Ramanda Dotson

• Utilize claims systems, technology enabled work lists,and internal tools to review files, verify coverage, and identify discrepancies or inconsistencies affecting claim outcome.
• Collaborated with cross-functional teams to address customer disputes and facilitate payment arrangements.
• Researched delinquent balances, debits and credits using internal systems to identify discrepancies and determine accurate account status.
• Collected and scheduled payments on past-due short-paid invoices, establishing repayment plans and updated terms when needed.
• Located and contacted delinquent business accounts through phone outreach and written correspondence to resolve outstanding balances and secure payment arrangements.
• Processed and reviewed account adjustments and documentation while ensuring accurate reconciliation and compliance with company policies.
• Communicate with insurance carriers, providers, and policyholders to obtain missing information, clarify documentation, and resolve issues impacting claiming processing.

Handled high-volume inbound calls from prospective and current Medicaid/Medicare Members and providing clear accurate information on eligibility, coverage, and plan benefits.

• Provide customer service and support for HSA, FSA, DCRA, HRA, and Commuter benefits by responding to inquiries and education customers on products and enrollment.
• Reviewed member inquiries to identify discrepancies or missing documentation needed to maintain coverage and ensure accurate case updates.
• Communicated policy requirements and next steps to members, helping them understand coverage criteria, resolve issues, and navigate benefit options.
• Documented call details, outcomes, and follow-up actions in internal systems to support accuracy, compliance, and seamless continuation of member benefits.

• Researched delinquent balances, debits, and credits using internal system to identify discrepancies and determine accurate status.
• Collected and scheduled payments on past-due and short-paid invoices, establishing repayment plans and updated terms when needed.
• Located and contacted delinquent business accounts through phone outreach and written correspondence to resolve outstanding balances and secure arrangements.
• Processed and reviewed account adjustments and documentation while ensuring accurate reconciliation and compliance with company policies.

• Communicate with insurance companies to collect outstanding medical bills
• Verify insurance coverage benefits
• Process payments and update patients account
• Review delinquent accounts and create collection strategies
• Adhere to healthcare regulations and guidelines when handling patient information and payments
• Utilized spreadsheets and emails to manage aging accounts effectively prioritizing high-value claims
• Coordinated the submission of medial records to insurers for timely reprocessing
• Communicate with insurance carriers, providers, and policyholders to obtain missing information, clarify documentation, and resolve issues impacting claim processing