Lethia Bellamy

• - Bundle, label, and route sorted mail to designated areas, depending on destinations and according to established procedures and deadlines.
• - Drive a forklift to take sorted mail to the dock.
• - Put mail on belt to be sorted and processed.

Handle Inbound call only from provides.

Adhere to HIPPA and Centene procedures and policies

• - Handle inbound and outbound telephone calls.
• - Adhere to HIPAA law and CVS Health procedures and policies.
• - Exhibit excellent customer service to members, physicians, and pharmacists.
• - Process Commercial insurance and Medicare part D healthcare plan data and claims.
• - Utilize Cisco Systems, Compass EMR and PeopleSafe EMR Software.
• - Use Cisco System to access log in/out, entrance into the other software applications, and communication lines.
• - PeopleSafe/Compass EMR Software: verify the members demographics and healthcare plans.
• - Microsoft office: Outlook, and Teams; send/receive emails, chat and attend virtual meetings.
• - Perform data entry of data concerning inquiries, claims, and submitting correspondence via email.
• - Insurance verification: confirm the coverage and eligibility.
• - Evaluate prescription medical claim orders, and test claims.
• - Manage escalated inquiries, assist for resolution and or transfer to the appropriate department for further information.

• - Handle inbound and outbound telephone calls.
• - Adhere to HIPAA law and WellCare procedures and policies.
• - Provident excellent customer service to Medicaid Recipients in the state of Kentucky
• - Citrix EMR Software: verify the patients’ demographics, insurance, update the account profile, and inquiries.
• - Microsoft office: Word, Excel, Outlook and Teams; letters, excel reports, send/receive emails, chats and attend meetings on Teams.
• - Insurance verification: review and confirm the patients account data and coverage.
• - EOB (Explanation of Benefits): review the patients’ premiums, deductible, and out of pocket expense.
• - Process WellCare accounts, by setting them up, and performing address changes and updating personal information.
• - Medical Claims: review the claim with the patient, in accordance with the confidentiality guidelines, assist with rejected/denied claims to have resolution. Process medical claims, appeals, referrals, and prior authorizations.
• - Billing: review the patient’s treatment, and examination to let them know the coverage, co-payments, and balance

• - Provide the ultimate customer experience by exceeding company standards for comfort and cleanliness.
• - Carry linens, towels, and cleaning supplies, using wheeled carts.
• - Clean rooms, hallways, lobbies, lounges, restrooms, and corridors, and other work areas so that health standards are met.