Provide excellent customer service to all callers in a timely manner, while also providing the most accurate information on claim status and provider participation status. Create appeals, monitor online claim status requests and customer service department emails, re-price and adjust claims. Handle all escalations, complete phone audits, create and run department reports, create new training documents and materials. Ten time Smart Star Awardee. Train all new and current employees to do all basic and advanced job functions. Involved in special projects which include Partners Health Plan (PHP) provider recruitment.