Brittney Pierre

Exceeded daily metrics and adhered to company and state agencies, CMC, DHCS, and DHS guidelines. Responded to written and verbal grievances, appeals, and disputes submitted by members and providers. Conducted thorough investigations of all member correspondence by analyzing all the issues involved and obtaining responses and information from internal and external entities.

Submitted credentialed provider submissions to several health plans and forecasted upcoming license renewals and facility site reviews. Monitored and triaged incoming claim inquiries, educating patients on eligibility status and resolving data quality issues. Acted as a liaison between providers and health plans to resolve contracting and claim issues in a timely manner.

Maintained files and receipts for monthly expense reports, and arranged and booked meetings/interviews. Assisted with travel arrangements for the CEO, models, and guests. Ordered office supplies and kept count of weekly inventory.

Created, maintained, and entered information into company databases, and set up and managed paper or electronic filing systems. Operated office equipment such as fax machines, copiers, or phone systems and arranged for repairs when equipment malfunctioned. Provided services to customers, such as order placement or account information.

Answered and transferred high-volume calls to appropriate personnel, and managed and maintained the front desk/lobby. Greeted guests entering the establishment, determined the nature and purpose of their visit, and directed or escorted them to specific destinations. Coordinated lunch and learn meetings and scheduled corporate meetings via MS Office.

Booked car rentals for clients and maintained fleet inventory. Answered high-volume phone calls and resolved long-term renters' accounts and complaints. Explained products or services and prices, and answered questions from customers.

Completed coursework in medical billing, focusing on the essential principles and practices required for accurate healthcare claims processing. Gained proficiency in medical coding and billing procedures to ensure compliance and efficiency in healthcare administration.