Mindy Wang Email & Phone Number

5 year experience with medical billing and coding. Well know with EMR and quality care systems. Receive, answer and/or record telephone/correspondence/e-mail inquiries from subscribers, providers, and other consumers relating to areas of coverage, payment of claims, membership status, medical management intake calls, etc., under the various EmblemHealth medical/surgical, dental, hospital and Medicare plans.Review inquiries, correspondence and email receipts. Prepare email resolutions, letters (form or narrative letter) and/or claims payment Perform written and verbal duties of the position to meet company goals for production and accuracy.Perform related claims approving and clerical work as assigned.Strive for first call resolution, working to resolve member and provider issues at the point of contactUtilize dual monitors and leverage computer-based resources to find answers to customer questionsResearch and respond accurately to all customer inquiries related to eligibility, benefits/ services, claims and authorizations.Classify and record all customer encounters clearly and concisely.Identify and escalate complex issues and provide follow-up/ closure.Identify and intake customer complaints capturing all pertinent information.Assist members with PCP selection, as well as, locating providers and vendors within Plan’s network.Verify and update member demographic information.Process requests for member materials, such as ID cards, member guide, provider directory, etc.Handle enrollment inquiries and generate sales leads.Handle disenrollment requests and pro-actively conduct retention efforts.Perform outreach related to New Member Orientation and PCP Term/ Resign projects.Process premium payments.Perform other duties as assigned or required

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  Dowling College

  Gerontology