JAQUOYA WADE
Randolph,Ma
Summary
Compassionate Case Manager accustomed to treating diverse patient needs while managing dynamic conditions. Collaborative professional possessing excellent clinical knowledge and judgment combined with strong documentation and problem-solving abilities. Well-versed in managing emergent cases with poise. I am also Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Data Entry/ Benefits and Eiligibity Specialist
Commonweatlh of MA
, MA
05.2023 - Current
- Review submitted documents such as wage statements, disability supplements, bank accounts, life insurance, burial contracts, annuities, trusts third party liability documentation and other legal instruments, to insure accuracy and completeness of information and forwards supplemental forms to appropriate unit(s).
Process from myWorkspace all over/under 65 work as assigned, based on operational needs.
Represents agency at hearings by preparing and delivering explanations of eligibility determinations. Accurately interpret and supply Agency and Federal policy, procedures, processes, and standards.
Provides quality customer service by responding to all customer inquiries in a professional, efficient, and courteous manner. - Entered numerical data into databases with speed and accuracy using 10-key pad.
- Sorted documents and maintained organized filing process.
- Completed data entry tasks with accuracy and efficiency.
- Scanned documents and saved in database to keep records of essential organizational information.
- Deal with commerical insurance Medicare Part D, Medicaid
- Monitored industry trends to adapt strategies accordingly.
Patient Support Navigator
EMD Serono
, MA
12.2020 - 04.2023
- Daily interactions with RBMs, PALs and MSLs to ensure accurate and timely communication of the status of insurance approvals and re-authorizations
- Case manage all steps required to access therapy in coordination with RBMs, PALs, the hub, pharmacist, and the patient/family Partner with safety and PV to report AE’s and product complaints through medical information
- Maintain case history of all US patients, making copies of every note from the hub, the pharmacy, calls to insurance, programme updates, physician and nurse, and patient and family
- Maintain status and update changes to status of reimbursement and shipping of US patients Triage, troubleshoot, solve initial and ongoing reimbursement issues (PAs, denials, appeals, re-authorizations, overrides, billing issues)Contact and liaise with medical offices as needed to gain insurance approvals
- Counsel patients and family on insurance and reimbursement issues
- Identify general and specific adherence issues and project and suggest action
- Report on changes to patient status weekly, the current adjudication status of all patients, overall reimbursement trends, and other trends, successes, or blockades
- Manage, track, and report on Open Enrolment efforts annually to ensure every patient has insurance to access therapy
- Advise patients and family on insurance, financial assistance and therapeutic access programmers
- Attend patient meetings, industry conferences and sales meetings.
Administrative Assistant/ Dispatcher
Tufts Medical Center
03.2017 - 07.2019
- Taking calls from Mangers, facility and staff regarding maintenance issues
- Putting in requests of maintenance workers in computer system
- Providing customer services
- Answering the phone
- Assisting in various daily operations
- Greeting guests and visitors when present
- Resolving day-to day administrative and operational problems
- Directing/ routing calls
- Copying, printing, sorting documents
- Maintained updated and detailed records of calls in physical and electronic database.
- Planned, organized, and managed work of subordinate staff to accomplish consistent work within organizational standards.
- Processed invoices and payments for dispatched orders to provide proof of transaction.
- Received new orders, prepared documentation, and assigned personnel.
Senior Patient Access Representative
Boston Medical Center
04.2016 - 02.2017
- Making outgoing calls to patients that were discharge from the ER
- Triaging calls efficiently to the right department for the patients
- Complete survey sufficiently with the patient
- Documenting patients feedback through Epic
- Processing Pre-authorizations and Referrals
- Order prescription refills
- Learned and maintained in-depth understanding of product information, providing knowledgeable responses to diverse questions.
- Educated customers on company systems, form completion, and access to services.
- Adhered to company policies and scripts to consistently achieve call-time and quality standards.
- Achieved high satisfaction rating through proactive one-call resolutions of customer issues.
- Performed various clerical duties by filing and faxing documents and creating customer databases.
- Placed outbound customer service or customer satisfaction calls to follow up on issues.
- Compiled status and performance reports for team leaders to address company strengths and weaknesses.
- Sought out extra training opportunities to enhance customer relationship management abilities.
- Responded to customer calls and emails to answer questions about products and services.
