Denise Sosa

Performs daily reconciliation of customer claims.

Requests account adjustments.

Provides superior quality outcomes by taking ownership of claims to ensure timely resolution or follow-up.

Processes a minimum of 250-300 claims per day and accounts for all claims in assigned batches.

Achieve and maintain an accuracy rate of 98%.

Foster a professional and positive attitude.

• Inbound calls, verify eligibility, benefit breakdown, WDE, claims adjs
• Assisting members/ providers, fax, emails

• Maintaining membership and billing information, cancellations and/ or
• Reinstatements of dental/medical policies, payments, data entry
• Enrolling federal funded memberships

• Data entry, update customer files, outbound/inbound calls, register
• Members in-person or online self management programs

• Payroll, data entry, Excel, Outlook, Recruiting, dispatching

• Invoicing , data entry (AS400), filing,scanning faxing, running daily
• Reports, preparing UPS packages

• Insurance verification, e-chart, auditing accounts, payments, scheduling
• Apps, miscellaneous duties