Codi Childers

• As a subject matter expert, support inbound calls from members with a concierge attitude helping to anticipate and coordinate any related activities that are needed to bring that member's issue to resolution and to optimize the member's health and wellbeing
• This position is responsible for the following functions:
• Build rapport and trust with each caller to maximize the opportunity to encourage member's compliance with chronic and preventive health care services and, if appropriate, initiate referrals to
• Primary Nurse Program and/or other programs
• Facilitate the member's selection and consumer oriented evaluation of in-network healthcare providers when discussing planned health care services
• Process information from member and/or the treating provider to determine needs/wants and ensure the member's questions have been anticipated and addressed
• Conduct research with internal and external parties and bring those findings back to the caller in timely basis
• Encourage and where appropriate collaborate with the member's treating providers and family members
• Ensure communication is open and information is shared in compliance with HIPAA
• Assist caller by raising awareness of tools and resources designed to help with decision-making around complex health issues, e.g
• Coordinate effective medical management
• Where appropriate Advocate may assist member with accessing and navigating available tools
• Exhibit flexibility when dealing with member's needs including when there are deviations of normal practices, procedures or benefit structures
• All verbal and written communications are thoughtful, professional and support the goals and objectives of the advocacy program
• Adhere to system generated work schedule by Workforce Management to maximize customer service availability based on business needs
• May handle special projects and/or assist with training others.
• Handled 20 or more web chats and secured messages per day to address customer inquiries and concerns

Review invoices for errors and report them to management.

• Investigated daily variances and corrected errors to resolve discrepancies
• Verified deposits, rectified discrepancies and processed end-of-day paperwork

• Scheduling placement and removal of commercial trash containers
• Customer Service, data entry
• Attention to detail
• Billing and filing of customer contracts.

• Contact insurance companies to check on status of claims payments and write appeal letters for denial on claims
• Compile, sort and verify the accuracy of data before it is entered
• Locate and correct data entry errors, or report them to supervisors
• Report overpayments, underpayments, and other irregularities
• Review insurance policy to determine coverage
• Prepare insurance claim forms or related documents and review them for completeness
• Post or attach information to claim file
• Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data
• Transmit claims for payment or further investigation
• Contact insured or others involved persons to obtain missing information
• Calculate amount of claim
• Apply insurance rating systems
• Review insurance policy to determine coverage.

• Answer customers' questions, and explain available services such as deposit accounts, bonds, and securities
• Compile information about new accounts, enter account information into computers,and file related forms or other documents
• Perform teller duties as required
• Refer customers to appropriate bank personnel to meet their financial needs
• Interview customers to obtain information needed for opening accounts or renting safe-deposit boxes
• Collect and record customer deposits and fees, and issue receipts using computers
• Investigate and correct errors upon customers' request,according to customer and bank records.

• Answer customer questions regarding problems with their accounts
• Operate 10-key calculators,typewriters, and copy machines to perform calculations and produce documents
• Receive, record,and bank cash, checks, and vouchers
• Code documents according to company procedures
• Reconcile or note and report discrepancies found in records
• Match order forms with invoices, and record the necessary information
• Perform general office duties such as filing, answering telephones, and handling routine correspondence
• Calculate, prepare, and issue bills, invoices, account statements,and other financial statements according to established procedures
• Calculate and prepare checks for utilities, taxes, and other payments
• Confer with customers by telephone or in person to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaints
• Check to ensure that appropriate changes were made to resolve customers' problems
• Determine charges for services requested, collect deposits or payments, or arrange for billing
• Resolve customers' service or billing complaints by performing activities such as exchanging merchandise, refunding money, or adjusting bills.