Miya Brown

This position is responsible for working directly with Blue Cross Blue Shield Medical directors and nurses ; contacting providers conducting research, performing data entry, responding to inquires from members, and supporting the clinicians in the Medical Management department with their provider and member activities scheduling appointment generate appropriate correspondence and send to member manually or electronically. Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies. Maintain production requirements based on established department business needs.

Verify medical and pharmacy coverage for the Mirena Birth Control .95% accuracy in handling cases; close cases successfully daily with proper information.Process claims through Citrix systems provide detailed information using the appropriate templates that included deductible and co pay information for each patient

Answer patient inquiries regarding billing, procedures, and policies for state health coverage.Participate in weekly business strategy and development meetings .Contract various hospitals to assist uninsured patients and consider outpatients .Daily data entry providing detailed information on patients diagnoses and care.Daily screen over forty patients daily for Medicaid or hospital sponsored financial assistance Network ; with online and offline for potential clients.Provide patient referrals, distribute documents, including filing and faxing of important documents to Patients and hospitals.

Answer patient inquiries regarding billing, procedures, and policies for
state health coverage.Participate in weekly business strategy and
development meetings .Contract various hospitals to assist uninsured
patients and consider outpatients .Daily data entry providing detailed
information on patients diagnoses and care.Daily screen over forty
patients daily for Medicaid or hospital sponsored financial assistance
Network ; with online and offline for potential clients.Provide patient
referrals, distribute documents, including filing and faxing of important
documents to Patients and hospitals.