Real Estate Agent

• Jun 2022 - Present

Claims Support Specialist

• Jul 2018 - Nov 2021

Accurately identify claim issues such as denials, rejections and adjustments as well as how to achieve a resolution.Responsible for researching and resolving escalated issues from management and director.Conducted appeals, disputes and status updated for denied claims and authorizations.Follow up on claims forwarded to internal departments for review.Confirm eligibility status for active and non-active members with health plans.Answer calls from members and providers in regards to claims inquiries, out-of-pocket expense or reimbursement request.Obtain appropriate documentation necessary for a claims reviewal by the Medical Director.Computer skills with multiple programs, data entry skills, office organization, insurance knowledge and problem solving. Show less

Customer Service Specialist (Permanent)

• Jul 2017 - Jul 2018

Manage member complaints and identifying and assessing members needs to ensure they are satisfied.Input detailed notes of each call into database while handling a high volume of calls.Educate members of their insurance benefits and out-of-pocket responsibilities.Handle provider inquiries of insurance coverage/benefits.

Customer Service Representative (Temp)

• Sep 2016 - Jul 2017

Manage member complaints and identifying and assessing members needs to ensure they are satisfied.Input detailed notes of each call into database while handling a high volume of calls.Educate members of their insurance benefits and out-of-pocket responsibilities.Handle provider inquiries of insurance coverage/benefits.

Accounts Payable Specialist

• Feb 2013 - Feb 2016

Input vendor invoices into payable system. (QuickBooks/MENUN) Reconcile and verify credit card deposits. Classify invoices to the proper G/L account. Process check requests and issue checks to vendors based on due dates and client instruction. Review all invoices for appropriate documentation and approval prior to payment. Match invoices to checks, obtain all signatures for checks and distribute checks accordingly. Reconcile vendor statements, research and correct discrepancies. Maintain files and documentation thoroughly and accurately, in accordance with company policy and accepted accounting practices. Respond to vendor inquiries about payment status. Show less