Mar Styran

Review, research, and response to balance billing inquiry

Processing medical insurance claims - Medicaid

Servies as liaison between providers and member to solve balance billing issues

Ensuring adherence to all policy and regulations

Determine and confirm member eligibility and benefits

Ability to recognize when complex review requires Supervisory guidance support

Use pertinent data and facts to identify and solve a range of problems

Determine and confirm member eligibility and benefits

Prioritize and organize tasks to meet documented TAT's.

Ability to meet established productivity, schedule adherence, and quality standards.

Prioritize and organize own work deadlines.

Preparing, processing, and maintaining new member enrollment or group enrollments.

Working with various types of member correspondence

Inventory control of member and group transactions

Conducts review of the enrollment transactions

Responsible for research and resolution of members applications that failed the automatic upload.

Follow up on denied unpaid claims

Posses through knowledge and understanding of billing policies and procedures

Verifies patient eligibility for insurance coverage

Functions as primary contact for members by resolving problems, answering questions and coordinating the needed information for other departments.

Provided good customer service.