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Patricia Perry
Syracuse,NY
Summary
I am seeking a position where I can apply my experience and knowledge in order to surpass personal and company goals.
Overview
10
10
years of professional experience
Work History
Regional Transportation Specialist
Medical Answering Services LLC.
375 W Onondaga St Syracuse, NY
08.2024 - Current
- Review travel reimbursement for Medicaid enrollees for proper payment according to NYS Department of Heath Travel (NYSDOH) guidelines.
- Assisted enrollees in understanding transportation options, travel accommodations, and payments,
- Monitored compliance with regulatory standards in medical transportation practices.
- Ensure bus passes are sent to facility's and enrollees in a timely manner so that they get to appointments.
Appeals Representative
Elevance Health
Virgina
02.2023 - 09.2024
- Evaluated appeals and determined eligibility for benefits
- Maintained up-to-date knowledge on industry regulations and guidelines to ensure compliance during the appeals process.
- Examined case to initiate clinical review.
- Rendered decision for non-clinical complaints using sound, fact-based decision making.
- Enhanced the accuracy of appeal decisions through thorough research and factchecking.
- Maintained accurate records of appeal cases in compliance with regulatory requirements.
- Educated members on the appeals process, enhancing understanding and engagement.
Insurance Analyst
Emblem Health Insurance
East Syracuse, NY
08.2016 - 09.2022
- Resolved customer inquiries through effective communication and problem-solving techniques.
- Collaborated with cross-functional teams to address complex customer concerns and improve service protocols.
- Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.
- Developed comprehensive knowledge of company products and services to provide accurate information to customers.
- Followed up with customers about resolved issues to maintain high standards of customer service.
- Educated customers about billing, payment processing and support policies and procedures.
Education
High School Diploma -
Corcoran High School
Syracuse, NYSkills
- HIPAA compliance
- Insurance verification
- Patient confidentiality
- Medical terminology
- Call center experience
- Claims processing
- Follow-up skills
- Problem resolution
- Critical thinking
Timeline
Regional Transportation Specialist
Medical Answering Services LLC.
08.2024 - Current
Appeals Representative
Elevance Health
02.2023 - 09.2024
Insurance Analyst
Emblem Health Insurance
08.2016 - 09.2022
High School Diploma -
Corcoran High School