Jacqueline Briggs
Fayetteville,NC
Overview
8
8
years of professional experience
Work History
Clearinghouse Customer Service Rep
Smart Data Solutions
03.2023 - Current
- Skilled at working independently and collaboratively in a team environment.
- Self-motivated, with a strong sense of personal responsibility.
- Proven ability to learn quickly and adapt to new situations.
- Worked effectively in fast-paced environments.
- Researched and analyzed policy contracts to verify proper payment of claims.
- Researched and analyzed complex claims to determine next steps and possible outcomes.
- Updated claims system to track claim status and provide relevant information to other department.
- Followed up with customers on unresolved issues.
- Examined reports, accounts, and evidence to determine integrity and accuracy of information.
- Maintained accurate and up-to-date records of claim information for future reference.
- Developed and implemented strategies to improve claim processes.
- Responded to customer calls and emails to answer questions about Clearing House issues.
- Placed outbound customer service or customer satisfaction calls to follow up on issues.
- Adhered to company policies and scripts to consistently achieve call-time and quality standards.
- Achieved high satisfaction rating through proactive one-call resolutions of customer issues.
- Boosted customer service satisfaction ratings through consistent quality control.
- Exhibited high energy and professionalism when dealing with clients and staff.
- Educated customers about billing, payment processing and support policies and procedures.
- Responded proactively and positively to rapid change.
- Followed up with customers about resolved issues to maintain high standards of customer service.
- Cross-trained and backed up other customer service managers.
Health Insurance Customer Service
JMS & Associates
10.2022 - 12.2022
- Responded to customer requests for products, services, and company information.
- Answered incoming phone calls to assist patients with any and all questions related to their health insurance.
- Documented customer interactions and transactions for accurate, up-to-date records.
- Fielded customer complaints, escalating complex issues to management for resolution.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Providing excellent customer service by promptly answering patient inquiries.
- Educated patients on importance of preventive health care and insurance coverage.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Updated patient records with accurate, current insurance policy information.
- Processed medical insurance claims and payments.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Assisted call-in customers with questions regarding insurance benefits.
Patient Service Representative
CareNet Healthcare
02.2022 - 10.2022
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Verified insurance eligibility and coverage for patients.
- Entered patient demographic and insurance data into electronic medical record system.
- Filed and maintained patient records in accordance with HIPAA regulations.
- Managed patient registration process, confirming data accuracy and completeness.
- Took copayments and compiled daily financial records.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Attended telephone skills and program information training sessions to boost aptitude.
- Boosted customer service satisfaction ratings through consistent quality control.
- Responded proactively and positively to rapid change.
- Built relationships with vendors to foster quality service delivery.
- Verified Health Insurance benefits.
- Answered questions about eligibility determinations and plan options.
- Built and maintained positive working relationships with patients and staff.
Medical Assistant
Michigan Advanced
11.2018 - 03.2020
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Obtained client medical history, medication information, symptoms, and allergies.
- Performed medical records management, including filing, organizing and scanning documents.
- Collected and documented patient medical information such as blood pressure and weight.
- Called and faxed pharmacies to submit prescriptions and refills.
- Scheduled appointments, registered patients, and distributed sample pharmaceuticals as prescribed.
- Assisted with routine checks and diagnostic testing by collecting and processing specimens.
- Documented vital signs and health history for patients in clinic and hospital environments.
- Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
- Taught patients about medications, procedures, and care plan instructions.
- Verified patient insurance coverage and collected required co-payments.
- Obtained and documented patient medical history, vital signs and current complaints at intake.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Completed EKGs and other tests based on patient presentation in office.
- Prepared lab specimens for diagnostic evaluation.
- Explained procedures to patients to reduce anxieties and increase patient cooperation.
- Measured patient pulse oximetry.
- Measured patient spirometry.
Vendor Analyst
Quicken Loans Mortgage Services
08.2015 - 01.2017
- Supported senior company leaders by delivering reports outlining performance to drive process improvements.
- Built long-term relationships due to prompt and courteous service.
- Oversaw every phase of supply chain, from purchase order to delivery to invoicing, targeting 100% end-user satisfaction.
- Coordinated with freight forwarder to provide vendor shipping details and obtain shipping updates.
- Responded to employee inquiries regarding benefits and other HR topics.
- Streamlined office operations using automation, oversaw client communications, managed record tracking and data communication activities.
- Reported emergencies, weather delays and carrier schedule changes to customers and supervisors.
- Skilled at working independently and collaboratively in a team environment.
- Self-motivated, with a strong sense of personal responsibility.
- Proven ability to learn quickly and adapt to new situations.
- Worked well in a team setting, providing support and guidance.
- Worked effectively in fast-paced environments.
- Managed time efficiently in order to complete all tasks within deadlines.
- Supervised compliance measures regarding domestic and international tariffs and customs regulations.
Education
CCMA - Medical Assistant
Dorsey School of Business
Southgate, MI11.2018
High School Diploma -
Roseville High School
Roseville, MI06.2011
Skills
- Delinquent Accounts Monitoring
- Credit Card Reconciliation
- Quote Generation
- Premium Collection
- Critical Thinking
- Customer Service and Assistance
- Resolving Customer Issues
- Identifying Opportunities
- Knowledge Base
- Account Changes
- Microsoft Works
- Microsoft Word
- Medical Terminology
- Database Management
- Claims Investigations
- Quality Control
- Billing Systems and Software
- Demographics Information
- Patient Registration
- Eligibility Determinations
- Payment Processing
- Customer Satisfaction
- Electronic Health Records Systems
- Insurance Company Knowledge
- Insurance Form Processing
- Insurance Verification
- Appointment Confirmation
- Call Screening
- Outbound Calling
- Information Collection
- Phone and Email Etiquette
- Patient Admission
- Medical Services Administration
- Insurance Billing
- Money Handling
- Registration Coordination
- Registration Processing
- EMR Updating
- Insurance Coordination
- Deductible Collection
- Reading Comprehension
- Benefits Explanations
- Medical History Documentation
- Word Processing
- Educate Patients
- Improve Patient Care
- Spreadsheet Tracking
- Clerical and Filing Support
- Payment Calculation
Timeline
Clearinghouse Customer Service Rep
Smart Data Solutions
03.2023 - Current
Health Insurance Customer Service
JMS & Associates
10.2022 - 12.2022
Patient Service Representative
CareNet Healthcare
02.2022 - 10.2022
Medical Assistant
Michigan Advanced
11.2018 - 03.2020
Vendor Analyst
Quicken Loans Mortgage Services
08.2015 - 01.2017
CCMA - Medical Assistant
Dorsey School of Business
High School Diploma -
Roseville High School
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