Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Jaliyah Griffin

Ridgeland,SC

Summary

Dynamic and reliable professional with experience at The Addison of Bluffton, excelling in patient care and support. Proven ability to enhance efficiency and streamline workflows as a Medicaid Representative. CPR certified and a strong team player, committed to delivering exceptional service and fostering positive relationships in healthcare environments.

Overview

8
8
years of professional experience
1
1
Certification

Work History

Resident Assistant

The Addison of Bluffton
01.2025 - Current
  • Assisted residents in preparing for activity and social programs.
  • Maintained clean, safe, and well-organized patient environment.
  • Assisted residents with daily dental and mouth care, bath functions, and hair care.
  • Changed bed linens, dumped trash, and smoothly handled maintenance issues to promote resident comfort.
  • Assist residents in memory care that has dementia.
  • Assist with appointments and outings for activities.
  • Do activities with residents.
  • Serve Breakfast, and Lunch meals. Snacks as well.

Medicaid Representative (Remotely)

TekSystems Global Services LLC
01.2023 - 01.2025
  • Demonstrated excellent customer service skills while assisting diverse populations with various needs related to Medicaid benefits.
  • Conducted thorough reviews of eligibility documentation, maintaining compliance with state and federal guidelines.
  • Reduced processing times by streamlining workflows and enhancing efficiency in handling Medicaid cases.
  • Provided comprehensive support to clients during the appeals process, ensuring accurate representation of their situation.
  • Played a key role in achieving departmental performance goals through diligent work ethic and commitment to excellence.
  • Processed Medicaid applications accurately, ensuring timely access to healthcare services for eligible members.

Dental Administrative Assistant

Coastal Pediatrics Dentistry
06.2019 - 08.2020
  • Greeted patients upon arrival at the office and escorted them to an examination room.
  • Preformed administrative duties such as scheduling appointments, answering telephones, and updating patient records.
  • Provided exceptional customer service by addressing patient concerns, inquiries, or complaints promptly while maintaining composure under difficult circumstances.
  • Maintained cleanliness of reception area, exam rooms, and common areas to ensure a professional appearance for the practice.
  • Facilitated smooth communication between patients and dental staff, addressing concerns and answering questions professionally.
  • Provided excellent customer service to create positive experiences and build patient trust.
  • Communicated with insurance companies to dispute unpaid claims and verify patient coverages.
  • Processed medical insurance claims and payments.
  • Adhered to strict HIPAA guidelines to protect patient privacy.

Medical Representative

Evicore
02.2018 - 03.2019
  • Managed smooth and effective communication among patients, families, and staff.
  • Built medical cases for different insurance companies.
  • Did prior authorization for doctor offices, MDS, and patients to get approval for MRI’s, CT’s, and different medical equipment.
  • Answered inbound and outbound calls.

Education

Cosmetology

Empire Beauty School
Savannah, GA
08.2022

Ridgeland Hardeeville High School
Ridgeland, SC
06.2016

Skills

  • CPR certified
  • Time management
  • Team player
  • Reliable
  • Trustworthy
  • Medical scheduling
  • Medical representative
  • Dental admin

Certification

CPR

Timeline

Resident Assistant

The Addison of Bluffton
01.2025 - Current

Medicaid Representative (Remotely)

TekSystems Global Services LLC
01.2023 - 01.2025

Dental Administrative Assistant

Coastal Pediatrics Dentistry
06.2019 - 08.2020

Medical Representative

Evicore
02.2018 - 03.2019

Cosmetology

Empire Beauty School

Ridgeland Hardeeville High School

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