Janae Jackson
Compton,CA
Summary
Results-driven professional ready to leverage extensive experience in managing client accounts and coordinating project deliverables. Consistently recognized for driving client satisfaction and supporting team objectives. Known for strong interpersonal skills and adaptability in dynamic environments, ensuring seamless project execution and collaborative success.
Overview
20
20
years of professional experience
Work History
Account Coordinator
LIBERTY Dental Plan
07.2022 - Current
- Streamlined communication between clients and internal teams for seamless project execution.
- Ensured timely response to client inquiries by maintaining open lines of communication through email correspondence or phone calls.
- Support Sales and Account Management teams by coordinating implementation tasks for pre- and post-deliverables.
- Prepare renewals, proposals, reports, and sales presentations.
- Assist in responding to RFPs, collaborating with internal business units for proposal agreements.
Provider Service Representative
L.A. Care Health Plan
08.2017 - 07.2022
- Coordinated with internal departments on behalf of providers to ensure timely payment resolution for claims disputes or other financial matters.
- Enhanced customer satisfaction by efficiently resolving provider inquiries and concerns.
- Streamlined operations by managing a high volume of incoming calls for medical providers seeking information or assistance.
- Acted as a liaison between providers and company leadership, effectively communicating concerns and feedback to facilitate continuous improvement initiatives.
- Assisted with special projects to improve call center efficiency.
- Educated providers on billing procedures, coding guidelines, and reimbursement policies for optimal claim submissions.
Lead Member Service Specialist
Dental Health Services
07.2014 - 08.2017
- Consistently met or exceeded established performance metrics, contributing to the overall success of the team and organization.
- Managed high call volumes while maintaining exceptional service quality, consistently surpassing performance benchmarks set by management.
- Developed strong relationships with members by offering personalized assistance, contributing to increased loyalty and long-term business partnerships.
- Streamlined service processes for improved efficiency, resulting in shorter wait times and higher member retention.
- Proactively identified process improvements that led to streamlined workflows within the department.
- Coordinated with other departments to ensure timely resolution of escalated member issues, leading to a positive impact on overall customer experience.
- Provided comprehensive training and mentoring to new team members, fostering a supportive work environment conducive to professional growth.
Dental Insurance Coordinator
Rayhan & Marvizi DDS Inc
06.2011 - 01.2014
- Supported patients throughout the treatment process by answering questions about their financial responsibility concerning deductibles, copayments, or coinsurance amounts.
- Negotiated pre-authorizations for necessary dental procedures, securing coverage for vital treatments otherwise not covered.
- Served as a liaison between patients, dental providers, and insurance companies to resolve any discrepancies or misunderstandings regarding coverage or billing issues.
- Assisted patients in understanding their dental insurance benefits, coverage limits, and out-of-pocket expenses.
- Collaborated with dentists to create treatment plans that optimize available insurance benefits without compromising quality of care.
- Reduced billing errors by consistently verifying insurance eligibility prior to service delivery.
- Enhanced office productivity by effectively scheduling appointments according to provider availability and patient needs.
- Maintained accurate records of patient treatments, billing information, and insurance details to ensure seamless communication between patients, providers, and insurers.
- Managed accounts receivable, decreasing outstanding balances through diligent follow-up with both patients and insurers.
Dental Insurance Coordinator
Jon R. Miller DDS
06.2005 - 03.2009
- Supported patients throughout the treatment process by answering questions about their financial responsibility concerning deductibles, copayments, or coinsurance amounts.
- Assisted patients in understanding their dental insurance benefits, coverage limits, and out-of-pocket expenses.
- Collaborated with dentists to create treatment plans that optimize available insurance benefits without compromising quality of care.
- Negotiated pre-authorizations for necessary dental procedures, securing coverage for vital treatments otherwise not covered.
- Managed accounts receivable, decreasing outstanding balances through diligent follow-up with both patients and insurers.
- Streamlined claim submission process for faster reimbursement and reduced claim denials.
- Improved patient satisfaction by efficiently managing dental insurance claims and coordinating with providers.
- Ensured timely payment collection from both patients and insurance companies by diligently tracking outstanding balances.
Education
High School Diploma -
Richard Gahr High
Cerritos, CASkills
- Customer service
- Account & Project Management
- Troubleshooting and problem resolution
- Implementation & Workflow Coordination
- Regulatory Compliance & Reporting
- Insurance & Claims Processing
- Complaint Resolution & Dispute Handling
Timeline
Account Coordinator
LIBERTY Dental Plan
07.2022 - Current
Provider Service Representative
L.A. Care Health Plan
08.2017 - 07.2022
Lead Member Service Specialist
Dental Health Services
07.2014 - 08.2017
Dental Insurance Coordinator
Rayhan & Marvizi DDS Inc
06.2011 - 01.2014
Dental Insurance Coordinator
Jon R. Miller DDS
06.2005 - 03.2009
High School Diploma -
Richard Gahr High
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