Tanya Tan Harris
Member Services Specialist @Anthem Blue Cross and Blue Shield
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WORK HISTORY
Member Services Specialist @Anthem Blue Cross and Blue Shield
Tbilisi, GE
Enters appropriate departmental data into the computer system and searches for records of claims and providers in the different computer systems I am highly trained using.Responds to all types of inquiries from the public on the telephone, and bring allquestions and problems presented by callers to a satisfactory conclusion, either by resolvingpersonally or referring the issue to a supervisor for handling.Processes and maintains promised actions, adjustments, grievances and appeals. Establishes new member relationship by explaining policies and procedures.Prepares daily quota of average handle time, hold and after call work for each interaction.Researches and analyzes customer accounts; responds to customer inquiries regarding billings, deposits, payments, penalties, refunds and adjustments, etc.Contacts billing services for customers with delinquent accounts, or other funds due, and request payment and monitors the status of the accounts.Dispatches calls to Tech Support and Human resources on personal matters as needed. Schedules appointments and follow ups as needed for large groups or companies.Maintain regular and consistent attendance for the assigned work schedule.
EDUCATION
Valdosta State University
Bachelor’s Degree, Criminal Justice and Corrections
Valdosta State University
Bachelor of Arts - BA, Criminal Justice and Corrections
Troy University
Master's degree, Computer Science
Troy University
Master of Business Administration - MBA, Public Administration
ABOUT TANYA TAN HARRIS
Over 15 years of Customer Service Experience and Claims Representative. Trained in Medical Billing and Payroll. Medicare Certified.
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