Jada Spencer
Spring,USA
Summary
Dedicated healthcare professional with extensive experience in claims processing, account management, and customer service. Known for exceptional communication skills, analytical problem-solving, and a strong commitment to enhancing operational efficiency. Seeking a rewarding opportunity to leverage my expertise and continue growing within the healthcare administration field.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Patient Experience Representative
City of Hope
01.2022 - 11.2024
- Coordinated insurance verifications and updated demographic information for oncology patients, ensuring accurate and complete patient accounts
- Served as the primary point of contact for prospective patients, caregivers, and physician referrals, addressing inquiries via phone and chat
- Reviewed and managed new patient account setups, ensuring all required documentation was collected for timely appointment scheduling
- Processed and submitted insurance documentation efficiently, maintaining compliance with internal policies and procedures
Patient Account Representative
SSM Health
11.2019 - 05.2022
- Managed data entry and processed invoices for patient accounts, ensuring accuracy and compliance with billing guidelines
- Responded to inbound calls from patients regarding appointment scheduling, insurance verification, and account inquiries
- Updated and maintained patient charts in the system, ensuring accuracy and completeness of records
- Approved or rejected insurance invoices, ensuring alignment with coverage terms and billing protocols
- Performed medical billing tasks, ensuring all codes and billing information were accurate
Customer Service Representative
Anthem Blue Cross BlueShield
05.2018 - 03.2021
- Delivered high-quality customer service by responding to inquiries about claims, benefits, and coverage, ensuring prompt and courteous communication
- Documented customer interactions and escalated issues related to fraud or system errors to appropriate departments for resolution
- Verified procedure and diagnosis coding for claims, ensuring compliance with healthcare industry standards
- Contributed to meeting established claims processing standards, ensuring efficiency and customer satisfaction
Sales Representative
Charter Communications (Spectrum)
03.2018 - 11.2019
- Maximized sales opportunities by handling digital sales calls and chats, promoting services to new and existing customers
- Sold additional products and services to existing customers, meeting and exceeding sales goals
- Assisted customers with billing inquiries, addressing concerns and ensuring prompt resolution
Benefit Advocate
UnitedHealthcare
08.2014 - 03.2018
- Managed inbound calls from members, providing information on insurance benefits and resolving coverage-related inquiries
- Routed claims to the appropriate departments for processing, ensuring timely follow-up and resolution
- Processed claims adjustments and addressed billing inquiries, maintaining a high level of service and professionalism
- Educated members on available benefits and provided technical support for website navigation issues
Education
Medical Assistant (MA) Program -
Fortis Institute
Houston, TX01.2025
High School Diploma -
Clyde C. Miller Career Academy
St. Louis, MO05.2013
Skills
- Strong organizational and time management skills
- Effective communication and leadership abilities
- Account management and patient support
- Proficient in Microsoft Office Suite
- Proficient in EPIC
- Proficient in PowerPoint
- Attention to detail
- Decision-making
- Process improvement
- Customer service excellence
- Fast-paced environments
- Data entry proficiency
- Appointment scheduling
- Professionalism and etiquette
- Healthcare software expertise
- Follow-up skills
Certification
- Medical Billing and Coding Certification
- Basic Life Support (BLS) Certification
- CPR Certification
Timeline
Patient Experience Representative
City of Hope
01.2022 - 11.2024
Patient Account Representative
SSM Health
11.2019 - 05.2022
Customer Service Representative
Anthem Blue Cross BlueShield
05.2018 - 03.2021
Sales Representative
Charter Communications (Spectrum)
03.2018 - 11.2019
Benefit Advocate
UnitedHealthcare
08.2014 - 03.2018
High School Diploma -
Clyde C. Miller Career Academy
- Medical Billing and Coding Certification
- Basic Life Support (BLS) Certification
- CPR Certification
Medical Assistant (MA) Program -
Fortis Institute
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