David Urso

Assisted Medicare Advantage Plan members with all aspects of resolving pending notices from the state, to the end of being approved for MSP programs.

Worked based upon direction from the GR manager, various production goals via effective use of case management strategies; such as timely, thoughtful follow up with members and efficient, judicious use of outreach to state workers.

Responsible for maintaining healthy working relationship between Medicare Advantage plans and our members, through rapid response to their queries.

Logging and entering Pending notices

for record keeping and working with plan members to assist in case management and producing an approval outcome

While on redeployment, Reconciled Medicare Advantage plan patient files with CMS and Employer records, for the purpose of determining correct rates of reimbursement. This was done through telephonic efforts and proper submission of the file to CMS for review.