Stephen Stewart

HCSC - Directly

April 2023 - Present

Kelly Services, Inc – for HCSC, Blue Cross Blue Shield

August 2022 - April 2023

• Process complex medical claims in various queues for Tri-states (OK, NM, MT)
• Evaluated medical claims for accuracy and completeness and researched missing data.
• Resolve complex pended medical claims, duplicate claims, adjustments
• Conduct research and investigation into missing information, access resource materials and support files in order to process and adjudicate timely and accurately
• Research and identify other insurance, Medicare, Medicaid and update patient file as needed
• Coordinate benefits; request EOB as needed
• Read appropriate files in IMAGE and apply information to claims as needed
• Prepare reports, maintain files and records
• Assist with testing of system changes and enhancements
• Comply with HIPPA and other applicable corporate and department policies
• Communicate and interact effectively and professionally with co-workers, management, customers, etc
• Maintain communication with management regarding developments within areas of assigned responsibilities and perform special projects as required/requested
• Maintain complete confidentiality of company business

• Licensed in 14 States – CA, CO, GA, LA, MI, MO, MS, NC, OH, OK, SC, TN, TX, VA
• Contracted with 6 carriers to sell Life Insurance.
• Managing Overhead/Expenses
• Marketing to Acquire Prospects/Leads – Purchasing Leads and Running Own Facebook Ads for Leads
• Outbound Dialing with CRM/VoIP/Power Dialer with Headset
• Maintained high standards of customer service by building relationships with clients
• Analyzed customers' financial and health/medical situations to recommend appropriate life insurance policies
• Submitting application to suitable Insurance Carrier

• Managing & Updating customers with ETA
• Surveying customer residence before installation
• Installing or building infrastructure onsite and activating modem
• Service Calls (repairing/replacing equipment or materials for existing customer)
• Maintained high Overall QC audit average (90% or higher)
• Managed individual inventory of equipment and materials
• Selling additional solutions and products to customers as need
• Actively listened to customers, handled concerns quickly and escalated major issues to supervisor, providing exemplary customer service

• Set up and completed mortgage loan submission packages rom various Brokers
• Performed quality control on mortgage loan packages, before going into underwriting; ensuring fit for underwriting
• Thoroughly labeled and organized documents within software storage system
• Assuring all required information on documents and reports
• Trained, monitored, and audited other Quality Control staff on their primary work, along with certain aspects of software used
• Permission to consult with underwriters directly
• Verbal Verifications of Employment on Borrowers
• Answer and direct phone calls
• Created strong working relationships with brokers, advisors, assistants and support staff
• Aiding IT department, when needed help from someone, on site, to complete certain tasks in office location

• Completed paperwork and data entry, entering prescription and insurance or billing information into patient profiles
• Reviewed and verified customer information and insurance provider information
• Communicated with prescribers to verify medication dosages, refill authorizations, and patient information
• Answered incoming phone calls and addressed questions from customers and healthcare providers
• Perform patient checkout
• Answered patient questions, to full legal capacity
• Stocked, labeled, and inventoried medication to keep accurate records
• Nationally Certified