Ryan Phillips Email & Phone Number

Saint Paul, MN, US

Minneapolis, Minnesota, United States

· Coordinate the pricing for certain segments of new and renewal employer group cases on Gravie’s proprietary products within designated authority limits.· Coordinate and review Individual Health Questionnaires (IHQ) to derive the cost projections for each individual enrolled in the plan.· Underwrite level-funded and self-funded cases with both individual.

Eden Prairie, Minnesota

- Independently work through complex issues to resolve all types of claims, recoveries, and resolutions for different health plans ranging from commercial customers to government entities- Establish strict adherence to state and federal compliance policies, reimbursement policies, and contract compliance- Consistently process recovery claims that met or.

Eagan, Minnesota

- Reviewed, processed, and adjusted claims for several unique specialized functions such as auto, homeowners, and workers compensation which ensures timely and accurate payment or denial for the primary insurance- Coordinated and communicated benefits with other auto, homeowners and workers compensation carriers and verifying coverage limits- Communicated.

Edina, Minnesota

- Efficiently reviewed and processed formulary exceptions and prior authorization of medications for Medicare members- Exceeded hourly goals set by Prime while maintaining high industry and company standards of 99% accuracy - Communicate clearly to nurses, doctors, and pharmacists about medical histories of Medicare members to get the members medication.