Shontah Cooper

• Established effective communication channels between departments by organizing and facilitating cross-functional meetings.
• Streamlined information flow for increased efficiency by implementing a centralized document management system.
• Improved interdepartmental collaboration with regular team building activities and open forums for discussion.
• Served as the primary point of contact, fostering strong relationships between internal teams and external partners.

-Researched and reconciled bill payments to ensure eligibility determination, payment, revenue and membership records.

-Processed HMO, PPO enrollment application requests

-Processed enrollments, terminations, retroactivity requests, and corrections

-Consulted brokers and groups to process enrollments, terminations, etc

-De-escalated problematic customer concerns, maintaining calm, friendly demeanor,.

-Assisted customers with making payments or establishing payment plans to bring accounts current.

-Asked probing questions to determine service needs and accurately input information into electronic systems.

-Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions

-Entering medical bills into the billing system, and scanning, prepping, and sorting documents. Review and audit medical records to ensure completeness and accuracy of documentations. Familiarity with CPT codes and ICD 9s and 10s. Reading and analyzing patient data, determining the correct CPT codes for patient records, using codes to bill insurance providers, and managed details specifically code information. Received inbound calls and made outbound calls to other insurance carriers to retrieve money owed to Geico insurance clients.