1. Dawn Corridore Phone: 518­727­0782
180 State Highway 67 Email​:​dawngarrison143@gmail.com
Amsterdam, NY 12010
Skills
● Reporting of Call Center Statistics
● Call Center Telephone Management
● Computer Savvy
● Over 15 years experience in Managed Care, Medicare Advantage, CHP, FHP, Medicaid Managed
Care and Traditional (EPO, PPO, Indemnity and ASO) Call Centers as well as Individual Exchange
Market information
● Provider Credentialing
● Quality Coaching
Professional Experience
​ Blue Shield of Northeastern NY​ Latham, NY 04/19/04 to 10/23/14
Provider Information Specialist
● Credentialing new physicians in 49 counties in NY, PA, & VT
● Process initial requests for credentialing individual providers
● Follow­up directly with each provider
● Issue CAQH accounts to providers ( A national database for provider information)
● Investigate issues with incomplete files
Workforce Planner
● Telephone monitoring of inbound member and provider calls regarding satisfaction parameters,
focusing on first call resolution
● Provide Supervisors, Directors and Executive Management with call center metric reportson a daily,
weekly, and monthly basis
● Assist customer service representatives with daily intakes, investigate complex member enrollment,
billing, claim and benefit issues
● Staff scheduling
● Reporting to the Center for Medicare and Medicaid Services on a monthly basis any perceived denials
Technical Specialist/Supervisor
Trained and experienced in handling the daily functions of the customer service call center, including but not
limited to:
● Simple and complex adjustments, Medicare adjustments, Timely filing adjustments and Prescription
reimbursements
● Pega and Content Manager dropping and indexing
● Telephone and Correspondence Monitoring (Quality)
● Resolved Supervisor Calls

2. ● Loaded referrals into the system
● Monitored telephone systems in the call center: IE: departmental average speed of answer, calls in
queue, etc.
● Handled HMO, PPO, EPO, Medicare Advantage, State Government Products, Individual Exchange
products
● Assist customer service representatives with daily intakes, investigate complex member enrollment,
billing, claim and benefit issues
​Prime Care Physicians, Latham, NY
Medical Billing/Insurance Verification (2003­2004)
● Medical Billing and follow­ up
● Handled patient billing calls
● Filed records
​ ​Aetna, Inc., Albany, NY
Customer Service Representative (2001­2003)
● Telephone and written inquiries regarding dental insurance benefits and claims
● Claim adjustments
Empire Blue Cross, Albany, NY
Customer Service Representative (1998­2001)
● Inbound member and provider calls
● Simple and complex adjustments
● Wrote Internet SOPs for Medicare Advantage plans
● Grievance & Appeals Coordinator
● Substituted for Call Center management to answer representatives questions
Education
​ Schenectady County Community College, 1992­1994, Criminal Justice
Bryant & Stratton, 2014 Clinical Foundations