Jacqueline Zander
Des Moines,IA
Summary
I am Jackie, I thrive at productivity, motivating and strengthening others.
I will strengthen any team by increasing teamwork, communication, and proficiency.
I have been complimented by previous leaders for my motivation, being a fast eager learner and for helping lead my teams to better.
I am so excited to work with you & gain more knowledge and experience!
Overview
6
6
years of professional experience
Work History
Medical Claims Specialist
BlueCross Blueshield of LA
Monroe, LA
06.2022 - 09.2024
- Cross-trained to work Medicare claims for BlueCross and Vantage.
- Conducted research into complex medical coding issues to ensure proper processing.
- Accurately processed the largest volume of Medicare. claims on my team.
- Led our team with communication updates when a policy or benefit had changed to ensure continued accuracy for proper payment
- Submitted and tracked medical claims to insurance companies via electronic or paper methods.
- Processed appeals on rejected or partially paid claims, including filing additional paperwork as needed.
- Designed automated processes to streamline the production of recurring reports.
- Rekeyed claims if Data entry had made an error or system malfunctioned.
Location Manager
Tri-Miss Recycling
Vicksburg, Mississippi
09.2018 - 06.2022
- Led the bids of industrial customers and daily customers based off of their product and the market value.
- Increased company's gross profit by implementing ways to raise the value of items bought before selling to our buyers.
- Managed Inventory.
- Managed Shipments.
- Led the overall operations and communication of employees.
- Weighed trucks in and out and kept their weight within DOT limits
Education
High School Diploma -
Switched On Schoolhouse
Vicksburg, Mississippi09-2018
Skills
- Claims/Record Processing
- Leadership
- Project Management
- Benefit Specialist
- Data Entry
- Microsoft Excel
- Auditing
- Reporting
Timeline
Medical Claims Specialist
BlueCross Blueshield of LA
06.2022 - 09.2024
Location Manager
Tri-Miss Recycling
09.2018 - 06.2022
High School Diploma -
Switched On Schoolhouse