Leadership w/in MHS
Samantha Bouyer, Lencola Barker, Theresa Jackson, Brandy Potts, Danielle Ashbrook
Who are the TEAM LEADS of member services?
The Parent Comany of MHS
Benefits& Eligibility, Gaps in Care & Coordination of Benefits
What are the intents that must be open on every call?
Dial ext. 20332 for this.
What is escalation/ team lead?
Members can find the authorized caller form and other member information here.
What is MHSindiana.com?
Todd Roberts , Shalawn Francios, Kim Bauer
Who are the MANAGERS over Member Services ?
This tool lets all Centene Employess stay up to date on News and information .
What is CNET(.com)?
Member Preferences
What is the intent that must be opened for ALL HCC members?
This tool is used by CSRs to check a doctors panel/status
What is Amysis?
Communications Calendar, Phone and Fax List and other resources are found here.
What is SOT or Source of Truth ?
Kimberly Kruithoff, Mirna Ruiz, William Speed, & Tyecha Washington , Gina Morris
Who are the SUPERVISORS of member services?
Donating to this cause will gain everyone at MHS 4 of PTO for 2019
What is the United Way Campaign ?
Task/Intent used to submit a balance billing.
What is the Medical Claims Inquiry Intent?
You can only speak to a non-member if they give this or have this.
( all options)
What is verbal authorization OR approved authorized caller form; guardianship paper work
95% is the percentage you want for this.
What is your audit score.
Director of Customer Service
Who is Scott Rogula ?
This City/State is the headquarters of the Centene Corp.
What is St. Louis , Missouri?
Issues with Pharmacy/ or pharmacy eligibility are routed here.
What is the CNC_pharmacy_WB?
Name the details of the vision benefits.
What is routine eye exam every 2 years and new glasses once every 5 years..?
Snack Day is called this at MHS.
What is Munchie Monday’s?
Kevin O’Tool
Who is the president and CEO of MHS Indiana ?
The Chairman and CEO of Centene
Who is Michael Neidorff?
This system was used prior to the October 1st launch of OMNI
CRM/ Customer Relationship Management
HCC and HHW and HIP are short for this.
What is Hoosier Care Connect and Hoosier Health Wise and Healthy Indiana
Name the Location and time of the Next ALL TEAM meeting.
What is November 29th 330-430p @ Duke Energy