JASMINA THOMAS
Houston,TX
Summary
Prior Authorization Specialist with expertise in healthcare administration, proficient in managing insurance authorizations and patient data accuracy. Skilled in utilizing EPIC, ICD10-CM, and HCPCS codes to ensure precise billing and enhance patient care coordination. Demonstrates a strong ability to handle high-volume insurance verifications and patient communications, aiming to streamline processes and improve operational efficiency in healthcare settings.
Overview
7
7
years of professional experience
Work History
Patient Service Representative/Billing Specialist
Allustra Dermatology
06.2024 - Current
- Used EMA to schedule appointments.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Took copayments and compiled daily financial records.
- Entered patient demographic and insurance data into electronic medical record system.
- Verified insurance eligibility and coverage for patients.
- Balanced deposits and credit card payments each day.
- Handled customer service inquiries in person, via telephone and through email.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
Account Specialist - Precertification/Authorization
Prisma Health (Carolina Plastic Surgery & Aesthetics)
01.2024 - 05.2024
- Managed insurance pre-authorization for surgical procedures, ensuring accurate billing and coverage
- Secured surgical and radiological authorizations from insurance companies, enhancing patient care
- Analyzed and coded surgical procedures for outpatient medical records, improving data accuracy
- Updated patient charts with authorization information, ensuring seamless communication
- Informed patients and schedulers about authorization results, facilitating efficient scheduling
- Ensure accuracy in patient billing by validating and reconciling ICD10-CM and HCPCS codes
- Streamline patient surgery preparations by updating charts in EPIC post-authorization.
Nutrition Retail Associate/Referral Coordinator
Prisma Health (Nutrition Solutions)
01.2023 - 01.2024
- Coordinated patient enrollment process, ensuring accurate information dissemination and efficient scheduling
- Handled 100+ weekly inbound referral calls, verifying patient eligibility based on medical history
- Managed inventory and customer service in a retail setting, maintaining operational efficiency
- Led educational classes on Bariatric Optifast, enhancing patient understanding and product usage
- Assisted patients in navigating health resources, boosting enrollment and initial scheduling efficiency.
Lead Pre-K4 Teacher
Cadence Education
02.2022 - 12.2022
- Educated students in foundational concepts such as shapes, numbers, and letters
- Monitored students' academic, social, and emotional progress and recorded in individual files
- Maintained a well-controlled classroom of 24 students by clearly outlining standards and reinforcing positive behaviors
- Promoted physical, academic, and social development by implementing diverse classroom and outside activities
- Applied play-based strategies to provide diverse approaches to learning
- Addressed behavioral and learning issues with parents and daycare management.
Sales Associate
CSU Campus Bookstore
09.2020 - 12.2021
- Delivered exemplary customer service both in-store and through digital channels
- Efficiently managed and tracked student orders, ensuring timely fulfillment
- Proactively resolved customer issues related to order fulfillment
- Maintained well-stocked store shelves to enhance customer shopping experience.
Sales Associate
Michael Kors
11.2020 - 07.2021
- Enhanced customer shopping experience at Michael Kors
- Proactively assisted customers in merchandise selection
- Developed strong customer relationships, surpassing service expectations
- Boosted customer satisfaction through personalized service and swift problem resolution.
Sales/Stock Associate
Forever 21 Inc.
05.2018 - 03.2020
- Boosted customer satisfaction by assisting in product location and checking availability across stores
- Fostered customer loyalty through engaging interactions
- Managed sales, returns, and inventory records meticulously
- Exceeded sales targets through proactive customer engagement and upselling techniques.
Camp Mentor
National Society of Black Engineers (NSBE)
06.2017 - 07.2019
- Designed and executed educational lesson plans for children's development
- Safely led children through various camp activities
- Managed a classroom of 20-30 students, teaching introductory STEM skills
- Provided consistent support to students, fostering a positive learning environment
- Monitored and adjusted educational activities, ensuring alignment with learning goals.
Education
High school or equivalent -
Young Women's College Preparatory Academy
05.2016
Skills
- EPIC
- ICD10-CM
- HCPCS codes
- Insurance Verification
- Microsoft Office
- Outlook
- Excel
- Teams
- MyChart
- Insurance Authorizations
Timeline
Patient Service Representative/Billing Specialist
Allustra Dermatology
06.2024 - Current
Account Specialist - Precertification/Authorization
Prisma Health (Carolina Plastic Surgery & Aesthetics)
01.2024 - 05.2024
Nutrition Retail Associate/Referral Coordinator
Prisma Health (Nutrition Solutions)
01.2023 - 01.2024
Lead Pre-K4 Teacher
Cadence Education
02.2022 - 12.2022
Sales Associate
Michael Kors
11.2020 - 07.2021
Sales Associate
CSU Campus Bookstore
09.2020 - 12.2021
Sales/Stock Associate
Forever 21 Inc.
05.2018 - 03.2020
Camp Mentor
National Society of Black Engineers (NSBE)
06.2017 - 07.2019
High school or equivalent -
Young Women's College Preparatory Academy