Paulette Speights Burgess

• Assist in monitoring utilization of medical services to assure cost effective use medical resources through processing prior authorizations.
• Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list. Route to appropriate staff when needed.
• Verify eligibility and benefits
• Data enters authorizations into the system.

• Assisted applicants with obtaining program support or gaining assistance from outside services.
• Prepared itemized statements and invoices showing amounts due and services rendered.
• Answered mail or telephone inquiries regarding billing invoices .
• Verified and corrected billing data, independently resolving errors.

• Enhanced customer satisfaction with fast, knowledgeable service.
• Protected company and customer data by following information policies.
• Resolved customers' service or billing complaints by performing activities such as refunding money, or adjusting bills.

Relayed work orders, messages, and information to or from work crews, supervisors, and field inspectors, using telephones or two-way radios

• Fixed problems with equipment using troubleshooting and repair abilities.
• Restored service by scheduling and organizing crew assignments.
• Completed all tasks promptly and with minimal oversight.
• Oversaw all communications within specifically assigned territories.