Shelby Pendleton Email & Phone Number

Matches proper file and/or claim number on unidentified correspondence by use of the various automated systems for mail delivered by USPS/ACS/Unmatched mail queue in ODM.Types a variety of material such as letters, benefit notices, or memorandums for medical appointment, attorneys, or external clients.Performs control operator functions for various Service Center or Claim Office data systems.Retrieves and/or re-files items from central storage facility and maintains accurate records of file activity.Receives dock and messenger service deliveries and verifies accuracy of delivered material.Prepares outgoing mail for shipment which includes the necessary attachments, wrapping, and sealing. This will include shipping/receiving computer equipment.Performs a variety of clerical duties such as answering telephones, taking messages, dispersing faxes, making payments, sort/preparing files, and data entry.Assists in updating jurisdictional notices and manuals used in the office.Pulls files from storage for in-house state audits.Prepares files in electronic form for state audits (payment history, file notes, and gathering medical reports).Contacts agents and insured on routine claims to obtain coverage information or obtains through the various systems.Issues payments, requests wage information for the adjusters, orders surveillance, and completes medical calls to obtain the current work status.Schedules medical appointments and sends all appropriate correspondence relating to that appointment.Performs other related work as required or requested.Upholds the Crawford Code of Conduct

United States

Analyzing claim information to determine the cause of outstanding issuesAssessing eligibility requirements based on UI Code, Policies, and ProceduresCommunicating with claimants and employers by phone to obtain missing informationNotating all contacts and actions taken on a claim clearly and thoroughlyDemonstrating the ability to make timeline and logical decisions All other duties as assigned by management to support claim processing

United States

Data Entry; inputting high volume of patient informationCommunicating with various facilities regarding COVID 19 specimen questionsExperiences using EPIC healthcare systemRecieving and entering COVID 19 samples from various locations into Polytech and EPIC Answering phone calls in regards to general questions, donor calls and itemized receipts