- Collaborated with shipping team to track shipments, verify orders and handle product returns.
- Approved and terminated customer contracts upon request.
- Attended telephone skills and program information training sessions to boost aptitude.
- Met customer call guidelines for service levels, handle time and productivity.
- Liaised with sales, marketing, and management teams to develop solutions and accomplish shared objectives.
- Created and maintained detailed database to develop promotional sales.
- Maintained clean and orderly checkout areas by mopping floors, emptying trash cans and wiping down surfaces.
Personal Assistant/Medical Receptionist
Horizon Learning Connection
02.2011 - 01.2013
- Answering phone calls
- Taking notes at meetings
- Verifying patient’s insurance eligibility
- Maintaining Excel spreadsheets
- Scheduling meetings
- Photocopying, Faxing, Filing, sorting,
- Greet patients
- Send confidential radiology reports to physicians
- Oversaw personal and professional calendars and coordinated appointments for future events.
- Provided multifaceted services to career professionals by running errands, managing mail, scheduling appointments, and arranging transportation.
- Kept detailed track of household and maintenance inventory and schedules.
- Displayed absolute discretion at handling confidential information.
- Responded to emails and other correspondence to facilitate communication and enhance business processes.
- Maintained appropriate filing of personal and professional documentation.
- Collaborated in cloud environments such as Trello and Google Workspace.
- Answered phone calls and addressed customer questions and concerns to promote satisfaction and continued business.
- Provided general administrative support including scheduling meetings, making travel arrangements and managing documentation.
- Coordinated international and domestic travel logistics including flight itineraries, hotel reservations and car services.
- Documented and distributed meeting notes to identify, analyze, and improve workflows.
- Communicated with internal departments, vendors and contractors to discuss schedules, project requirements and upcoming appointments.
- Maintained and organized all shared drives, documents and spreadsheets in Google Workspace.
- Updated spreadsheets and created presentations to support executives and boost team productivity.
- Used discretion when handling confidential information.
- Attended meetings, took notes and tracked action items.
Education
Associate of Science - Health Information Technology
Middlesex Community College
05.2025
Business/Accounting
The Los Angeles Film School
09.2024
High School Diploma -
Avon High School
06.2012
Communications and Business
Newbury College
Skills
- SKILLS/SOFTWARE
- EPIC, NEHEN, EWS, Passport
- Microsoft Office Suites
- Expert in [Excel and Powerpoint]
- Customer Relations
- Data Analysis
- Experience in leadership
- Professionalism
- Effective Communication
- Team building
- Data Entry
- Active Listening
- First Aid/CPR
- Attention to Detail
- Medical inventory management
- Hazardous waste management
- Report analysis
- Medical terminology
- Patient Transport
- Billing/Coding
- Aseptic guidelines
- Report writing
- Bookkeeping
- Financial statements expertise
- Profits and losses tracking
- Insurance verifying
- Document filing
- Project planning and development
- Performance Evaluations
- Contract Management
- ICD-10
- HCPCS
- CPT-4
- ICD-9 CM
- Patient data compilation
- Data security procedures
- Medical claims coding
- Coding error resolution
- Problem-Solving
- Multitasking Abilities
- Claims
- Hospital Billing
- Quality Assurance
- Patient support
- Case Management
- Health History Documentation
- Records Management
- Chronic Disease Management
- Documentation proficiency
- Patient Management
Affiliations
- American Society of Safety Professionals
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Resolved product issue through consumer testing.
- Collaborated with team of [8] in the development of [Raising Awareness Project].
Certification
- CPA [2024]
Languages
English
Full Professional
Timeline
Data Entry/ Benefits and Eiligibity Specialist
Commonweatlh of MA
05.2023 - Current
Patient Support Navigator
EMD Serono
12.2020 - 04.2023
Administrative Assistant/ Dispatcher
Tufts Medical Center
03.2017 - 07.2019
Senior Patient Access Representative
Boston Medical Center
04.2016 - 02.2017
Personal Assistant/Medical Receptionist
Horizon Learning Connection
02.2011 - 01.2013
Associate of Science - Health Information Technology
Middlesex Community College
Business/Accounting
The Los Angeles Film School
High School Diploma -
Avon High School
Communications and Business
Newbury College