CRYSTAL JACKSON
Pflugerville,Texas
Summary
Dedicated professional with solid background in high-volume office environments focused on delivering exceptional clerical and operational support for professionals. Upbeat individual with friendly demeanor and sound judgment to handle diverse daily tasks with minimal oversight. Well-versed in health insurance, patient services, managing office duties, paperwork and project needs.
Overview
14
14
years of professional experience
Work History
Sales Associate Manager
Hidden Gems Auto Austin
Austin, TX
01.2017 - Current
- Created and maintained effective relationships with clients, ensuring customer satisfaction.
- Trained new employees on company policies and procedures related to sales.
- Monitored inventory levels to ensure sufficient stock was available for sale.
- Maintained an up-to-date knowledge of industry trends, competitive products, and pricing strategies.
- Analyzed customer feedback data to improve service quality and customer experience.
- Managed daily operations and supervised sales associates to provide exceptional customer service.
- Assisted in developing budgets for advertising initiatives and marketing efforts.
- Generated reports detailing weekly, monthly, quarterly, and annual sales performance figures.
- Identified opportunities for improvement in operational processes related to sales activities.
- Established and adjusted selling prices by monitoring costs, competition, and supply and demand.
Insurance Verification Specialist
USPI- United Surgical Partners International
Austin, TX
05.2022 - 02.2024
- Verified member insurance coverage and/or service/benefit eligibility via system tools and aligned authorization with the guidelines to ensure a timely adjudication for payment.
- Responsible for effective and efficient verification of all patients' benefits before their appointment.
- Research eligibility information online with various insurance carriers.
- Responsible for acting as a liaison between patients, healthcare providers, and insurance carriers to ensure all proper measures are taken and information is collected.
- 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.
- Provided timely follow up with payers regarding payment status of claims.
- Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
- Researched third party payer guidelines related to prior authorizations, coding and billing processes.
- Interpreted Explanation of Benefits statements from various insurers and communicated relevant information with other departments as needed.
Patient Access Representative
St. Davids North Austin Medical Center
Austin, TX
12.2012 - 02.2017
- Coordinated communication between patients, family members, medical staff, administrative staff, and regulatory agencies.
- Interviewed patients or their representatives to identify problems relating to care.
- Obtained information to conduct registration and pre-registration of patients, entered patient demographic and health insurance information into the computer system.
- Verified patient's insurance eligibility.
- Answered multiple phone lines and provided exemplary customer service.
- Followed data quality registration and compliance standards, meeting expectations.
- Ensured accurate admission information for patients.
- Entered information in the computer for transfer of patients in a timely manner.
- Obtained required signatures according to departmental hospital policies and procedures.
- Provided information to patients regarding Patient's Bill of Rights, Notice of Privacy Practices, Healthcare Directives, and other pertinent information per state and federal regulations.
- Collected patient co-pays, deductibles, co-insurance, or any other amount that was due at the time of service.
Patient Care Technician
State Of Texas
Austin, TX
06.2010 - 12.2012
- Submitted reports and reviewed reports or problems with a superior.
- Consulted with supervisors concerning programs for individual families.
- Kept records or prepared reports for owner or management concerning visits with clients.
- Oversaw day-to-day group activities of residents in the institution.
- Transported and accompanied clients to shopping areas or to appointments, using automobile(van)
- Observed and discussed meal preparation, and suggested alternate methods of food preparation.
- Observed clients' food selections and recommended alternate food choices.
- Prepared and maintained records of client progress and services performed, reporting changes in client condition to manager or supervisor.
- Performed healthcare-related tasks, such as monitoring vital signs and medication, under the direction of registered nurses or physiotherapists.
- Transported clients to locations outside the home, such as to physicians' offices or on outings.
- Instructed or advised clients on issues such as household cleanliness, utilities, hygiene, or nutrition.
- Also participated in case reviews, consulting with the team caring for the client.
Ultra sound tech
Virginia College
Education
Diploma -
Virginia College
Elgin High School
Skills
- Computer Literate
- Credit and Collections
- Initiative and Problem-solving
- Employee Training
- Schedule Coordination
- Process Improvement
- Office Management
- Customer Service
- Training and Coaching
- Financial Administration
- Electronic Medical Records (EMR) Systems
- Records Management
- Training and Development
References
- Tiffany Cottrill, 512-789-3306, tiffanyfalke@gmail.com
- Anthony Pruitt, 512-299-0439, hiddengems82@gmail.com
- Sabrina Jones, 512-285-0267, tjvon1616@gmail.com
Timeline
Insurance Verification Specialist
USPI- United Surgical Partners International
05.2022 - 02.2024
Sales Associate Manager
Hidden Gems Auto Austin
01.2017 - Current
Patient Access Representative
St. Davids North Austin Medical Center
12.2012 - 02.2017
Patient Care Technician
State Of Texas
06.2010 - 12.2012
Ultra sound tech
Virginia College
Diploma -
Virginia College
Elgin High School
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