 Following all HIPAA and other governmental or state agency requirements regarding the appropriate handling of PHI documents High volume customer service call center Providing health claim status information to providers First line responder to all provider and member inquiries Process/update HIPAA related forms as necessary Maintain electronic and paper records Educate providers and members of enrollment and insurance plan benefits Fulfill all provider inpatient emergency, maternity and medical admissions  Outbound calls made according to provider and management needs Use appropriate systems to document call documentation Provide professional customer service Review/Approve authorizations for medical procedures using CPT and ICD9 coding Verifying optometry benefits and claims using facets program Fulfill all provider inpatient emergency, maternity and medical admissions

Trained 15 – 25 staff and new hires combined on U.S. Publications departmental processes Managed title information in SAP, Filemaker and STAR matrixProvided internal customer service and professional relationships within other departmentsAssisted other departments on procedural mattersMaintained data entry of 90% free errorsCompleted various special projects in a timely fashion

Answered technical inquiries via phone, emailEntered Coda Bar and IP Addresses into company databasesSet up new subscriptions and trial for customers (Libraries throughout U.S.)Updated accounts/ mailed out marketing materials to customers

Performed inquiries regard filed litigation claims with company in regards to customers stocksResearch claim information and prepared procedure documents Prepared and mailed out proxy information forms to company shareholders

Managed 50 – 100 life insurance cases a monthWorked closely with underwriters to complete requirement processProvided full knowledge of insurance products to customersProfessional customer service attitude to clientsDelegated all transactions through email, phone or in person interactionTransferred funds in between accountsSet up, issued final life insurance policies to policy holders