Mark Walton Email & Phone Number

Blue Bell

Blue Bell, Pa

Review and Submit post sale fully insured new business paperwork to healthcare carriers. Follow through to ensure installation of case. Check on renewal options available to group upon anniversary. Handle broker and group inquires regarding billing and claim issues.

King Of Prussia

Claims analyst experienced in group health industry; claims resolution and customer service with expertise in serving, communicating and instructing employees, customers and service providers. Knowledge of CPT-4, ICD-9 and HCPCS codes; fully funded and self-funded medical insurance industries.

King Of Prussia, Pa

Handled incoming calls at phone center. Acted as first line of contact with customers. Responded to phone inquiries from health care providers regarding plan eligibility and benefits for Managed Care, Medicare Supplemental, Traditional Health Plans and FSA's.Assisted plan participants in resolving billing and claim issues ensuring customer satisfaction. Educated members on the components of their benefit plan coverage reducing adverse claim processing. Acted as member advocate with providers concerning billing descrepancies and coding errors adjucating claims correctly resulting resulting in increased profit margin for company. Followed up with providers, patients and examiners to resolve questions and problems.Processed stop payment requests limiting company liability.

Wayne, Pa

Act 235 Certification, Homeland Security, Law Enforcement, Firefighting And Related Protective Services

High School Diploma, Business/Commerce, General