Rhonda Wade Email and Phone Number

Investigate, evaluate, and manage documents to complete coverage analysis, confirming or denying coverage before processing claims.Proactively identify solutions to non-standard requests.Provide general claims support through reviewing, researching, and preparing claims for processing.Ensure compliance with regulatory standards, company policy, and guidelines.Demonstrate knowledge of benefit plan provisions (e.g., plan language, coverages, limitations, exclusions) and keep current on changes.Apply knowledge of applicable laws, regulations, and compliance requirements (e.g., HIPAA, PPACA/Health Care Reform, state-specific regulations/grievance procedures, TAT).Solve moderately complex problems independently and collaboratively.Diligently review reports to ensure error-free appraisals.