Current Employment Status:
Hired Full Time on Sep 28, 2022
Healthcare Insurance Auditor
Processing medical
-Paying, denying and routing medical claims ( Regular, COB, Medicaid/less fortunate, Medicare and Adjusted)
-Audit medical claims if correctly paid, denied and routed by the agent before releasing for quality purpose.
- Create and send report for the agent's quality score.
-Involved in coaching session to know the Root Cause of the error and to create measurable and attainable Action Plans
-Assigned in upskilling agents from tier 1 to the highest level training Involved in Client call meeting for quality purpose. ?
-Worked on auditing
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