Jacqueline Benson-Johnson
Summary
Accomplished customer service representative delivering exceptional patient eligibility analysis and pre-authorization processing. Skilled in insurance verification and ensuring compliance with HIPAA regulations, ready to drive operational excellence and enhance customer satisfaction.
Overview
2027
2027
years of professional experience
Work History
Inbound Call Specialist
Aetna
Houston, TX
2018 - Current
- Analyzed documentation to validate patient eligibility and benefits coverage.
- Utilized claims processing software to enter, track, and update claim statuses efficiently.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures.
Lead Customer Service Representative
Ymca Of Greater Houston
Houston, TX
02.2014 - 11.2018
- Maintained membership database, ensuring that all information was current and accurate.
- Handled cash and credit transactions, ensuring compliance with financial procedures and security protocols.
- Supported team in achieving service level goals through active participation in training sessions.
- Participated in cross-functional teams to discuss ways to improve overall customer satisfaction across company.
Customer Care Representative
Best Buy
Cypress, TX
05.2008 - 08.2014
- Assisted customers with product inquiries and troubleshooting issues effectively.
- Managed customer complaints, providing timely resolutions to enhance satisfaction.
- Developed knowledge of product features, enhancing customer engagement during interactions.
- Managed high call volume with exceptional professionalism and efficiency.
Education
High School Diploma -
CHESTER W NIMITZ
Houston, TX05-1987
Skills
- Decision-making
- Active listening
- Data entry
- HIPAA compliance
- Insurance coverage verification
- Eligibility determination
- Communication and interpersonal skills
- Insurance billing
- Prior authorization processing
- Customer relationship management
Timeline
Lead Customer Service Representative
Ymca Of Greater Houston
02.2014 - 11.2018
Customer Care Representative
Best Buy
05.2008 - 08.2014
Inbound Call Specialist
Aetna
2018 - Current
High School Diploma -
CHESTER W NIMITZ