CHERYL JETT
WINSTON-SALEM
Summary
Claims Specialist with a strong background in healthcare billing and claims management. Proven ability to manage claims queues and resolve discrepancies through effective communication with payers. Committed to continuous improvement and operational excellence in healthcare environments.
Overview
19
19
years of professional experience
Work History
Claims Specialist
Optum United Healthcare
Winston-Salem
01.2019 - Current
- Managed daily claims queue to ensure timely completion of all claims.
- Streamlined secondary claims submission process, enabling bulk processing and increased efficiency.
- Facilitated billing operations for large hospital system, supporting accurate claim submissions.
- Entered EOB information from primary payers into secondary claims for precise processing.
- Resolved billing discrepancies by collaborating with secondary payers and monitoring claims.
- Processed workers compensation claims, verifying correct payer details and required information.
Assistant Store Manager
Catholic Charities
Portland
01.2016 - 01.2019
- Oversaw daily store operations, ensuring seamless opening and closing procedures.
- Supervised store team to improve operational efficiency and boost customer satisfaction.
- Managed donation intake and pricing to enhance inventory turnover.
- Supported manager in procurement and provided leadership during their absence.
Mental Health Rehabilitation Tech
Kennebec Behavioral Health
Skowhegan
01.2012 - 01.2016
- Coordinated crisis interventions, providing timely solutions for client emergencies.
- Administered medications and taught independent living skills, enhancing clients' daily functioning.
- Scheduled and facilitated medical appointments, ensuring comprehensive client care.
- Managed medication orders and maintained accurate prescription records, ensuring compliance and safety.
- Independently updated medication logs, ensuring compliance and safety.
Direct Support Professional
Granite Bay Care
Portland
01.2009 - 01.2011
- Supported clients with daily needs, fostering independence at their residence.
- Accompanied clients to community activities and appointments, promoting social engagement.
- Facilitated errands for clients, enhancing access to essential resources.
- Prepared nutritious meals for clients in their homes.
Certified Nursing Assistant
Franklin Memorial Hospital
01.2007 - 01.2008
- Recorded and tracked vital signs of patients to ensure health stability.
- Collaborated with nurses to ensure optimal patient outcomes.
- Supported patient care to promote faster recovery.
- Organized patient rooms to enhance comfort and streamline access to supplies.
Skills
- Customer service and support
- Problem solving
- Attention to detail
- Time management
- Team collaboration
- Process improvement
- Claims management and processing
- Billing operations
- Conflict resolution
- Healthcare compliance
- EOB reconciliation
- Workers compensation claims
- Secondary claims submission
Timeline
Claims Specialist
Optum United Healthcare
01.2019 - Current
Assistant Store Manager
Catholic Charities
01.2016 - 01.2019
Mental Health Rehabilitation Tech
Kennebec Behavioral Health
01.2012 - 01.2016
Direct Support Professional
Granite Bay Care
01.2009 - 01.2011
Certified Nursing Assistant
Franklin Memorial Hospital
01.2007 - 01.2008