Jahdaja Lewis
Middle River,MD
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
4
4
years of professional experience
Work History
Patient Account Representative
Empire Blue Cross And Blue Shield
05.2022 - Current
- Posted payments and processed refunds.
- Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
- Worked with outside entities to resolve issues with billing, claims, and payments.
- Conducted regular audits of patient accounts, identifying discrepancies and rectifying errors as needed.
- Electronically submitted bills according to compliance guidelines.
- Collaborated with the medical staff to ensure proper documentation and coding for accurate billing.
Customer Service Representative
Johns Hopkins Hospital
09.2021 - 05.2022
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Scheduled appointments for patients using the electronic health records system.
- Managed incoming calls from patients and other healthcare facilities to provide information or schedule services.
- Greeted patients upon arrival and answered any questions they had about their visit.
- Assisted in checking patient's insurance eligibility prior to their appointment.
- Collected payments from patients and entered them into the billing system accurately.
- Provided customer service by answering inquiries, resolving complaints, and providing general information to clients regarding healthcare services.
- Maintained client confidentiality according to HIPAA regulations at all times.
- Updated patient files in accordance with company policy and procedure guidelines.
- Answered inbound calls, chats and emails to facilitate customer service.
Member Service Representative
Blue Cross and Blue Shield
08.2020 - 09.2021
- Conducted research into medical terminology related to healthcare claims processing activities.
- Collaborated with other departments to resolve billing disputes or address customer concerns quickly.
- Interpreted legal documents such as contracts or court orders when evaluating claims for payment.
- Developed strategies to reduce the number of denied or delayed claims within assigned portfolio.
- Ensured timely submission of required documentation from claimants prior to approval of payment.
- Provided clear explanations of benefits, eligibility requirements, and applicable laws when communicating with customers.
- Filed appeals on behalf of customers when necessary after denial of a claim due to insufficient evidence.
Outreach Coordinator
Choice Of New Rochelle
11.2019 - 08.2020
- Facilitated communication between clients, families, caregivers, social services and other agencies to ensure client needs were met.
- Assessed clients' needs, developed service plans and monitored progress towards goals.
- Provided crisis intervention support for clients in emergency situations.
- Collaborated with medical professionals to coordinate treatment plans for clients.
- Conducted home visits to assess the safety of living environments for clients.
- Developed individualized care plans with input from clients and their families.
- Attended court hearings as a representative of the organization when needed.
- Counseled clients on available resources within the community that could help meet their needs.
Education
Some College (No Degree) - Health Administration
Capella University
Minneapolis, MNHigh School Diploma -
Westhill High School
Stamford, CT06.2011
Skills
- Appointment Scheduling
- Appointment Confirmation
- Insurance Verification
- Payment Collection
- Typing 40 WPM
- HIPAA Compliance
- Medical Insurance
- Customer Service
- Insurance Billing
- Medical terminology knowledge
Timeline
Patient Account Representative
Empire Blue Cross And Blue Shield
05.2022 - Current
Customer Service Representative
Johns Hopkins Hospital
09.2021 - 05.2022
Member Service Representative
Blue Cross and Blue Shield
08.2020 - 09.2021
Outreach Coordinator
Choice Of New Rochelle
11.2019 - 08.2020
Some College (No Degree) - Health Administration
Capella University
High School Diploma -
Westhill High School
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