ARLEEN PERSON

• Facilitated provider and member support regarding programs, policies, and procedures.

Administered documentation into systems, ensuring accuracy and compliance.

• Consistently surpassed operational production and quality standards.
• Maintained extensive knowledge of service protocols to enhance client support.

• Handled incoming calls regarding eligibility, benefits, claims, and service authorization.
  Achieved first call resolution for member and provider inquiries.
  Resolved provider and member needs efficiently during initial contact.
  Assisted members by clarifying coverage and benefit details promptly.

• Facilitated outbound radiology calls to inform providers, members, and facilities regarding approval, denial, and pending eligibility

• Managed incoming radiology calls regarding eligibility, benefits, claims, and service authorization for members and providers.
  Administered intake documentation into appropriate systems to maintain accurate records.
  Ensured exceptional service delivery to both internal and external customers.

• Coordinated schedules and meetings to enhance organizational efficiency.
  Delegated tasks among staff to optimize team performance.
  Served as client liaison to maintain effective communication.
  Provided comprehensive document support for project needs.