors, bankers, customers, etc., billing cycles between vendors or customers, and credit reports. Maintain Car Salesman License and NC State Notary License

Received and processed orders and referrals directly from providers in regards to patient care. This includes referrals to specialty offices, diagnostics imaging, and orders for other outpatient services.Schedule a multitude of appointment types within our facility for over 22 different offices; including specialty departments, radiology, and others. If referral was for an outside facility, I would put together a referral packet and coordinate between patient and outside office to schedule an appointment within the appropriate time frame.Verify insurance benefits for different diagnostic tests and procedures as well as obtain authorizations if required. Well versed in many insurance companies including BCBS (NC and other), UHC, Tricare, Medicaid & Medicaid, VA, etc. Communicate between patients, medical staff, and physicians involved in patient’s care.Train new teammates on navigating databases, customer service, scheduling guidelines, and insurance protocols.

Worked on different campaigns within the Telehealth Solutions departments. Some tasks that are included in these campaigns were navigating recently discharged patients to the appropriate resources, scheduling preventative appointments across the system, helping newly insured patients find a PCP, and setting appointments for patients enrolled in the Continuity of Care Program. Train new teammates on navigating databases, participating in peer interviews for potential teammates, partake in community events to spread information about the company.