Jamila Blake
Portland,OR
Summary
Energetic and enthusiastic professional, motivated to succeed in a fast-paced and deadline-driven professional environment.
Overview
13
13
years of professional experience
Work History
Medical Claims Adjuster
Kaiser Permanente
Portland, Oregon
07.2013 - 01.2018
- Investigated discrepancies in claim submissions and make appropriate adjustments.
- Communicated with other Departments within the company to gather necessary documentation.
- Reviewed medical records to determine the appropriateness of services rendered and billed by healthcare providers.
- Verified that payments were made according to contracted terms between provider and insurer.
Medical Customer Service Representative
Kaiser Permanente
Portland, Oregon
08.2010 - 06.2013
- Answered incoming calls and responded to customer inquiries in a timely manner.
- Processed payments for medical services rendered using appropriate software applications.
- Provided accurate information regarding insurance coverage, billing and payment processing to members and providers.
- Maintained accurate records of patient interactions and follow-ups.
- Verified patient eligibility for benefits according to healthcare policies and procedures.
Medical Customer Service Trainer
ODS Health Systems
Portland, OR
07.2006 - 05.2010
- Assisted new hires in understanding the company's products and services as well as its mission statement and vision.
- Developed training materials for new customer service representatives and existing employees.
- Collaborated with management to assess training needs and updates.
- Facilitated role-playing exercises to simulate real customer scenarios.
- Participated in and attended meetings or seminars to obtain information for use in training programs.
- Obtained and organized manuals, guides and visual materials for development and training purposes.
Medical Customer Service Representative
ODS Health Systems
Portland, OR
05.2005 - 07.2006
- Provide customer service to members of multiple benefit plans by analyzing caller’s needs and providing timely and accurate responses.
- Answer calls from policyholders, members, agents, providers, hospitals, pharmacists and others regarding benefits or other issues.
- Assist the System Upgrade team with developing and preparing training materials.
Education
None -
Thomas Jefferson High School
Portland, ORSkills
- Windows
- Microsoft Excel
- Microsoft Outlook
- Receptionist
- Customer service
- Typing-60 WPM
Timeline
Medical Claims Adjuster
Kaiser Permanente
07.2013 - 01.2018
Medical Customer Service Representative
Kaiser Permanente
08.2010 - 06.2013
Medical Customer Service Trainer
ODS Health Systems
07.2006 - 05.2010
Medical Customer Service Representative
ODS Health Systems
05.2005 - 07.2006
None -
Thomas Jefferson High School