Jamie Posey
Los Angeles
Summary
Healthcare customer service professional with extensive experience in supporting members, providers, and internal departments within a dynamic medical group. Proficient in resolving complex issues, coordinating communication, and ensuring documentation accuracy while maintaining HIPAA compliance. Recognized for attention to detail, organizational skills, and commitment to delivering exceptional service. Aiming to leverage skills in a utilization management or credentialing role to further advance in healthcare administration.
Overview
1
1
Language
4
4
years of professional experience
Work History
Customer Service Representative
Prospect Medical Group
Orange
07.2024 - Current
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Collaborated with provider offices to obtain required documentation, ensuring timely processing of patient claims.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Collaborated with healthcare teams to resolve patient concerns promptly.
- Maintained detailed records of customer interactions and transactions to support efficient follow-up and issue resolution.
- Managed multiple cases simultaneously while meeting productivity and quality standards.
- Provided clear explanations of claim decisions to customers and stakeholders.
- Collaborated with team members to streamline authorization workflows.
- Adhered to HIPAA regulations when handling confidential patient information.
- Analyzed data from third-party payers and claims systems to identify issues affecting authorization request accuracy.
Appointment Scheduler
Optum
Signal Hill
11.2022 - 07.2023
- Managed appointment calendars to optimize provider schedules.
- Scheduled patient appointments using electronic health record systems.
- Communicated with patients to confirm and reschedule appointments.
- Collaborated with team members to improve scheduling efficiency.
- Provided exceptional customer service during patient interactions.
- Verified insurance information prior to appointment booking.
- Ensured compliance with HIPAA regulations when handling confidential information.
- Coordinated with other departments within the practice to ensure timely patient care.
Education
Certificate - Diagnostic Medical Sonography
Integrity College of Health
Pasadena06-2024
Some College (No Degree) -
Cerritos College
Cerritos, CASkills
- Customer relationship management
- Conflict resolution
- Claim adjudication
- HIPAA compliance
- EHR systems management
- Typing Proficiency
- Medical Terminology
- Understanding of HMO/PPO Plans
- Coordination between providers and health plans
- Insurance Verification
Languages
Spanish
Limited
Timeline
Customer Service Representative
Prospect Medical Group
07.2024 - Current
Appointment Scheduler
Optum
11.2022 - 07.2023
Certificate - Diagnostic Medical Sonography
Integrity College of Health
Some College (No Degree) -
Cerritos College