Therrick Borders
Appeals & Grievances Non-Clinical Specialist at Healthfirst | Austin, Texas, United States
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Therrick Borders serves as an Appeals & Grievances Non-Clinical Specialist at Healthfirst, where he leverages his extensive experience in the insurance industry to address complex case resolutions effectively. In this pivotal role, Therrick is responsible for the development and resolution of non-clinical cases, including various types of claim denials, member complaints, and appeals from both members and providers. His expertise in claims analysis is instrumental in researching and resolving issues related to member and provider claims, ensuring that all resolutions align with Healthfirst's internal health plans’ policies and procedures.
Therrick’s strong analytical skills, honed through years of experience, enable him to interpret intricate claims data and identify trends that may affect member satisfaction and operational efficiency. His proficiency in Microsoft Excel and other analytical tools allows him to conduct thorough investigations into claims disputes, facilitating a streamlined process for appeals and grievances. By employing process improvement methodologies, Therrick not only resolves individual cases but also contributes to enhancing the overall claims management process.
With a Bachelor of Business Administration (B.B.A.) from Prairie View A&M University, Therrick combines his academic background in business management and marketing with practical skills in customer service and insurance claims. His commitment to delivering exceptional service is evident in his interactions with members and providers, as he strives to ensure that their concerns are addressed promptly and effectively. As he continues to navigate the complexities of the insurance landscape, Therrick remains dedicated to advocating for members' rights and improving the overall experience within the healthcare system.
Appeals & Grievances Non-Clinical Specialist at Healthfirst in September 2023 to Present
Appeals & Greivance Analyst at Point32Health in January 2023 to May 2023
Senior Grievance & Appeals Investigator at Integrated Resources, Inc ( IRI ) in September 2021 to January 2023
Senior Grievance & Appeals Analyst at Randstad USA in April 2021 to September 2021
Senior Claims Analyst at NTT DATA, Inc. in August 2020 to April 2021
Grievance & Appeals Analyst I at Anthem, Inc. in April 2018 to April 2019
Claims Analyst II at Anthem, Inc. in December 2014 to April 2018
Sales Representative at Best Buy in October 2014 to February 2015
Claims Analyst I at Anthem, Inc. in March 2014 to December 2014
Substitute at Killeen ISD in January 2012 to February 2014
Sales Representative at Aegis Communications Group in July 2011 to February 2012
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Prairie View A&M University, Bachelor of Business Administration (B.B.A.), August 2026
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Business Rules
Skill Development
Attention to Detail
Usability
Trizetto
Thinking Skills
Project Plans
End-to-end Testing
Data Management
Critical Thinking
Business Requirements
Adjudication
Quality Reviews
Resolving Issues
Insurance
Quality Assurance
Contract Requirements
Communication Training
File Review
Contract Terms
EOB
Letter Writing
CPT Coding
Claims Management
Decision-Making
Oral Communication
Communication
Analytical Skills
Problem Solving
Research Skills
Provider Relations
Written Communication
Verbal De-escalation
Telecommunications
Sales & Marketing
Claims
Sales
Telemarketing
Retail Sales
Direct Sales
Sales Operations
Claims Handling
Social Media
Cross Selling
Marketing
Microsoft Office
Microsoft Word
Microsoft Excel
Microsoft PowerPoint
Microsoft Outlook
Classroom
Teaching
Customer Service
Public Speaking
Team Building
Time Management
Leadership
Team Leadership
Management
Teaching Classes
Insurance Claims
Claims Resolution
Social Media Outreach
Business Administration
Medicare Advantage
Claims Processing
claims
Grievances
Appeals
Prior Authorization
Authorization
Claims Review
Finance
Claim Investigation
Health Insurance
Medicare
Medicaid
Adjustments
Coordination of Benefits
Electronic Medical Record (EMR)
Medical Records
Process Improvement
Healthcare Industry
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Discover more about HealthfirstWhat is Therrick Borders email address?
Email Therrick Borders at [email protected] and [email protected]. This email is the most updated Therrick Borders's email found in 2026.
What is Therrick Borders phone number?
Therrick Borders phone number is 2543686608.
How to contact Therrick Borders?
To contact Therrick Borders send an email to [email protected] or [email protected]. If you want to call Therrick Borders try calling on 2543686608. (updated on September 01, 2024)
What company does Therrick Borders work for?
Therrick Borders works for Healthfirst
What is Therrick Borders's role at Healthfirst?
Therrick Borders is Appeals & Grievances Non-Clinical Specialist
What industry does Therrick Borders work in?
Therrick Borders works in the Insurance industry.
Therrick Borders Email Addresses
Therrick Borders Phone Numbers
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