Treven Butler
@trevenbutler
Dedicated Medical Claims Representative with expertise in regulatory compliance.
What I'm looking for
I am a dedicated Medical Claims Representative with a proven ability to manage high-volume medical, pharmaceutical, disability, and mortgage claims efficiently. My expertise lies in interpreting complex coverage policies and resolving subrogation and workers' compensation claims. I am recognized for my analytical and problem-solving skills, ensuring accurate and confidential handling of sensitive information.
Throughout my career, I have excelled in various roles, including my recent position at Sagility Health, where I executed non-clinical aspects of Utilization Management. I streamlined case management processes by verifying and documenting insurance claims, enhancing accuracy and efficiency. My experience at M&T Bank involved facilitating the resolution of complex loan modification and foreclosure cases, where I led diverse teams to monitor call quality and provide coaching for continuous improvement.
With a strong foundation in customer service and technical skills, I am adept at fostering collaboration to meet productivity goals. I am committed to maintaining regulatory compliance, including HIPAA, and I continuously seek opportunities to enhance service quality and client satisfaction.
Experience
Work history, roles, and key accomplishments
Medical Claims Representative
Sagility Health Call Center
Apr 2024 - Present (1 year 3 months)
Executed non-clinical aspects of Utilization Management, ensuring member care plans were accurately followed. Entered information into systems to originate authorizations and request clinical information, streamlining case management processes.
Mortgage Intake Representative
M&T Bank Call Center
Jan 2023 - Mar 2024 (1 year 2 months)
Facilitated resolution of complex loan modification and foreclosure cases through strategic collaboration. Analyzed customer feedback to implement strategies that boosted service quality and client satisfaction.
Contact Center Specialist
Home Shopping Network
Jan 2022 - Dec 2023 (1 year 11 months)
Provided remote technical support, utilizing software tools to address inquiries and troubleshoot issues. Maintained accurate customer records, ensuring data integrity for follow-up and reporting.
Medical Intake Specialist
Prime Therapeutics
Jul 2021 - Jan 2023 (1 year 6 months)
Performed accurate intake and data entry for authorization requests, adhering to HIPAA regulations. Managed both inbound and outbound calls, supporting efficient communication with providers.
Virtual Pharmacy Help Desk
CVS Health
Jul 2016 - May 2020 (3 years 10 months)
Assisted customers across multiple channels, ensuring a seamless experience. Handled customer calls with professionalism, delivering courteous and efficient solutions.
Education
Degrees, certifications, and relevant coursework
Valencia College
Associate's Degree, Business
Completed an Associate's Degree in Business, focusing on core business principles and practices. Developed foundational knowledge in business administration and management.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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