April Bullard

• Assisted customers in understanding and navigating health insurance plans and services.
• Answered incoming calls promptly and professionally.
• Answered questions and calls for all books of business for all 5 states. Also was responsible for prescription calls as well
• Educated clients on available benefits and coverage options, empowering informed decision-making.
• Resolved customer complaints in a timely manner.
• Collaborated with team to resolve complex customer issues, enhancing overall service experience.
• Maintained up-to-date knowledge of health care regulations and policies for accuracy.

Currently my role is to respond to secure messages in a timely manner that members have sent through the Blue Access for Members message center.

Resolved inquiries about denied claims and discrepancies in applied benefits, ensuring members received accurate information and support.

Processed member messages, addressing requests to change addresses, correct names, and review claims to ensure accurate member information.

• Responded to inquiries regarding prior authorization requirements for medical procedures, facilitating timely access to necessary healthcare services.
• We are required to meet production requirements and to keep our idle time to a minimum.
• appeal of claim requests or inquiring for an update on recently requested appeals.
• submissions of forms such as continuity of care requests