Provider re-credentialing for North Carolina Medicare and Medicaid. Received cases daily to re-credential providers who are either adding a Managing Relationship, Owner, or adding a taxonomy for a particular service location or adding a service location. Process backgrounds using LexisNexis, AAR, PPT reports, followed desk procedures on primary sources verifications using licensing websites for various states, DEA verification, PECOS, DHSR, NPPES, CMS, Joint Commission, etc. Returned applications to providers for incomplete applications for licenses and certifications unable to be primary source verified and denied applications for non-disclosure of sanctions, public letters of concern with limitations, and consent orders. Approved applications after background and primary source verification completion.

Assist business Customers with banking needs balance inquiriestransfers, card claims, account claims, stop payments, etc.reviewed accounts and offered products and services that wouldbenefit the customer and their accounts.

Assisted members and providers with eligibility and benefitinformation.Reviewed claims for adjudications for denied and/or paid claimsReprocessed claims and processed new claims for adjudication

Provided exemplary customer service with technical support for cable servicesScheduled technician visits per company policies and procedures.Processed payments via telephone using credit cards, check or EFT according to company procedures.Processed payment and account arrangements according to company requirements on behalf of the customers

Provided customer support with technical issues for cellular devices.Processed payments via telephone using credit cards,check or EFT within company guidelines.Processed payment arrangements on behalf of the customers according to company policies.

Served as radio on-air personality for NCCU Campus Based Radio StationDeveloped and delivered Recorded Public Service Announcements and news for broadcast.

Served as radio on-air personality for NCCU Campus Based Radio StationDeveloped and delivered Recorded Public ServiceAnnouncements and news for broadcast

Operator for inbound Call Center for Medicare and Medicare providers.Processed calls related to point of sale purchases for medications Reviewed claims for denial reasons.