Diane Harrison

Background

About Diane Harrison

17+ years in Preferred Provider Organization (PPO) • 11+ years in Pharmacy Benefit Management (PBM) with nation’s largest mail order pharmacy operation, 23+ years in a call center environment, 28+ years in Customer Service • 10+ years in Claims Operations including processing of Payor Services and Health Plan claims, addressing appeals and handling Stop Loss claims, in addition to working closely with TPAs • 10+ years working off and on with Medicare and Medicaid Health Plan Benefits and claims resolution for Part A and B • Exceptional organizational, time management, verbal, and written communication skills • Proven ability to lead and direct activities of groups and individuals, including Union Labor Relations • Excellent working relations with clients/providers/members while building and retaining repeat business • Self-motivated with attention to internal and external customers with high levels of service • Highly developed interpersonal abilities with a strong emphasis in analyzing and exercising good judgment • Ability to maintain positive team spirit while working in a fast-paced environment • Multi-task and delegate workflow of assignments