Jakayla Myles
Cigna Health Group
Griffin,GA
6
years of professional experience
Enhanced customer satisfaction by delivering exceptional service and support.,Achieved team objectives through effective collaboration and independent initiatives.,Cultivated positive customer interactions, resulting in increased loyalty and retention.
Work History
Patient Care Advocate
1 Year 9 Months- Coordinated 40–60 patient referrals daily, ensuring complete documentation and timely processing of requests.
- Communicated with patients, providers, and referral sources by telephone and electronic correspondence to obtain required information and documentation.
- Verified insurance eligibility, patient demographics, physician referrals, and supporting information for accuracy and completeness.
- Gathered, reviewed, and documented detailed client information while maintaining accurate electronic records.
- Followed established policies, procedures, and HIPAA requirements when handling confidential and sensitive information.
- Researched and resolved missing or incomplete documentation to prevent delays and ensure requests were processed accurately.
- Coordinated activities with providers, referral sources, and internal departments to facilitate timely resolution of cases.
- Maintained accurate records and updated case information in electronic medical record systems.
- Managed a high volume of requests while prioritizing urgent matters, meeting deadlines, and maintaining quality standards.
- Performed additional administrative and professional responsibilities as assigned by management.
Remote Healthcare Claims Representative
3 Years 7 Months- Assisted customers with account, claims, and service-related questions while providing professional and timely support.
- Reviewed and processed claims information while following established procedures and applicable regulations.
- Gathered and verified customer information and documentation to support accurate claim processing.
- Documented customer interactions and updated information in electronic systems.
- Investigated claim-related issues and escalated complex matters to management when appropriate.
- Organized workload and followed established deadlines to support timely claim resolution.
- Maintained confidentiality when handling sensitive customer and healthcare information.
- Applied strong attention to detail when reviewing records, documentation, and claims information.
Education
High School Diploma
Skills
Skills
Case Management & Documentation
Client Communication
Telephone & Email Communication
Records Management
Data Entry & Information Verification
Claims Processing
Insurance Verification
Customer Service
Confidential Information Handling
Policy & Procedure Compliance
Problem Solving & Critical Thinking
Attention to Detail
Multitasking & Prioritization
Healthcare Operations
HIPAA Compliance
Medical Terminology
Electronic Medical Records (EMR)
Appointment Scheduling
Quality Assurance
Timeline
Patient Care Advocate
Cigna Health Group
07.2024 - 04.2026Read More
Remote Healthcare Claims Representative
Adapt Health
10.2020 - 05.2024Read More
Spalding High School
High School Diploma
Read More