- Applies defined procedures and policies to accurately maintain provider file maintenance in the Provider Manager application.
- Complete provider inquiries or updates related to Blue Shield of California and/or Blue Shield of California Promise Health Plan networks.
- Coordinate with other departments to ensure timely and appropriate responses are completed.
Continually performing research and applying critical thinking, meet or exceed daily goals, while maintaining a high level of work quality.
- At times I assiisted and expedited, research, and resolve complex issues.
- Assists with documentation review and supports questions as needed.
- Considered Subject Matter Expert (SME) in Provider Processing and documentation.
- Solid understanding and knowledge of system processing, with the ability to not only identify errors but to analyze and resolve them.
- Identified areas where processes can be improved upon to increase efficiency and productivity.
- Processed documents to maintain records and files.
- Participated in training sessions to stay updated on industry regulations and technology.
- Supported team members and participated in cross-functional projects as needed.
- Helped achieve team goals by rotating production lines and daily duties to meet demand.