Summary
Overview
Work History
Education
Skills
Timeline
Generic

Jacqueline Spears

Manor,Texas

Summary

Bringing 20 years of experience in the Healthcare industry.

Seeking full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Detail-oriented Patient Account Representative with extensive knowledge of billing systems, medical terminology and insurance practices.

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

22
22
years of professional experience

Work History

Patient Account Specialist

Community Care
Austin, TX
12.2014 - Current
  • Answers questions from patients, clerical staff and insurance companies.
  • Works closely with the Patient Accounts Supervisor to enter accurate codes assignments and required billing data elements to ensure an accurate accounting process for payment and revenue reporting.
  • Promptly identifies issues and develop action plans for resolution with supervisor.
  • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations
  • Works with outside entities to resolve issues with billing, claims and payments.
  • Electronically submits bills according to compliance guidelines.

Customer Service Representative

Financial Corp Of America
Austin, TX
06.2017 - 05.2020
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Worked productively in fast-moving work environment to process large volumes of claims.
  • Interviewed policyholders to verify information and obtain additional details.
  • Followed up with customers on unresolved issues.
  • Examined reports, accounts and evidence to determine integrity and accuracy of information.
  • Provided primary customer support to internal and external customers.

Transportation Customer Service Representative

LogistiCare
Austin, TX
03.2012 - 05.2017
  • Provided superior customer service to clients, efficiently and accurately by entering customer service requests into data management system
  • Performed gate keeping functions related to trip authorizations
  • Assisted clients with transportation inquiries such as location of driver, same day cancellations, made changes to existing transportation requests, etc
  • Worked closely with transportation providers and health care facilities to resolve problems
  • Performed other duties as assigned or required

Contact Center Specialist

Texas Medicaid Healthcare Partnership
Austin, TX
03.2006 - 02.2012
  • Provided general information concerning the Texas Medicaid Program
  • Policy and Provider education
  • Claims filing assistance
  • Eligibility and financial inquiries
  • Title XIX Family Planning
  • Assisted providers and vendors with Tex Med Connect Access
  • Reset passwords and troubleshooted other TMC and EDI issues

Education

Associate of Science - Pharmacy

Allied Health Careers
5424 W US Hwy 290 Service Rd#105
08.2009

Skills

  • Electronic Health Records Systems
  • Organizational Skills
  • Revenue Operations
  • Verbal and Written Communication
  • Insurance Eligibility Verifications
  • Medical Information Collection
  • Demographics Information
  • Complex Problem-Solving
  • Denial Appeals Process
  • Clinical Messaging
  • Knowledge of NextGen EPM/EMR Systems
  • Multifaceted Research
  • Insurance Company Communication

Timeline

Customer Service Representative

Financial Corp Of America
06.2017 - 05.2020

Patient Account Specialist

Community Care
12.2014 - Current

Transportation Customer Service Representative

LogistiCare
03.2012 - 05.2017

Contact Center Specialist

Texas Medicaid Healthcare Partnership
03.2006 - 02.2012

Associate of Science - Pharmacy

Allied Health Careers

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Jacqueline Spears