Jackie Boyd
Durham,NC
Summary
Experienced Billing Analyst and Medical Scheduler with strong leadership and relationship-building skills. Accomplished Benefit Specialist with extensive expertise in the healthcare industry. Proficient in CPR, IDX, EMR, Excel, Salesforce, and Centricity software platforms.
Overview
19
19
years of professional experience
Work History
Data Entry Coordinator
Green Resources
11.2024 - 02.2025
- Maintained high levels of focus, entering large volumes of data accurately within tight deadlines
- Collaborated with cross-functional teams to ensure timely and accurate data input for various project
- Optimized data storage by categorizing records according to established procedures and guidelines
- Enhanced data accuracy by meticulously reviewing and verifying entered information
- Managed sensitive information with utmost discretion, maintaining confidentiality at all time
Customer Service Rep
Rad Net // Customer Service Rep - (IVR ) Hire dynamics
07.2023 - 07.2024
- Obtain authorizations for all required exams and document approvals in RIS System
- Checking eligibility status with the insurance companies to ensure proper coverage and payment for services
- Works closely with insurance providers and referring physicians staff to obtain necessary patient history and notes in order to expedite processing
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
CCR
Elixir / Rite Aid Mail Order Pharmacy
08.2020 - 07.2023
- Handle phone calls and correspondence regarding new patient enrollment, Insurance verification
- Perform patient outreach, primarily telephonically to schedule medication deliveries
- Perform patient care activities to accurately support therapy management programs, triage to a clinical pharmacist, when required
- Place outgoing phone calls to patients, doctors and insurance companies
- Resolve pharmacy issues from members, providers and pharmacies
Customer Care Representative
Raleigh Orthopaedic Clinic
12.2018 - 03.2022
- Verify and complete pre-certification of scheduled surgeries for all providers and coordinate with coding and appropriate Surgery Scheduler
- Informs patients of certifications status if pre-cert is not authorized
- Receive and follow-through on phone calls from the hospital operating rooms regarding and questions to physician/surgery schedules
- Obtain insurance to obtain authorizations for test and verify benefits
- Managed high call volume with exceptional professionalism and efficiency while obtaining pre-authorizations for Visco injections
Reimbursement Case Manager
Aerotek / Trialcard
07.2018 - 11.2018
- Work with insurance and billing companies to determine the method of payment for patients
- This includes administrative duties such as managing financial and medical records
- Benefits investigation prior authorizations and appeals support
- Engaged in contract work focused on reimbursement case management, ensuring adherence to all pertinent regulations and guidelines
- Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs
Patient Benefit Specialist
Mckesson Specialty Health
11.2015 - 06.2018
- Complete benefits investigations within time constraints using information entered by Patient Care Coordination team and following up with providers office when information is missing
- Contact patient's major medical or pharmacy payor to verify eligibility
- Utilize all available resources to obtain insurance coverage information for ordered services
- Communicate with providers and patients regarding pharmacy benefit coverage and out of pocket responsibilities
Management Care Representative
Wake Endoscopy Center Raleigh Medical Group
01.2012 - 11.2015
- Managed the computerized Care System and maintains Electronic referrals in EMR
- Schedules all referrals appointment and documents this information on the referral request form
- Maintain up to date knowledge of insurance company requirements
- Obtain eligibility and benefits information
- Researched issues and took appropriate action to resolve issues within turnaround time requirements and quality standards
Management-Precert
Carolina Center for Specialty Surgery
01.2006 - 01.2012
- Obtain and verify patient eligibility and benefit information: Conduct thorough checks to ensure patients' insurance coverage and benefits are accurately documented and updated in the system
- Secure pre-certification and authorization for medical procedures: Liaise with insurance providers to obtain necessary approvals for treatments and procedures, ensuring compliance with regulatory requirements
- Post financial transactions to patient accounts: Accurately record and reconcile payments, including checks and electronic transfers, to maintain up-to-date patient account balances
- Coordinate scheduling for multiple physicians: Manage and optimize appointment calendars for several healthcare providers, ensuring efficient use of time and resource
- Facilitate patient check-in and check-out processes: Oversee the registration and discharge of patients, ensuring all administrative tasks are completed and patient information is accurately recorded
Education
Carolina Health Services
Charlotte, NC01.2003
Skills
Effective verbal communication: Able to clearly and confidently convey information, ensuring understanding and engagement from diverse audiences
Highly organized: Skilled in managing multiple tasks and projects simultaneously, maintaining meticulous attention to detail and ensuring timely completion
Proficient in conflict management: Experienced in identifying and resolving conflicts efficiently, fostering a positive and collaborative work environment
Goal-oriented individual: Driven by setting and achieving ambitious targets, consistently striving for excellence and continuous improvement
Effective team leadership: Capable of inspiring and guiding teams towards common goals, promoting teamwork, and enhancing overall productivity
Accomplishments
In my career experiences, I have successfully streamlined data entry processes, enhancing efficiency and accuracy. Recognized for maintaining a high data accuracy rate over a two-year period. Played a key role in the implementation of a new data management system, which improved overall data accessibility and reporting capabilities. Consistently met and exceeded project deadlines, contributing to the timely completion of critical tasks.
Timeline
Data Entry Coordinator
Green Resources
11.2024 - 02.2025
Customer Service Rep
Rad Net // Customer Service Rep - (IVR ) Hire dynamics
07.2023 - 07.2024
CCR
Elixir / Rite Aid Mail Order Pharmacy
08.2020 - 07.2023
Customer Care Representative
Raleigh Orthopaedic Clinic
12.2018 - 03.2022
Reimbursement Case Manager
Aerotek / Trialcard
07.2018 - 11.2018
Patient Benefit Specialist
Mckesson Specialty Health
11.2015 - 06.2018
Management Care Representative
Wake Endoscopy Center Raleigh Medical Group
01.2012 - 11.2015
Management-Precert
Carolina Center for Specialty Surgery
01.2006 - 01.2012
Carolina Health Services
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