Mazona Halton

• Prescreen assigned mail, review documents and route them to the correct program type such as CHAMPVA, Spina Bifida, CHAMPVA Foreign, FMP, EEV, and CITI. I also route claims to reopen, CSC, HCR, PMD, and EEV . Prepare documents to be scanned I remove staples, copy front and backsides of the documents. print out bar codes for the documents that need to be scanned. Route any claims that have CHAMPVA EOB to CSC or PMD. Any checks that I get I take the to them to the work station, fill out my production log at the end of my shift, fill out mail log when signing out mail. I also help with EEV mail intake, I bubble applications, and other documents for individuals who are applying for benefits. I also took a EEV training class.

Fax billing documents for the physician to sign. Call Dr office yo follow up on the billing documents, confirm if the patient is being seen by the doctor. Call the patient if I need additional information, update doctor information.

Enrolled members into health plans, process enrollment applications, verify Medicaid and Medicare coverage. Contact members regarding their application, and address changes.

Answer incoming calls. Help providers with enrollment questions, claim status, portal issues, and client eligibility.

• Answer incoming calls answer questions about pharmacy benefits, place overrides for medications, check to see if the member still has coverage, and any other questions that may have.

Answer incoming call for prescription refills and take payment information.

Set up the dining room, bus tables, sweep and mop, restock, cut up fruit for the front lobby, wash dishes, record temps, and serve the residents. Accomplishments Being there for the residents.