I resolve member grievances at HCSC, researching complaints across benefits, enrollment, billing, claims, provider networks, and health plan operations in accordance with CMS guidelines.
Previously at Blue Cross Blue Shield, I reviewed, processed, and adjudicated institutional Medicare claims while consistently meeting productivity, quality, and attendance requirements.
I also determined Medicaid eligibility for the Louisiana Department of Health and managed operations, events, staff scheduling, and customer service for Kona Ice of NELA.
