CHRISTINA JACKSON
Concord,NC
Summary
Detail-oriented healthcare operations and billing specialist with over 5 years of experience in insurance coordination, revenue cycle support, and data management. Expert in navigating complex regulatory environments including Medicare/Medicaid and ACA compliance. Proven track record of maintaining 95%+ accuracy in case resolution and data entry while streamlining cross-departmental workflows.
Overview
5
5
years of professional experience
Work History
Patient Success Specialist
Natera
Remote
04.2024 - Current
- Manage and resolve complex patient billing cases with a focus on data accuracy and timely closure.
- Collaborate with clinical and insurance teams to investigate escalated discrepancies and ensure operational efficiency.
- Leverage Salesforce and Workday to maintain meticulous documentation of patient records and financial information.
- Analyze insurance coverage and EOBs to provide clarity on financial assistance options and coverage limits.
- Maintain 100% adherence to HIPAA compliance standards while handling sensitive medical and financial data.
Enrollment Specialist
Priority Health
Remote
07.2024 - 03.2025
- Processed 50+ daily enrollment applications using Facets and Availity, ensuring full compliance with ACA/Medicare guidelines.
- Data Integrity: Reduced entry errors by 25% through systematic auditing of records within Unity Client and OnBase.
- Process Improvement: Partnered with claims and billing departments to resolve 30+ monthly discrepancies, improving turnaround time by 15%.
Senior Intake Specialist
Cigna Healthcare
Remote
02.2023 - 04.2024
- Facilitated patient and insurance case resolutions, achieving a 98% satisfaction rate through precise problem-solving.
- Revenue Protection: Decreased denied authorizations by 20% by coordinating appeals with utilization management teams.
- Mentored and trained 5 new hires on CRM workflows, increasing team-wide productivity by 10%.
- Maintained accurate records of all referrals and follow-up activities, strictly adhering to HIPAA privacy protocols.
Membership Enrollment Specialist III
Bright Healthcare
Remote
08.2021 - 12.2022
- Executed 200+ monthly Special Enrollment Period (SEP) applications with a 99% accuracy rate.
- Collaborated with coding and claims departments to cut grievance processing time by 25%.
- Recognized as a 'Top Performer' for three consecutive quarters based on quality and accuracy metrics.
Education
Associate in Arts (A.A.) - Liberal Arts
Herkimer County Community College
NYSkills
- Technical Systems: Salesforce, Workday, Facets, Availity, QNXT, Unity Client, Kronos, Genesys, Verint
- Compliance & Knowledge: HIPAA Privacy Protocols, ACA Regulations, Medicare/Medicaid Guidelines
- Operations: Case Management, Billing Resolution, Data Auditing, Cross-Departmental Collaboration
Timeline
Enrollment Specialist
Priority Health
07.2024 - 03.2025
Patient Success Specialist
Natera
04.2024 - Current
Senior Intake Specialist
Cigna Healthcare
02.2023 - 04.2024
Membership Enrollment Specialist III
Bright Healthcare
08.2021 - 12.2022
Associate in Arts (A.A.) - Liberal Arts
Herkimer County Community College