Richard Bates Email & Phone Number

Palmyra, Nj, Us

Newark, Nj

★ Manages all facets of the BlueCard Program, which offers a single electronic network for claims processing and reimbursement for a national and global network of Blue Cross/Blue Shield providers.★ Enforces program compliance with all BCBS policies, procedures, and corporate guidelines; ensures that all claims are processed in accordance with program objectives.★ Works with marketing groups to enforce BCBS standards across marketing collateral and messaging promoting the BlueCard program.★ Directs IT projects to deploy new software and functionality for the enhancement of the BlueCard program.★ Provides updates on BlueCard strategy and execution to directors and senior leaders on a bi-monthly and quarterly basis.☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲ABOUT HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEYHorizon Blue Cross Blue Shield of New Jersey, the only licensed Blue Cross and Blue Shield plan in New Jersey, provides health insurance coverage to more than 3.6 million people throughout all of North, Central, and South Jersey.

Blue Bell, Pa

★ Supervised a team of professionals engaged in the management of billing, accounts receivable, eligibility/enrollment, plan set-up, installation, and general account management.★ Successfully collected and applied over $1B in monthly premiums with 99% accuracy; achieved and sustained call center client satisfaction ratings in excess of 97%.★ Maximized profits through the use of extensive financial and value-based analysis; bolstered membership volume while improving existing client retention.★ Established and strengthened relationships with customer stakeholders, brokers, and key personnel across multiple functional areas.★ Hosted cross-functional interdepartmental meetings to boost employee engagement.☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲ABOUT AETNAAetna is one of the nation's leading diversified health care benefits companies, serving an estimated 46.7 million people with information and resources to help them make better decisions about their health care.

Greenbelt, Md And Blue Bell, Pa

★ Assembled a highly motivated team of up to 60 customer service professionals providing support to clients in the Customer Service, Plan Sponsor Services and Provider Service Center departments.★ Met dynamic levels of call volume through staffing and scheduling, complying with SLA terms; captured a Team Attendance rating of higher than 97% each month.★ Effectively managed individuals and teams to surpass quality performance metrics; maintained the best Team Attrition rate in the service center at 0.09%.☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲ABOUT AETNAAetna is one of the nation's leading diversified health care benefits companies, serving an estimated 46.7 million people with information and resources to help them make better decisions about their health care.

Greenbelt, Md

★ Addressed and resolved escalated member issues and service calls originating from Plan Sponsors and Health Benefit Officers.★ Provided guidance and direction at on-site service meetings, health fairs, and open enrollment sessions, contributing to a 30% gain in enrollment.★ Trained Customer Service Professionals on benefits issues and questions that were likely to be asked based on candidate questions at meetings; boosted the Total Service Factor to above 75%.★ Developed responses to inquiries received from the CEO, state insurance commissioners, attorneys, and the Office of Personnel Management.☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲ABOUT AETNAAetna is one of the nation's leading diversified health care benefits companies, serving an estimated 46.7 million people with information and resources to help them make better decisions about their health care.

Mba, Management

Certificate, Leadership Development Program

Bachelor Of Science (Bs), Organizational Management