Marlene Moran Email & Phone Number

Phoenix, Arizona, United States

Support Customer requests upon inquiry; Utilize Microsoft applications such as Excel, Outlook, Word, PowerPoint; help customers with Retail/Base/Home Delivery/ Member Services/eSD Inquiries and also eSD trained; Utilization of SharePoint; Peer to Peer mentoring; Price Quotes, Check/Update Eligibility, Check Claims both medical and pharmacy, One Guide trained / Exceptional Customer Service, Set up/Check Home Delivery Orders/Work Orders, Educate customers on their benefits to maximize benefits, Educated members to utilize digital options; Check/Send for Prior Authorizations, Faxing/ Secure Emailing, etc.

Phoenix, Arizona, United States

Support Nurse requests upon inquiry; Utilize Microsoft applications such as Excel, Outlook, Word; SharePoint; scan medical records for nurses; Conduct both IME’s and Staffing’s; closely follow HIPPA regulations; Maintain professional relationships with the Claims Department; Cross trained to work on multiple Outlook inboxes; Vend Appeals to Vendors using Microsoft Outlook/Precise scheduling; Edit and compose correspondence both physical and electronic; Coordinate and manage multiple Outlook inboxes/calendars; Maintain records utilizing Microsoft Excel; Prepare meetings when needed; Provide assistance and collaborate with the support department for short term and long term disability; Send/Receive MD Reviews and referrals for Appeals in a timely manner; Assist with research and problem resolution; etc

Phoenix, Arizona, United States

Process an average of 28-30 Dental Claims per hour; manually input dental claims into company systems; Microsoft Office Proficient/ Microsoft Excel logging; Precise scheduling; cross trained for different remark codes populating; Maintained processing quality and efficiency through time management; Participated in special projects; Communicate clearly with department through Outlook; etc.