Rebekah A. Email & Phone Number

Royse City, Tx, Us

New York, United States

Review and process medical claims according to Plan guidelines within established turnaround time frames•Interpret medical plan to assure system is coded correctly•Review claims for legitimacy and accuracy•Meet production and quality standards set for examiners•Work Customer Service inquiries related to claim questions•Review correspondence submitted by members and providers and adjust all related claims if the additional•documentation submitted warrants adjustment

Review credits on insurance invoices and determine whether money is kept or refunded. Process refunds. Work with Collection agencies for Health plans to determine if money is owed. Correct claims to pay providers when necessary.

Tampa, Florida

Collections, provider resolutions, intake authorizations, benefits and eligibility ulysses trained customer service deescalation, SME, claims processing

Tampa

inbound agent answering questions pertaining to benefits, enrollment, billing and claims, member services, prior authorizations.

Tampa, Fl

Interviewing people one to one to discuss career or education options; identifying skills gaps and how to deal with them; Helping individuals to draw up action plans for employment, education and training and supporting them to achieve these goals; Researching careers, options and support organizations to meet people's needs; Advising people on how to source relevant training courses or qualifications and what funding might be available; Providing advice on CV, applications, job hunting and interview techniques; Helping people to understand the current job market; Liaising and negotiating with other organizations on behalf of people; Using IT for administrative tasks, such as recording interactions with and tracking clients; Using computer-aided guidance packages, skills assessment tools, career planners

Efficiently Interviewed Clients (Hospital Setting and/or Residence); Completed Medical Applications. Successfully Assisted Clients with Obtaining Maximum Medical Benefit Coverage (Federal & State). Liaison Effectively with Government Agencies, Hospital Staff, Medical Professionals & Co-Workers. Researched & Reviewed Medical Records; Took All Necessary Actions to Expedite Benefit Approval. Demonstrated Ability to Communicate Effectively with Clients of Various Socioeconomic Statuses. Skillfully Utilized Specialized Computer Systems; Pace, Citrix, Outlook; plus Scanner, Copier, & Fax. Vital: Proven Ability to Prioritize, Plan, & Properly Complete Tasks without Direct Supervision

Research, Investigate, Verify, Calculate, & Review Income & Resources to Determine Client Eligibility. Manage Case Records & Process Changes (Client Status, Overpayments, & Adjust or Restore Benefits). Verify income, resources and other household financial information that would impact determination of benefits.

Tampa/St. Petersburg, Florida Area

Conduct Interviews; Offer Support; Make Assessments, Enable Clients to Become Self-Sufficient. Liaison Effectively with Multiple Agencies (Workforce, Child Support, Mental Health, Head Start, etc.) Participated in Training, Supervision, Team Meetings, Multidisciplinary Teams; Verify income, resources and other household financial information that would impact determination of benefits.