Open To Work
JALISSA WILLIAMS
Raytown,MO
Work Preference
Summary
Customer-focused professional with extensive experience in resolving client inquiries and issues. Strong communication, problem-solving, and conflict resolution skills drive customer satisfaction. Thrives in fast-paced environments, contributing to team success and fostering positive customer experiences.
Overview
1
1
Languages
20
20
years of professional experience
Work History
Customer Service Advocate
Clarity Performance Solutions
Kansas City, MO
09.2025 - Current
- Client: Blue Cross Blue Shield Kansas City
- Resolve Provider inquiries by utilizing knowledge of healthcare policies and benefits.
- Provide accurate verification of benefit authorizations for medical procedures
- Resolved claim disputes and appeals by thoroughly reviewing plan documentation, facilitating effective communication between providers and members
- Managed provider onboarding processes, ensuring compliance with regulatory requirements.
- Facilitate communication between providers and health plans to enhance service delivery.
- Managed inbound Provider calls, ensuring accurate information delivery.
Server / Back of House
Burger Shack
North Kansas City, MO
04.2025 - Current
- Facilitated customer interactions to create welcoming dining experience
- Processed meal orders accurately and efficiently under pressure
- Oversaw daily kitchen operations to ensure efficient food preparation and service. including food preparation and station maintenance
Member Service Advocate
RemX Staffing
11.2024 - 02.2025
- Reviewed member plans to ensure accurate benefits, renewals, and eligibility status
- Guided members in navigating benefit applications and website tools for better understanding
- Documented member interactions and plan updates to maintain comprehensive records
- Remote — Contract
- Provided exceptional service to members, resolving inquiries and enhancing customer satisfaction.
- Assisted members in navigating complex systems, ensuring accurate account management and support.
- Coordinated with insurance providers to verify coverage and obtain authorizations for services.
Customer Service Advocate
Mindlance
01.2024 - 07.2024
- Addressed inbound provider inquiries on claims, network status, and benefits to ensure clarity and support
- Managed outbound inquiries on provider credentialing and portal support, facilitating effective communication
- Coordinated follow-ups with hospitals and provider offices to resolve outstanding inquiries, enhancing service resolution
- Worked remotely on contract assignments
- Resolved customer inquiries by utilizing knowledge of healthcare policies and benefits.
- Educated members on plan coverage, claims processes, and available services to enhance understanding.
- Collaborated with cross-functional teams to streamline communication and improve customer satisfaction outcomes.
Patient Service Representative
Meritas OBGYN
North Kansas City, MO
01.2023 - 12.2023
- Managed patient scheduling and appointment coordination to optimize clinic workflow.
- Resolved patient inquiries and concerns promptly, enhancing overall patient satisfaction.
- Verified insurance coverage and secured necessary procedure benefits to facilitate patient access to care
- Processed prior authorizations and coordinated patient referrals to specialists for timely treatment
- Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
- Managed patient registration process, confirming data accuracy and completeness.
Clinical Admin Coordinator
Healthcare Group
06.2020 - 08.2022
- Verified home infusion therapy benefits to assess treatment costs for members
- Ran test claims to generate precise drug cost estimates for providers
- Submitted and tracked prior authorizations for home care infusion treatments to ensure timely access to care
- Worked remotely to support operational tasks
- Coordinated patient scheduling to optimize workflow and reduce wait times.
- Conducted comprehensive benefits verification for patients to ensure accurate coverage and eligibility.
- Collaborated with healthcare providers and insurance companies to resolve discrepancies in patient benefit information.
Office Supervisor
Communications Group
Leawood
11.2016 - 08.2020
- Supervised shifts of up to 15 employees, ensuring smooth operational workflow
- Coordinated inbound and outbound paging for on-call medical providers, facilitating timely communication
- Developed training programs and guides for new agent onboarding, enhancing integration for new team members
Education
High School Diploma -
Raytown South High School
Raytown, MO05-2008
Skills
- Insurance verification
- Claims processing
- Credentialing
- HIPAA Compliance
- Patient coordination
- Healthcare communication
- Remote communication
- Data entry
- Complaint resolution
- Customer service
- Active listening
- Critical thinking
LANGUAGES
English
Native Speaker
Interests
- Avid Reader
- Knitting and Crocheting
- Enjoying the art of baking and pastry-making, experimenting with recipes
- DIY and Home Improvement
- Auto Repair/Restoration
Timeline
Customer Service Advocate
Clarity Performance Solutions
09.2025 - Current
Server / Back of House
Burger Shack
04.2025 - Current
Member Service Advocate
RemX Staffing
11.2024 - 02.2025
Customer Service Advocate
Mindlance
01.2024 - 07.2024
Patient Service Representative
Meritas OBGYN
01.2023 - 12.2023
Clinical Admin Coordinator
Healthcare Group
06.2020 - 08.2022
Office Supervisor
Communications Group
11.2016 - 08.2020
High School Diploma -
Raytown South High School
Personal Information
Title: Remote Customer Service Advocate