Audrie Wente
Neoga,IL
Summary
Dynamic customer service professional with over 18 years of experience, currently excelling as a Senior Electronic Correspondent Advocate. Proven expertise in addressing written and secure message member inquiries, managing appeal requests, and conducting thorough appeal reviews. Developed a solid foundation in communication and problem-solving skills through previous roles at a local family-owned ambulance service and funeral home in Mattoon, IL. Active involvement in various committees, including the FUN Committee and MOTIVA, along with experience as a Learning Coach, demonstrates a commitment to continuous improvement and effective team collaboration in fast-paced environments.
Overview
19
19
years of professional experience
Work History
Sr. Electronic Corespondent Advocate
Blue Cross And Blue Shield (HCSC)
Mattoon, IL
03.2022 - Current
- Addressed member inquiries promptly to enhance customer satisfaction.
- Facilitated training programs for newly promoted ECA personnel.
- Facilitated onboarding and training processes for newly hired Prime Therapeutics ECA team members.
- Oversaw inventory management by committing to overtime hours.
- Assisted in claims adjustments and reprocessing tasks. Supported appeals screening and processing efforts. Collaborated with teams on B2AP initiatives.
- Sought and engaged in personal learning and development initiatives.
- Facilitated member inquiries through secure messaging, email, and phone communication.
Appeals Specialist 1
Blue Cross and Blue Shield of IL (HCSC)
03.2021 - 03.2022
- Thoroughly reviewing provider/member appeals on a daily basis and researching to submit all medical information available for MD review
- Contacting Providers/Members for additional information
- Combining MD review and benefit book information to form a professional letter to send to the provider member with the appeal outcome.
Customer Service Advocate
Blue Cross and Blue Shield of IL (HCSC)
08.2017 - 03.2021
- Research and review all member/provider inquiries to determine if a claim can be adjusted; appealed, possible pre-service request; fraud inquiry, etc
- Provide members with benefit information
- Microsoft Word, Excel, Outlook.
Assistant Manager and Paramedic
Mitchell-Jerdan Funeral Home, LTD.
10.2007 - 01.2018
- Supervisor of 35-40 employees
- Payroll, data entry, scheduling, inventory, funeral contracts, filing, Ambulance & Funeral billing and payments
- Microsoft Office, Word, Excel, Outlook, Messenger, Director's Assistant
- Coordinated company vehicle purchases and vehicle maintenance.
Education
EMT/Paramedic Certificate -
Lake Land Community College
Mattoon, IL12.2008
Skills
- Proficient in Microsoft Office Suite
- Efficiently manage tasks in a fast-paced environment
- Diligent and reliable
- Leadership of diverse employee groups
Timeline
Sr. Electronic Corespondent Advocate
Blue Cross And Blue Shield (HCSC)
03.2022 - Current
Appeals Specialist 1
Blue Cross and Blue Shield of IL (HCSC)
03.2021 - 03.2022
Customer Service Advocate
Blue Cross and Blue Shield of IL (HCSC)
08.2017 - 03.2021
Assistant Manager and Paramedic
Mitchell-Jerdan Funeral Home, LTD.
10.2007 - 01.2018
EMT/Paramedic Certificate -
Lake Land Community College