Rosalyn Mitchell Email & Phone Number

Panama City, Florida, United States

Assume responsibilities for assigned care to students at schools, ensuring positive results, and success in the School Health program. Assume responsibilities for following and enforcing PanCare and school policies and procedures affecting the health, safety, and well-being of students in the school health setting. Computer-based record keeping and administrative skills

Maintained an open line of communication with the Contract Management Department for contracts not in house that were needed to complete the calculation of expected reimbursement. Ensured that underpaid claims are within mandated timeframes in order to pursue and collect the underpaid amounts governed by each individual insurance carrier or entity. Accurately provided contractual information on how the claim is calculated which reimbursed each underpaid account as well as any additional information and/or notes regarding how the claim paid or what was not paid or any corrections/information needed to have the claim processed correctly.

Handled escalated supervisor calls to successfully resolve complex issues for the consumer they may have had with their insurance policy. Provided assistance to base level Tier 1 and Tier 2 Customer Service Representatives with guiding them to the correct material to help them resolve their consumer’s needs. Protected consumer information per HIPPA policies. Answered general questions about the Affordable Care Act. Assisted consumers with completing applications (Data Entry). Assisted consumers with gaining access to their online accounts. Understand different insurance company’s general benefits and what they offer consumers. Able to go over an insurance company co-payment, deductibles, and coinsurance.