Connie Chan

Provider Operations Processor @Blue Cross Blue Shield of Massachusetts

Hingham, MA, US

Reviews and prioritizes daily orders from Claims Department to create and update out of state courtesy numbers for providers. Resolves issues proactively and efficiently through independent problem solving. Examples include (but are not limited to) calling providers to receive updated information, closing out PO returns, having the flexibility to quickly shift between tasks, as well as attending training classes and team meetings.• Processes and verifies accuracy of applications of enrollment and terminations for professional, mental health, and ancillary providers in a timely manner. Identifies discrepancies in applications and addresses them through supporting databases and other team members. • Takes initiative to help streamline production by coordinating with others to create and update workflows. Reinforces company work procedures through training of other colleagues while using analytical skills with attention to detail.• Proficient in Access, Vital, Cactus, RTMS, HURN, and NASCO systems and Microsoft programs. Proven ability to learn new computer systems quickly and implement required steps in each process to ensure high quality and accurate work.

Binghamton University

Bachelor's Degree

Penfield High School

High School Diploma with Honors