Lisa Roth
Benton,LA
Summary
Competent Provider Relations Representative with a proven track record at Blue Cross and Blue Shield of Louisiana, skilled in facilitating provider training sessions and delivering effective educational presentations. Recognized for empathetic communication and a dedicated work ethic, enhancing provider engagement and satisfaction while ensuring compliance with network requirements.
Overview
29
29
years of professional experience
Work History
Provider Relations Representative
Blue Cross and Blue Shield of Louisiana
04.2018 - 09.2025
- Responsible for outreach to providers in multiple parishes in Louisiana both in person and virtually.
- Discussed the networks that they were credentialed under and explained the requirements for participation in our networks.
- Responsible for both iLinkBlue training as well as EPIC Authorization training, statewide. iLinkBlue, a system for providers, allows access to member coverage and eligibility, benefits and exclusions. It also provides providers with their fee schedules, payment registers and electronic funds transfer information.
- The job also involves public speaking for in-person workshops as well as virtual webinars.
- Answered provider inquiries via email, telephone and written correspondence.
- Provided a point of contact for providers, to assist with any questions or issues
Marketing Support Specialist
Blue Cross and Blue Shield of Louisiana
11.2014 - 04.2018
- Initially hired as a Marketing Customer Service Representative, working in the lobby, greeting members and potential members. Also assisted Agents during Open Enrollment.
- Effectively communicated with and supported Sales, Marketing and Administrative Teams on a daily basis.
- Handled phone calls from members and Brokers regarding group sales.
- Managed a wide variety of Customer Service and Administrative tasks to resolve Customer issues quickly and efficiently.
- Also responsible for preparing reports on premium payments to our Home Office in Baton Rouge.
Senior Casualty Claims Adjuster
Allstate Insurance Company
11.1996 - 12.2009
- Conducted liability investigation of automobile accidents involving bodily injury.
- Negotiated favorable settlements by effectively communicating with all involved parties, including medical providers and insureds.
- Increased customer satisfaction with timely and fair claim settlements.
- Maintained compliance with state regulations and insurance laws throughout the claims handling process, minimizing risk exposure for the organization.
- Recognized for consistently finding a high number of fraudulent claims, which were accepted by our SIU department.
Education
Business Administration
Louisiana Tech University
Ruston, LASkills
- Healthcare provider assistance
- Facilitating provider training sessions
- Effective educational presentations
- Empathetic listener and communicator
- Dedicated work ethic
Timeline
Provider Relations Representative
Blue Cross and Blue Shield of Louisiana
04.2018 - 09.2025
Marketing Support Specialist
Blue Cross and Blue Shield of Louisiana
11.2014 - 04.2018
Senior Casualty Claims Adjuster
Allstate Insurance Company
11.1996 - 12.2009
Business Administration
Louisiana Tech University
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