Marcus Carroll
Sr Employer Service Representative @Healthsmart Network Solutions
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WORK HISTORY
Sr Employer Service Representative @Healthsmart Network Solutions
Irving, TX, US
Analyzed and process claims that were not auto adjudicated. Applies medical necessity guidelines, determine coverage, identify discrepancies, and applies all cost containment measures to assist in the claim adjudication process. • Serve as liaison to client, brokers and Account Executives for research and resolution of complex inquiries. • Assist with new account implementations, client orientations, open enrollment sessions and quarterly reviews, as needed. • Deliver approved new hire and developmental training in regards to cobra laws, regulations and guidelines. • Regularly communicates with management team to maintain services knowledge and ascertains additional cobra training needs of customer’s advocates.
EDUCATION
Remington College-Little Rock Campus
College Diploma, Medical Insurance Coding Specialist/Coder
Through the customers eyes certificate
Customer Service Training
ABOUT MARCUS CARROLL
A professional individual with extensive experience providing exceptional levels of service to both internal and external customers. My entire career has been spent within the service industry; specifically focused in healthcare benefits, claim administration and customer service. Excellent communication skills and a resourceful talent for the administration and servicing of health insurance policies and claim adjudication within the indemnity, third party administration (TPA), preferred provider organization(PPO) and managed care environment. Seeking a position that will take advantage of my training, acquired skills, and business experience to ensure high-quality performance, while positively influencing company operations and results.
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