Carolyn Ferstermann

Handled escalated member concerns regarding claim denials or delays with empathy and professionalism

Maintain accurate patient interactions, records including comments, inquiries and complaints to their accounts

Resolve conflicts with pharmacy vendors and patients

Collaborate with providers, members to correct claim denials or errors

Enter claim data into system while interpreting coding and understanding medical terminology in relation to diagnoses and procedures

Claim auditing

Process appeals and subrogations

Process death benefits

Responsible for processing refunds, voids, stop pays, reversals on the claims

Responded to client group and provider emails

Aided with Flexlink implementation

Assisted in onboarding of new associates to familiarize with company procedures, policies and processes