Laura Wright (Bx) Email & Phone Number

Chattanooga, Tennessee Area

PAWright Pet Services provides loving care for your pet when you are unable. We provide in home care or your pets while you are on vacation or business travel. If you companions require an extra walk in during the day, we can take care of that for you. PAWright Pet Services will also provide taxi services for you pets to the vets, groomers or daycare. We.

Bluecross Blueshield Of Tennessee

Provider Relations RepresentativeResponsibilities include developing and maintaining relationships with assigned providers. Recruit Provider specialties to support all existing and new Networks including but not limited to, determine groups, practices, ancillary providers, and hospital. Assist provider with resolving any contracting, claims, or appeal.

Responsible for assistant BCBST Provider Relations Representative in resolving provider issues involving multiple subscriber policies. Also identify claims that are not paying per Provider Contract Compliance reviews.

Responsible for BCBST current, new, and potential ancillary providers, including but not limited; contact execution, networks, demographics, credentialing, reimbursement, special arrangements, sole maintenance of Magellan Behavioral Health, contractual dispute resolution of member/provider relations, Customers Service/Claims education/information resource.

Duties include; reporting department productivity, employee productivity, processor information resource, ensuring claims timeliness and quality, desk audits, employee payroll, employee documentation, training, conducting weekly department meetings, company process development, and motivational campaign development.

Duties include; assuring all Customer Service goals are met- specifically telephone accessibility and inquiry accuracy, employee productivity, employee payroll, informational resource for Account Management, Sales, Internal Audit, Membership, Business Engineering, and Broker/Group Administrators to assure contracted benefits are administered accurately.

Assured the accurate and timely entry of all referrals for HMOBlue and Wellport products. Assured the distribution of mail for all Managed Care departments, updating COB information, and all proactive adjustments.

Responsible for responding to inquiries from providers, subscribers, beneficiaries and plan administrators in an accurate and timely manner. Group contact for: Robertshaw, King Pharmaceutical, Raytheon, BTR and Knox County Employees. Updated membership information on Facets including PCP changes COB information as well as sent out COB verification letters.

Duties included; maintain production records-specifically by producing daily efficiency and productivity reports; prepare weekly payroll for non-exempt employees, updating payroll rate changes, maintain accurate and timely attendance records; maintain personnel records and authorized placement of all documentation in personnel files; interpret all benefits.

Responsible for all office operations, including personnel recruitment, reviewing resumes, employee testing and support; developed database for filing resumes, maintain employee records, report employee’s billable hours, calculated payroll and interact with clients.

Business Management

Associates Degree, Business Administration

General Accounting, Tax Accounting, Payroll, and Personnel Management Internship: Southern Properties Office Manager Assisted in the daily.