Jamie Victoria Ward
Raleigh,USA
Summary
Seeking a career with a reputable company with the possibility for advancement. Desire to apply my extensive experience in QA, IT and customer service as well as my knowledge of logistical support and direct patient/client care to contribute to the growth of the company and opportunity to acquire new skills.
Overview
12
12
years of professional experience
Work History
Lead Logistical Officer
Sunstates Security/ Caterpillar
01.2022 - Current
- Verifying driver credentials and ensuring only authorized personnel and vehicles enter the premises
- Inspecting cargo, recording vehicle information, and maintaining site security and safety protocols
- Coordinate the movement of goods, schedule shipments, work with carriers, and ensure timely delivery
- Streamline communication processes between departments to improve collaboration
- Monitor surveillance systems and being alert to observe and report any safety hazards.
- Respond quickly and effectively to emergencies as needed.
- Streamlined operations and prioritized tasks, allowing senior staff to increase production by 25%
Customer Service Agent
Southwest Airlines
10.2023 - 11.2024
- Provide legendary service while assisting travelers with check-in, boarding, and baggage handling
- Operate computerized point-of-sale systems for ticketing, reservations, and payments
- Collaborate with cross-functional teams to ensure efficient gate operations
- Effectively managed escalations from dissatisfied customers, working closely with management to ensure timely resolutions that maintained brand reputation.
- Recognized for maintaining a positive attitude and calm demeanor during high-volume travel periods
- Coordinated aircraft arrivals and departures, ensuring timely baggage handling and ground support.
- Resolved on-the-spot issues related to baggage discrepancies, enhancing service reliability for passengers
Reimbursement Specialist
Trialcard
10.2019 - 07.2023
- Contacted government, managed care and commercial insurance to collect eligibility and prior authorization information
- Contacted payers via website, phone and/or correspondence regarding reimbursement for unpaid accounts with verity (30) days or more by researching and following up on denials and requests for additional information
- SME Performed Quality Assurance for all Documented submissions to Medical Practices
- Submitted and follow up of Prior Authorization requests
- Submitted and follow up for Prior Authorization requests and submitted denied claims for our assistance programs to help chronically ill patients receive treatments
- Developed training materials for new staff on reimbursement protocols and software systems
- Conducted training classes to ensure proper knowledge of Standard Operating procedures, metrics, workflow and proper use and knowledge programs
- Collaborated with cross-functional teams to resolve discrepancies in claims submission
- Optimized workflows to enhance efficiency in claims processing and reduce turnaround times.
- Implemented quality assurance measures to ensure adherence to internal standards and compliance requirements.
- Streamlined communication channels between departments to facilitate timely resolution of reimbursement issues
Medical Collections Administrator II
American Anesthesiology/Mednax
10.2017 - 09.2019
- Ensure claims are processed accurately to secure timely payment.
- Managed approximately 100 claims daily
- Conduct follow-up and submit reimbursement appeals for unpaid and/or inappropriately paid claims; ensure appropriate documentation of billing follow-up, collection, and appeal efforts are recorded on accounts.
- Identify, research, and ensure timely processing of billing errors and corrections as they relate to claims actively participate in problem identification and resolution and coordinate resolutions between appropriate parties.
- Contributed significantly towards the achievement of organizational revenue goals by ensuring timely and consistent collection efforts.
- Collaborated cross-functionally to ensure seamless coordination between collections, sales, and finance departments.
- Improved customer satisfaction by addressing and resolving disputes in a timely manner.
Patient Financial Service Representative
UNC Healthcare
01.2016 - 07.2017
- Training and Management of both Hospital and Physician accounts and systems
- Training and daily use of Epic system
- Collection of Managed care, Commercial and government insurance information and verification of insurance coverage
- Responding to patient billing questions and direct inquiries to suitable departments
- Troubleshooting with assistance of analysts and coders for a resolution to account issues and erroneous postings
- Assisting in Processing charity/Financial assistance applications & collection of all financial documents to assess patient’s eligibility for financial assistance
- Processing credit card and check payments, disburse receipts, itemize statements and also worked delinquent balances offering payment plans and other options to bring accounts current
- Managed approximately 120 incoming calls, emails and faxes per day from customers.
Patient Services Representative
American Anesthesiology
12.2013 - 12.2015
- Collection of Managed care, Commercial and government insurance information and verification of insurance coverage with the use of Epic
- Direct physician (500) claims billing and working knowledge of ICD-9 HCPCS and CPT coding
- Proofread patient charts and accounts carefully and accurately
- Respond to patient billing questions and direct inquiries to suitable departments
- Troubleshoot with the assistance of analysts and coders for a resolution to account issues and erroneous postings
- Assist in Processing charity/Financial assistance applications & collection of all financial documents to assess patient’s eligibility for financial assistance
- Process credit card and check payments, disburse receipts and statements, charity application and worked delinquent balance offering payment plans and other options to bring accounts current
Education
Biowork Certification -
Wake Tech Community College
Cary, NC05.2015
Bachelor’s Degree - Communications
Dawson College
Montreal, QC05.2003
Advanced Studies/College Prep - undefined
Saint-Luc High School
Montreal, QC, Canada05.2000
Skills
- INSURANCE CLAIMS
- PAYMENT PROCESSING
- CUSTOMER SERVICE
- COLLECTIONS/RECONCILIATION OF ACCOUNTS
- RESERVATIONS/SCHEDULING
- BOOKKEEPING/BILLING
- DISPATCHING CALLS/OPERATING SWITCHBOARDS
- MULTIPLE LANGUAGES
Accomplishments
- Supervised team of 70 staff members.
Languages
French
Full Professional
Spanish
Full Professional
Timeline
Customer Service Agent
Southwest Airlines
10.2023 - 11.2024
Lead Logistical Officer
Sunstates Security/ Caterpillar
01.2022 - Current
Reimbursement Specialist
Trialcard
10.2019 - 07.2023
Medical Collections Administrator II
American Anesthesiology/Mednax
10.2017 - 09.2019
Patient Financial Service Representative
UNC Healthcare
01.2016 - 07.2017
Patient Services Representative
American Anesthesiology
12.2013 - 12.2015
Bachelor’s Degree - Communications
Dawson College
Advanced Studies/College Prep - undefined
Saint-Luc High School
Biowork Certification -
Wake Tech Community College