Jasmine Brown
Decatur,IL
Overview
4
4
years of professional experience
Work History
Specialty Benefits Specialist/Pharmacy Help Desk
United Health Group, Optum
11.2021 - Current
- ·Established and reviewed all patient insurance information needed to complete benefit verification process.
- · Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options
- · Provided support for pharmacy information management system to retail pharmacy employees.
- · Provided specific pharmacy benefits information such copay prior authorizations and claim information for commercial, Medicare and Medicaid members.
Health Coordinator
Blue Cross Blue Shield Of IL, MT, NM, OK & TX
03.2020 - 08.2021
- Maintaining client files to keep track of client call back appointments and any changes to policies.
- Conducted regular assessments of patient needs and coordinated services accordingly with relevant healthcare professionals.
- Reviewed applications for clients and groups to ensure that applicants are eligible for beneifts
- Served as a liaison between patients, families, and healthcare providers to ensure seamless transitions across different levels of care.
- Managed budgets for health programs, ensuring cost-effective implementation without compromising quality of care.
Benefit Verification Specialist
Lash Group
11.2019 - 01.2020
- ·Respond to member/provider/agent/broker inquiries via telephone regarding health insurance benefits, eligibility and claims.
- Established insurance coverage for patients by contacting insurance providers via phone, online portals, or other means of communication.
- Collect and accurately record insurance information, including policy numbers, coverage details, and any relevant authorizations or pre-certifications.
- ·Research and identify any processing inaccuracies in claim payments and route to appropriate sit operations team for Medicaid and Medicare claims adjustments
Education
Medical Administrative Assistant - Health Administration
Everest College - Chicago
Chicago, IL07.2013
Skills
- Excellent organizational and interpersonal skills
- Excellent communication skills
- Professional phone etiquette
- Ability to effectively analyze problems and provide resolution
- Knowledge of Microsoft Offices: Word, Excel, Access and Power Point
- Experience managing batch data files
- Accurate keyboarding proficiency 10 key 60wpm
Timeline
Specialty Benefits Specialist/Pharmacy Help Desk
United Health Group, Optum
11.2021 - Current
Health Coordinator
Blue Cross Blue Shield Of IL, MT, NM, OK & TX
03.2020 - 08.2021
Benefit Verification Specialist
Lash Group
11.2019 - 01.2020
Medical Administrative Assistant - Health Administration
Everest College - Chicago