Jaquest Jackson
New York,NY
Summary
Extremely dedicated and detail-oriented customer care specialist with a stellar customer satisfaction record. Effective communication and interpersonal skills to maintain good rapport with physicians, patients and insurance companies
Overview
6
6
years of professional experience
Work History
Member Service Representative
MetroPlus Health Plan
09.2017 - 01.2019
- Provide benefits and eligibility of members to providers
- Answered an average of 100 calls per day by addressing member inquires, appointing a primary care physician and providing new benefit information
- Manage patients records and uphold patient confidentiality as required by HIPPA
- Schedule, cancel and verify patients appointments with provider's personnel
Provider Relations Representative
Visiting Nurse Service Of New York
03.2017 - 10.2017
- Receives and responds to inbound calls and provides customer services and support to all VNSY providers
- Established a system that provides various options for claim adjusters to expediently resolve claim issues
- Identify and correct errors made through electronic claim submission to ensure compliance with VNSNY policies and procedures as well CMS regulations
- Assisted in the credentialing process to endure provider's applications are accurate and expedited
Customer Service Representative
Acess-A-Ride
09.2012 - 11.2016
- Responded to 200+ incoming calls daily from customers inquiring about their trip itinerary
- Assisted customers with solving scheduling issues pertaining to their para transit trips
- Make phone calls to facilities to verify if theres any discrepancies in the transport schedule
Education
High School Diploma -
Bronx High School of Business
Bronx, NYSkills
- Proficient in all facers of internal healthcare computer programs and software
- Knowledge of CPT-4 and ICD-9 coding system
- Medical terminology knowledge
- MS windows proficient
Timeline
Member Service Representative
MetroPlus Health Plan
09.2017 - 01.2019
Provider Relations Representative
Visiting Nurse Service Of New York
03.2017 - 10.2017
Customer Service Representative
Acess-A-Ride
09.2012 - 11.2016
High School Diploma -
Bronx High School of Business
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