Driven Professional seeking full-time role that offers challenging opportunities. Leveraged interpersonal skills, effective time management, and problem-solving expertise to achieve significant outcomes in dual job settings. Committed to delivering value through dedicated collaboration and innovative solutions.
My responsibilities within this position is to research claim denials for Tricare beneficiaries and/or Providers within the West region. I assist with reprocess or adjudication if applicable. If there is a conflict with getting claims processed correctly, I provide them with solutions to get these claims processed and paid successfully. I handle both incoming calls and do call backs on cases, if requested. Call backs are to provide outcome and resolution of case scenario. I am also responsible for completing 25 cases per day. I handle void reissues for checks if they are sent to the wrong address and complete forms to have beneficiaries' other health insurance updated if necessary, which allows for their claims to process efficiently.
Coordinate online order fulfillment with speed, accuracy, and strong customer support in high-volume environment. Support shoppers in store while balancing order completion and service needs. Once order is completed, I quickly store in backroom area.