Cathy Davis
Claims Specialist, Enrollment Rep, Customer Service
- Role
- Claims Specialist at Public Consulting Group
- Location
- Nashville, TN, US
- LinkedIn followers
- 500 followers
About Cathy Davis
Take Call center calls and review and respond to calls and message that are assigned…
Experience
Claims Specialist
Aug 2017 — Present · Nashville, TN, US
SalesForce, Five9 Softphone, EI Billing Portal, Change Healthcare Vision, Siebel, Single Billing Platform, Sharepoint, MS Windows, Excel, Word, Sales, Provider & Payer enrollment, Credentialing, Customer Service, Call Center Specialist, Billing and Claiming Specialist.·Take Call center calls and review and respond to calls and message that are assigned for follow-up and escalation·Act as first line response for questions related to insurance credentialing and Medicaid·Responsible for maintaining adequate records/documentation for audit and internal control purposes·Ensure that all verbal and written instructions and transaction are completed correctly and accurately·Remain current with project goals and deliverable & Assist with special projects as assigned·Remain current with insurance billing guidelines and changes to procedures in billing·Respond to call inquiries related to insurance and Medicaid billing and insurance/Medicaid guidelines within standard PCG performance metrics·Initiate and coordinate outbound calls to respond to inquiries, and to follow-up with previous contacts·Upload and monitor EDI file transmissions to clearinghouses and payers·Monitor provider enrollment and registration Participate in internal and external meetings related to program performance·Communicate with Program Management on regular basis, ensuring a clear understanding of program goals and participate in internal and external meetings related to program performance·Provide suggestions for continuous improvement of program performance·Maintain weekly Dashboard communicating up to date program performance and pertinent issues·Communicate with State Fiscal Agent staff on regular basis, regarding support tickets containing updated information on how to respond to customer questions
Skills
- Leadership
- Customer Service
- Strategic Planning
- Real Estate
- Public Speaking
- Sales Management
- Sharepoint
- Training
- Management
- Team Building
- Business Analysis
- Process Improvement
- Salesforce.com
- Sales
- Visio
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