Jacoby Lowney
PFLUGERVILLE,TX
Summary
Highly energetic, resourceful and self-directed Patient Navigator with strong clinical and human relations skills. Embraces working with diverse groups and special populations to identify clinical and social concerns of patients.
Overview
15
15
years of professional experience
Work History
Case Management-Care Navigator
American Cancer Society, ACS
Austin , TX
10/14/13 - Current
- Provided comprehensive education to patients, caregivers, and medical professionals about various aspects of cancer, such as symptoms, pre-diagnosis inquiries, diagnostic tests, treatment choices, side effect control, pain management, clinical trials, genetic and biomarker testing, cancer statistics, home health care, hospice and end-of-life decisions.
- Connected patients facing financial challenges to vital community resources, such as food banks, housing and homelessness services, transportation options, and lodging solutions for those needing travel for treatment. Offered emotional and counseling support options to those who were struggling emotionally.
- Played a crucial role in identifying and addressing barriers to accessing care, facilitating the discovery of suitable screening alternatives for individuals lacking proper insurance.
- Provided emotional support and crisis counseling options when needed during difficult times for the patient and their family members. Facilitated referrals for appropriate mental health services when indicated.
- Participated in quality improvement initiatives within the organization aimed at improving overall outcomes for patients served.
- Referred patients to Medicare, Medicaid, and Social Security Disability for state, local, and federal assistance programs.
Health Insurance Expert-Third Party Administrator
Employee Benefits Management Services Inc.
Billings , MT
2010.01 - 2013.08
- Provided timely resolution to inquiries relating to healthcare benefits, claims, and eligibility. In-depth knowledge of FSA, HRA, HSA, COBRA, pharmacy, HIPAA, health care reform, medical, and insurance industry terminology and coding. I worked in an extremely high-paced call center, demonstrating professional time management, organizational, analytical, multitasking abilities, requiring rapid decision-making, with the main focus being on customer service, accuracy, sensitivity, and promptness.
- Comprehensive knowledge of computers, software programs, and platforms, which include Microsoft Office Suite, Encoder, MXIE, GBASS, Docuware, and Collybus. Proficient typing and 10-key skills.
Consistently exceeded quality expectations of 97% or greater. I used my technical skills to update the company's explanation of benefits layout, allowing industry professionals and members to interpret the data more easily. I also served as a mentor-trainer for new employees, providing one-on-one coaching and offering feedback and support during their initial training period. - Monitored changes in the healthcare industry to ensure compliance with regulations.
- Explained coverage options to potential policyholders. Helped resolve questions about claims status, prior authorization status, and provided appeals and determinations information.
Education
Bachelor of Science - Business, Hospitality Management, Culinary Arts
San Diego Community College-UCSD
San Diego1991-08
High School Diploma -
Thomas Jefferson High School
Boulder, MT1987-06
Skills
- Calm and Effective Under Pressure
- Building Rapport and Credibility
- Caring and Empathetic
- Knowledge of Community Services and Programs
- Resolving Problems
- Active Listening
- Conflict Resolution
- Excellent Communication
- Crisis Prevention Intervention (CPI)
- Problem-solving aptitude
- Analytical Skills
References
References available upon request.
Timeline
Health Insurance Expert-Third Party Administrator
Employee Benefits Management Services Inc.
2010.01 - 2013.08
Case Management-Care Navigator
American Cancer Society, ACS
10/14/13 - Current
Bachelor of Science - Business, Hospitality Management, Culinary Arts
San Diego Community College-UCSD
High School Diploma -
Thomas Jefferson High School
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