JaShon Lowe
Washington,DC
Summary
Driven and resourceful administrative professional with 8 years of experience assisting departments and senior-level staff. Expert in travel management, expense tracking and schedule coordination. Expertly assists executive team using exceptional communication and organizational skills.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Pre-Service Complaint and Appeals Coordinator
Aetna Medicare
12.2021 - Current
- Acted as a departmental resource on appeals matters.
- Utilize MHK, Medcompass, Salesforce, RUMBA, ECHS and external platforms to execute cases and/or issues for preservice department
- Approached and solved problems with initiative and sound judgment
- Complied with corporate and CMS regulations, policies and procedures to stay in compliance
- Identified issues and solutions to eliminate quality issues during audits
- Planned and executed strategies to increase productivity and efficiency in workflow
- Collaborated positively with peers, other staff members, and external individuals/entities to maintain compliance and quality of cases.
Administrative Assistant
Aetna Better Health of Virginia
09.2019 - 12.2021
- Handled administrative tasks such as expense report processing or invoice reconciliation efficiently; allowing executives to focus on high-priority responsibilities without distraction.
- Supported staff with business operation by utilizing automated systems such as QNXT, Dynamo, and Krames
- Interacted with vendors, contractors and professional services personnel to receive orders, direct activities and communicate instructions
- Supported efficient meetings by organizing spaces and materials, documenting discussions and distributing meeting notes
- Organized envelopes, postage and mail correspondence for staff and management, maintaining postage meter and coordinating with delivery and courier services
- Managed administrative functions, including complex calendar management with focus on proper allocation of executive availability
- Responded to emails and other correspondence to facilitate communication and enhance business processes
- Promoted team productivity by keeping supplies organized and well-stocked
- Screened phone calls, emails, mail and visitors to route and resolve information requests
- Produced accurate office files, updated spreadsheets and crafted presentations to support executives and boost team efficiency.
Administrative Assistant – Utilization Management
AmeriHealth Caritas District of Columbia
03.2018 - 08.2019
- Developed team communications and information for meetings
- Negotiated agreements between employees to clarify misunderstood directions and resolve conflicts affecting performance
- Coordinated 27 team members to engage in workflow projects for solution deployment to hurdle to service delivery
- Assist the department with EQRO (External Quality Review Organization) and NCQA (National Committee for Quality Assurance) documents to ensure compliance in regulations and processes.
- Communicate electronically and telephonically to executives, internal and external staff, and ancillaries
- Monitored social media and online sources for department
- Performed various administrative functions, including filing paperwork, monitoring reports, and procurement
- Oversee the new hire process in the Utilization Review Department; and assist Human Resources in implementing C.A.R.E.S to staff and new hires
- Monitor and update policy and procedures to QAPIC (Quality Assessment and Performance Improvement Committee) monthly/annually to ensure achievement in the department
- Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
- Maintain and coordinate training and workflow processes for the staff to perform efficiently and productively in the department.
Central Scheduler
Georgetown University Hospital Washington, DC
07.2015 - 03.2018
- Increased office productivity by transcribing over 60 daily interactions, appointments and implementing organizational systems for documents
- Contributed to ongoing training initiatives for new schedulers, sharing best practices and providing guidance on effective techniques.
- Received, recorded, and addressed incoming and outgoing communication via telephone and email
- Carried out front office duties utilizing data entry skills in framework of medical database
- Contacted hospital departments to confirm patients’ medical histories and prevent inaccurate diagnoses and treatments
- Organized patient files and streamlined operations to improve efficiency
- Enhanced office efficiency by handling 80+ calls daily
- Documented patient medical information, case histories, and insurance details to facilitate smooth appointments and payment processing.
Education
Bachelors- Healthcare Administration conc. Health Information Management -
Southern New Hampshire University
12.2025
Skills
- Concur
- Advanced MS Office Suite
- Zycus
- Adobe Pro
- Microsoft Azure Fundamentals
- Salesforce
- Prince2 Foundations
- ITIL Foundations
Certification
- Lean Six Sigma Green Belt, 11/2023
- PRINCE2 Foundation, Axelos certified, 07/2019
Timeline
Pre-Service Complaint and Appeals Coordinator
Aetna Medicare
12.2021 - Current
Administrative Assistant
Aetna Better Health of Virginia
09.2019 - 12.2021
Administrative Assistant – Utilization Management
AmeriHealth Caritas District of Columbia
03.2018 - 08.2019
Central Scheduler
Georgetown University Hospital Washington, DC
07.2015 - 03.2018
Bachelors- Healthcare Administration conc. Health Information Management -
Southern New Hampshire University
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