Manager, Call Center & Outreach Services (Former Employee) – Philadelphia, PA – May 16, 2017
I worked at this company due to them purchasing my current division at former company. Was only there for about 8 months before my position was eliminated. Partly because there was already an existing manager there when I arrived.
A typical day would be answering inbound calls for Medicare Part D. Calls pertained to clients coverage or medications. These calls were from Physicians Offices, Pharmacy's and Clients. Verified insurance coverage and override medications for the pharmacy if needed.
QI Coordinator (Former Employee) – Philadelphia, PA – September 15, 2016
Bravo Health provided excellent services for the elderly population. We adhered to regulatory standards and best practices, which in turn help to create more positive health outcomes for our patient population.
Network Operations Specialist (Former Employee) – Philadelphia, PA – September 3, 2016
Routine analyzing business. Defining trends and reporting. Data management. Problem solving and customer service. Cient building and retaining. Assisted Provider Representatives in demographic territory. Troubleshoot provider issues such as heading claims projects and occasional site visits.
Inbound customer Service Representative (Former Employee) – Bedford, TX – September 9, 2014
I really enjoyed working with the team at Bravo Health. I found interacting with the members of Texas Star Medicaid was satisfying in going beyond my regular job duties to help them in any possible way that I could.
I work with Providers and assist with claims issues , Recovery and EOB issues, Contracting and what ever comes up to provide better customer service to our Providers. I have a good relationship with them and enjoy my job. I assit with medical policy according to CMS guidelines. I have a wealth of knowlege of insurance and Claim reconciliation
started as a mom & pop company, but now owned by another well known major insurance company. When I started training was exceptional. I rapidly excelled at my job duties. Management was good. I learned a lot from the present manager & Director of the department. The hardest part of the job was inconsistencies of processing. The thing I enjoyed the most was freedom. Come to work do your job there were no issues.
Director Appeals and Grievances (Former Employee) – Baltimore, MD – December 9, 2013
Responsible for clinical, legal, and administrative case reviews at Medicare HMO covering Medicare Advantage (five states) and Prescription Drug Programs (46 states) benefits. Managed eight investigators, one RN, and three clerical staff. Reorganized the department to address process flow and accountability