Andrea' Jenkins
Trenton,NJ
Summary
Driven Medicaid Specialist with a proven track record at the State of New Jersey, adept in insurance verification and maintaining high customer satisfaction. Excelled in analyzing compliance with state and federal guidelines, leveraging expertise in Salesforce and communication skills to enhance public relations and streamline processes. Demonstrated ability to handle sensitive information with discretion and integrity.
Overview
9
9
years of professional experience
Work History
Medicaid Specialist
State of New Jersey
01.2022 - 01.2023
- Investigates and verifies the accuracy of information provided by recipients under the Medicaid programs to determine compliance with State and Federal laws, rules, and regulations.
- Determines an applicant's eligibility for institutional care based on State and Federal guidelines and verifies the accuracy of the information listed on the applicants' applications.
- Maintains effective public relations with medical facilities and federal, state, county, and city agencies within assigned territory.
- Verifies accuracy of the information listed on applicants' applications including income, bank accounts, and any other assets.
- Makes a determination of an applicant's eligibility based upon established criteria.
- Visits contact centers and medical facilities; assists other regional offices on an as-needed basis.
- Performs related or similar duties as required or assigned.
- Maintains good public relations and customer service.
Patient Service Representative (PSR)
Axia Center for Women's Health
09.2019 - 09.2020
- Filed and maintained patient records in accordance with HIPAA regulations.
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Improved patient satisfaction by providing exceptional customer service during check-in and check-out processes.
- Managed patient registration process, confirming data accuracy and completeness.
- Maintained a well-organized front desk, contributing to a welcoming environment for patients and visitors.
- Assisted patients in filling out check-in and payment paperwork.
- Facilitated patient registration by accurately entering demographic and insurance information into electronic health record systems.
- Processed medical records requests efficiently, safeguarding patient privacy while ensuring timely information access for healthcare providers.
- Assisted with insurance verification tasks, ensuring accurate billing and timely reimbursement for services rendered.
- Took copayments and compiled daily financial records.
- Built and maintained positive working relationships with patients and staff.
- Handled complex insurance pre-authorization processes accurately, enabling timely delivery of necessary medical services.
Customer Service Representative (CSR
LINCARE A LINDE COMPANY
01.2018 - 02.2019
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
- Processing Oxygen, Nebulizer/Unit dose, Cpap and Bipap orders.
- Processing certificates of medical necessity, acquiring insurance authorization for all orders.
- Processing credit card information for all cash sales.
- Organizing and keeping detailed inventory of equipment
- Packaging and mailing supplies to patients via UPS,
- Scheduling/Dispatching service drivers to patients home for initial oxygen setup, and or nebulizer setup as well as emergency equipment assistance.
Retail Supervisor
Sodexo
03.2016 - 06.2018
- Assisted customers in locating products and making informed purchasing decisions based on their needs and preferences.
- Trained new employees on store policies, procedures, and sales techniques to enhance their performance.
- Resolved conflicts among staff members professionally and fairly, maintaining a cohesive team dynamic.
- Monitored loss prevention efforts to minimize theft incidents and maintain overall store security.
- Processed exchanges, refunds and team member purchases to keep cashiers focused on efficiently checking out regular customers.
- Conducted thorough audits of cash registers, ensuring accuracy and accountability in financial transactions.
- Supported inventory management tasks including ordering stock items and conducting physical inventory counts ensuring proper stock levels.
- Evaluated employee performance regularly to provide constructive feedback for continuous improvement.
- Trained and oriented associates to maximize team performance.
Customer Service Representative
J Knipper Pharmaceutical & Co
11.2013 - 01.2016
- Collaborated with staff members to enhance customer service experience and exceed team goals through effective client satisfaction rates.
- Processing daily In-bound and Out-bound calls to medical offices
- Identified and resolved discrepancies and errors in customer accounts.
- Provided updated information as it pertains to the monthly sample product
- Data Entry as needed on updated product or medical office information.
Education
No Degree - Social Science
Mercer County Community College
West Windsor, NJSkills
Salesforce, Microsoft Office, Oracle and RX Plus
ICD 10 codes/ medical terminology
Insurance Verification
Medical Records
Data entry
ICD-10
Salesforce
Communication skills
Medical terminology
Medical records
EMR systems
Cash handling
Timeline
Medicaid Specialist
State of New Jersey
01.2022 - 01.2023
Patient Service Representative (PSR)
Axia Center for Women's Health
09.2019 - 09.2020
Customer Service Representative (CSR
LINCARE A LINDE COMPANY
01.2018 - 02.2019
Retail Supervisor
Sodexo
03.2016 - 06.2018
Customer Service Representative
J Knipper Pharmaceutical & Co
11.2013 - 01.2016
No Degree - Social Science
Mercer County Community College