Shannon Barron

Responded to phone calls, digital communications, and written correspondence from members, providing information and education about health insurance plans, benefits, claims, and billing. Resolved issues, troubleshooted problems, and addressed concerns for members while adhering to established policies, procedures, and quality standards.

Approved and denied disability claims, leave of absence requests, and short-term disability and FMLA claims for Verizon telecommunications. Reviewed and processed medical documentation for claims using Juris and TAMS systems, ensuring proper documentation and handling high inbound calls.

Implemented standards, policies, and day-to-day operations for Credit Services, managing customer recovery, projects, and billing systems. Conducted non-pay disconnect analysis and audits to decrease disconnects, and managed Wisconsin accounts, liaising with legal entities.

Sorted source documents and organized paperwork for insurance claims processing, entering procedure codes, diagnosis codes, and patient information into billing software. Posted charges, payments, and adjustments, and completed appeals and claims submissions while maintaining knowledge of coding principles and regulations.

Created vendor profiles, checked accuracy of paperwork, and trained vendors on work order and billing procedures. Communicated work orders to vendors, assisted in resolving issues, and monitored and closed out work orders based on SLA.