Summary
Overview
Work History
Education
Skills
Activities
Timeline
Generic

Jacqueline Roberson

Hot Springs,AR

Summary

Capable Patient Representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service.

Overview

5
5
years of professional experience

Work History

Care Navigator

United Healthcare
02.2023 - Current
  • Educated patients and families on available resources, empowering them to make informed decisions about their care.
  • Participated in interdisciplinary team meetings to discuss complex cases, contributing valuable insights into effective strategies for care navigation.
  • Maintained confidential health information according to state and federal regulations.
  • Developed strong relationships with community partners, enhancing the referral network for patients in need of specialized services.
  • Identified gaps in care and assisted in the closure of gaps.
  • Promoted a positive work environment among peers by remaining approachable, supportive, and flexible when collaborating on shared tasks.
  • Maintained detailed documentation of patient interactions, treatment plans, and progress notes for accurate recordkeeping.
  • Managed approximately 30 to 65 incoming/outgoing calls per day

Referral Specialist

Centene Corporation
11.2021 - 10.2022
  • Created Prior Authorizations for Medical Providers (Member), processed authorizations for 5 states; Arkansas, South Carolina, Tennessee, New Hampshire, & New Jersey, and approved Authorizations for certain entities' Acute Care, Skilled Nursing, Surgical, INP/inpatient; or OP/outpatient, handled Provider phone calls, resolved issue or complaints

Customer Service Representative

Centene Corporation
01.2020 - 11.2021
  • Problem Solving/ Resolution Line, Process premium payments/debit or credit
  • Cancel Coverage/Verify benefits; explained coordination of benefits/summary of benefits; also completed request for material per member request; lastly set up auto pay services.
  • Answer Phone calls for member services, Data Entry/Update demographic information
  • Managed approximately 24/30 calls per day
  • Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
  • Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.

Education

Bachelor’s Degree - General Studies, with emphasis in Spanish

National University Online
La Jolla, CA
06.2025

Skills

  • Organized
  • Detail oriented
  • Oral communication/written communication
  • Patient education
  • Conflict resolution
  • Patient confidentiality
  • Community resources
  • Care coordination
  • Data analysis
  • Great attendance record

Activities

  • Very active in my church; I sing in the church choir
  • Volunteer with the youth
  • Participate in church or community activities where there is a need
  • Spend important time with family
  • Love to read
  • Listen to music
  • Improve cultural knowledge

Timeline

Care Navigator

United Healthcare
02.2023 - Current

Referral Specialist

Centene Corporation
11.2021 - 10.2022

Customer Service Representative

Centene Corporation
01.2020 - 11.2021

Bachelor’s Degree - General Studies, with emphasis in Spanish

National University Online

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