Cierra Venegas

* Reviewed incoming appeals on previously processed claims for possible errors.

* Researched plan documents to ensure appropriate benefits were being utilized for claims processing.

*Researched medical coding to asist in claims verification.

*Monitored daily workflow and email request.

* Assisted in eliminating back logged appeals and bringing workflow completly to current.

* Asissted with time sensitive projects for cost containment such as entering fees

* Indexed documents

* Recived training in claims adjusments

• Coached team members in techniques necessary to complete job tasks.
• Trained new team members by relaying information on company procedures and requirements.
• Worked the phones to provide optimal coverage and meet metric goals.
• Evaluated employee skills and knowledge regularly, training and mentoring individuals with lagging skills.

• Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
• Answered customer telephone calls promptly to avoid on-hold wait times.
• Answered constant flow of customer calls with minimal wait times.
• Offered advice and assistance to customers, paying attention to special needs or wants.
• Responded to customer requests for products, services and company information.