Erykah L Jackson

• Worked directly with the Vice President of Operations to collect and validate subscriber IDs to check patient deductibles and out-of-pocket max balances.
• Record and store deductible and out-of-pocket max data.
• Calculate and issue invoices to patients as dictated by the patient plan design.
• Ensure claims services know the invoice and have supporting documentation to answer patient questions.
• Issue zero-dollar invoices for patients who have met their deductible and out-of-pocket max for end-of-year and post-service invoicing.
• Outreach to patients with an outstanding invoice to aid patient collections.
• 2nd line patient invoice escalation handling.
• Issue EOBs (Explanation of Benefits) that patients request.
• Assist with claims entry & feedback reconciliation from Waystar.
• Submit refund requests & provide status updates to claims services.

• Accountable for engaging and educating new and existing patients.
• Offer and ensure all benefits are articulated and understood.
• Assist patients with provider recommendations and maintain appropriate records and documents on initial call.
• Schedule consultations and surgeries with provider offices.
• Handled inbound/outbound calls professionally and directed them appropriately.
• Oversee a caseload of 100+ clients, providing guided support to ensure outcomes and building strong relationships.
• Gather required documentation for the provider's office. (Records authorization, patient questionnaires, patient identification cards, and referral forms).
• Work with health insurance companies to obtain prior authorization for complex surgical procedures.
• Work with highly sensitive information while maintaining Personal Protection Information. (PPI)
• Familiar with medical terminology.
• Requested and retrieved all medical records from facilities for patient scheduling.
• Review operative notes, medical charts, and assigned CPT codes for covered procedures.

· Demonstrated strong computer service and communication skills.

· Demonstrated organizational and time management skills.

· Scheduled appointments.

· Answer phone calls and direct them appropriately.

· Copies/scans patient access-related hard copy materials into the correct location in the electronic medical record.

· Under direct supervision, reported directly to the executive director and worked closely with department managers to achieve daily goals.

· Collaborated closely with all directors and staff throughout my residency in transitioning from a paper-based system to electronic scheduling software.

· Gained knowledge of the business operations of various departments by shadowing for over 600 hours.

· Attended weekly meetings, kept records of all proceedings, and organized and maintained office files.

· Learned how to ensure the facility complies with State and Federal regulations.

· Inserted documentation for medication, weight, temperature, pain level, and immunizations.

· Assisted HR with P-card receipts, hiring processes, recruiting, reference checks, onboarding, and annual training.

· Trained on PPO and HMO out-of-pocket costs.

• Operated register to process payments and collect cash payments for order totals.
• Used slow periods to restock supplies, ice, trays, and delivery bags.
• Promoted a positive atmosphere and went above and beyond to guarantee each guest received exceptional food and service.
• Clearly and promptly communicated pertinent information to staff, such as large reservations or last-minute changes.

• Took orders at the drive-thru or front counter and accurately processed payments to provide guests excellent service.
• Demonstrated an outgoing, friendly, positive attitude and interacted well with staff and customers.
• Understood restaurant menus, limited-time offers, and promotions to answer guest questions.
• Used a POS system to enter orders, process payments, and issue receipts.

• Performed daily shift change tasks to keep the store efficient and neat.
• Checked completed orders for accuracy and bagged meals for easy carrying.
• Prepared third-cooked batches of food according to standard recipes.
• Assisted customers in choosing menu items by providing food-complementing information.