Antoinette Motley
Southaven,MS
Summary
Dedicated Research Expert motivated to maintain customer satisfaction and contribute to company success. Proven ability to establish rapport with clients and exceed accuracy and timeliness. Reliable and driven, with strong skills to help improve quality. I believe “There is a solution to every problem”. Well-coordinated with manual dexterity to handle precise sewing tasks. Dependable, punctual and focused on meeting demanding production goals. Proficient in using template patterns and following sewing markers to complete exceptional work.
Overview
23
23
years of professional experience
Work History
Research Expert
Blue Cross Blue Shield of Tennessee
11.2000 - Current
- Utilized various interfaces such as Facets, Express Script, and Facets on-line help to conduct thorough and dynamic searches, ensuring precision in all research conducted.
- Efficiently corrected provider claims through detailed search process.
- Coordinated benefits and accurately reviewed attached documents on corrected bills, routing to appropriate departments for further review when necessary.
- Analyzed consumer advisor inquiries and utilized overpayment request-calculation solver to identify potential adjustments.
- Prepared comprehensive spreadsheet for Express Script, ensuring accuracy and timeliness.
- Proactively communicate with providers by mailing letters to obtain any missing information.
- Collaborated with project coordinator to guarantee accuracy and timeliness of all group accumulators, integrating medical and pharmacy claims.
- Streamlined claims processing through Member Benefits Administration (MBA).
Seals Team
Blue Cross Blue Shield of Tennessee
11.2000 - Current
- Empowering members with accurate and timely information, strive for first call resolution by proactively addressing any concerns and reaching out to third parties for additional support. Our dedicated team is always ready to assist with Consumer Advisor calls, ensuring seamless and satisfactory experience for our valued customers.
Education
High School Diploma -
Prosser Career Academy
Chicago, IL06.1990
Skills
Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
Proven leadership capabilities
Proficient oral and written communication skills
Sharp problem solver along with courteous demeanor
Energetic work attitude
Proficient interpersonal and organizational skills
Knowledge of Member Benefits Advisor, Med Advantage
Strong organizational and listening skills
A team player
Accountability and accuracy
Proficient in Facets/Member Benefits Advisor Matters/Dashboard
Timeline
Seals Team
Blue Cross Blue Shield of Tennessee
11.2000 - Current
Research Expert
Blue Cross Blue Shield of Tennessee
11.2000 - Current
High School Diploma -
Prosser Career Academy
Similar Profiles
Crystal BrownCrystal Brown
Business System Analyst at Blue Cross Blue Cross Blue Shield of Tennessee (Facets Billing)Business System Analyst at Blue Cross Blue Cross Blue Shield of Tennessee (Facets Billing)
Joey EvansJoey Evans
Consumer Advisor - Dental at BLUE CROSS BLUE SHIELD of TENNESSEEConsumer Advisor - Dental at BLUE CROSS BLUE SHIELD of TENNESSEE
Scott CoffeyScott Coffey
Customer Service Representative at Blue Cross Blue Shield Of TennesseeCustomer Service Representative at Blue Cross Blue Shield Of Tennessee