Solomon Hart
Tucson,AZ
Summary
Dedicated professional with expertise in insurance claims and customer service. Proven ability to ensure accuracy and compliance while collaborating with providers to resolve complex inquiries.
Overview
8
8
years of professional experience
Work History
CSA
Centene
Tucson, Arizona
04.2017 - Current
- Collaborated with providers to facilitate claim processes and resolve inquiries.
- Conducted thorough research on claims to ensure accuracy and compliance.
- Documented call details and outcomes for future reference.
- Returned claims as necessary based on review of paid information and denial reasons.
- Distributed Explanation of Benefits (EOB) to members promptly.
- Verified provider and member active statuses, ensuring eligibility for services.
- Checked authorizations to confirm service coverage before proceeding.
- Assisted members with web portal access and navigated health plan benefits inquiries.
Education
High School Diploma -
Howenstine Magnet Highschool
Tucson, AZ05-2004
Skills
- Insurance claims analysis
- Collaborative problem solving
- Data entry accuracy
- Customer service
- Teamwork
- Claim denial and payment
- Professionalism
- Systems
- AVES
- Omni
- Amysis
- Filenet
- Trucare
- NPI registry
- Cenpas
- Coachable
- Take constructive criticism
- Centene goal oriented
Timeline
CSA
Centene
04.2017 - Current
High School Diploma -
Howenstine Magnet Highschool
Similar Profiles
SERGINE DA SILVEIRASERGINE DA SILVEIRA
Clinical Pharmacy Technician at CenteneClinical Pharmacy Technician at Centene
Jennie ZautnerJennie Zautner
Business Analyst at CenteneBusiness Analyst at Centene
Rachel JonesRachel Jones
Pharmacy Technician Care Advocate at CentenePharmacy Technician Care Advocate at Centene
Regina GrayRegina Gray
RN Certified Case Manager at CenteneRN Certified Case Manager at Centene
Christina L. KellyChristina L. Kelly
Admin Assistant at Aspire Wealth PartnersAdmin Assistant at Aspire Wealth Partners