Brittany Moody

• Answer inbound calls from health plan members or patients
• Help with insurance benefits, eligibility, and coverage questions
• Assist with enrollment, claims status, and account access
• Explain healthcare plan details in simple terms
• Research information across multiple systems
• Document all interactions accurately in secure systems
• Follow HIPAA privacy rules at all times
• Escalate complex issues when needed

Answer inbound calls from health plan members or patients

• Review medical insurance claims for accuracy and completeness
• Verify patient, provider, and billing information
• Process claims using insurance rules, policies, and CMS guidelines
• Apply benefits according to plan coverage
• Check for required documentation (authorizations, codes, etc.)
• Decide whether claims should be paid, denied or adjusted
• Prepare denial letters when necessary
• Use multiple systems to research claim details and pricing

• Answer incoming customer calls, emails, and chat messages
• Assist customers with online orders, payments, returns, and refunds
• Resolve customer complaints and provide effective solutions
• Track orders and provide shipping or delivery updates
• Document customer interactions accurately in company systems
• Maintain professionalism and meet performance metrics
• Troubleshoot basic account and technical issues
• Follow company policies and confidentiality guidelines