BRIANNA JACKSON
Winter Park,FL
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Reimbursement Specialist
Caremetx- Prestige Staffing
Lake Mary, FL
11.2023 - 02.2024
- Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
- Provided guidance to providers regarding the prior authorization process.
- Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
Patient Advisor
Express Scripts Pharmacy
Orlando, FL
02.2022 - 11.2023
- Adhered to all HIPAA regulations regarding patient privacy and confidentiality.
- Answered incoming calls promptly, courteously and professionally.
- Communicated effectively with pharmacists regarding medication needs or issues related to prescriptions.
- Assisted pharmacists with filling prescriptions accurately and efficiently.
Patient Service Representative/Tier 2
CVS Specialty Pharmacy
Orlando, FL
06.2020 - 04.2022
- Verified patient insurance coverage and eligibility for prescription medications.
- Reviewed orders prior to dispensing to ensure accuracy of information entered into the computer system.
- Answered incoming calls promptly, courteously and professionally.
- Confirmed prescriptions for patients by placing calls and conferring with physicians' office staff.
- Collected copays, coinsurance's and setup payment arrangements for billing.
Team Lead
Aetna Specialty Pharmacy
Orlando, FL
09.2016 - 06.2020
- Developed strategies to increase efficiency in the pharmacy, resulting in improved customer service levels.
- Provided comprehensive training for new and existing staff members on operations, protocols and procedures.
- Organized workflow and delegated tasks among staff to ensure efficient operation of the pharmacy.
- Implemented process improvements designed to streamline operational processes while maintaining quality standards.
Captioning Assistant
Captel
Orlando, FL
04.2016 - 08.2016
- Assisted with transcription of audio content into written captions.
- Proofread and edited existing transcripts for accuracy, grammar, and punctuation.
- Developed effective workflows for efficient captioning processes.
Dependent Verification Specialist
Randstad
Orlando, FL
11.2015 - 04.2016
- Answered incoming calls and provided technical assistance to customers regarding account verification process.
- Reviewed incoming documents for completeness, accuracy, and compliance with established standards for verification of dependents.
- Approved or denied documentation to validate the relationship between the employee and the dependent
Driver
Uber
Orlando, FL
11.2015 - 01.2016
- Greeted passengers and provided a safe and comfortable ride to their destination.
- Organized vehicle maintenance and ensured it was up to date with all required certifications.
- Utilized GPS navigation systems to ensure timely arrival at destinations.
- Maintained cleanliness of interior and exterior of vehicle.
Chat Specialist
ActivEngage
Altamonte Springs, FL
08.2015 - 10.2015
- Provided technical support to customers via chat and email, responding to inquiries and resolving issues in a timely manner.
- Provided extensive knowledge about specific products and services to clients to assist them through their vehicle purchase.
- Scheduled appointments for potential clients and customers, ensuring an appropriate amount of time was allotted for each appointment.
Customer Care Professional
Optum Health/United Healthcare
Orlando, FL
10.2013 - 08.2015
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
- Assisted in resolving claim issues related to billing and reimbursement inquiries.
- Responded promptly to customer inquiries regarding their benefits and eligibility status.
Education
Bachelors in science -
University of Central Florida
08.2022
Associate in arts -
Seminole State College
12.2020
Skills
- Medical Terminology
- Insurance Coverage Verification
- Customer Service
- Attention to Detail
- Communication and Interpersonal Skills
- Analytical Thinking
- Data Entry and Review
- Skilled in Microsoft
- Insurance Terminology
- HIPAA Compliance
- Team Supervision
- Quality Improvement
- Problem-Solving
Certification
- CPR Certified, 05/2024, National CPR Foundation
- HIPPA Certified, 11/2024, North American Learning Institute
Affiliations
Big Brother Big Sister Organization
Big Sister 09/2023
I serve as a mentor for a child in the program by providing support and forming a relationship based on positive communication and trust
Timeline
Reimbursement Specialist
Caremetx- Prestige Staffing
11.2023 - 02.2024
Patient Advisor
Express Scripts Pharmacy
02.2022 - 11.2023
Patient Service Representative/Tier 2
CVS Specialty Pharmacy
06.2020 - 04.2022
Team Lead
Aetna Specialty Pharmacy
09.2016 - 06.2020
Captioning Assistant
Captel
04.2016 - 08.2016
Dependent Verification Specialist
Randstad
11.2015 - 04.2016
Driver
Uber
11.2015 - 01.2016
Chat Specialist
ActivEngage
08.2015 - 10.2015
Customer Care Professional
Optum Health/United Healthcare
10.2013 - 08.2015
Bachelors in science -
University of Central Florida
Associate in arts -
Seminole State College
- CPR Certified, 05/2024, National CPR Foundation
- HIPPA Certified, 11/2024, North American Learning Institute
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