Andrea Carter

Provide customer service support on regulations and requirements regarding prior authorization for Kentucky Medicaid.

• Provided customer service support, including resolving customer complaints in a timely manner.

I support internal team members and nurses with operational support and administrative support.

• Helped customer repair service through effective phone support.
• Went above and beyond expectations by helping with various tasks to support teammates and provide customer service.
• Received inbound phone calls from customers to provide first-level support and remotely troubleshoot issues with service, and customer issues.

• Processed a high volume of incoming claims in accordance with established policies and procedures.
• Verified claim data correctness in preparation for processing.
• Processed claims according to established quality and production standards and made corrections and adjustments to solve problems.
• Assisted customers via telephone inquiries related to their specific claim status or general questions about the company's services.
• Addressed customer inquiries to provide information and explanations on coverage and terms, expediting claims.
• Coordinated benefits with medical insurance plans and providers.