Jasmine Kinlaw
Jacksonville,Florida
Summary
Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
13
13
years of professional experience
Work History
Provider Claims Service Representative
AmeriHealth Caritas
Jacksonville, FL
04.2022 - Current
- Reviewed and adjudicated claims per provider and health plan contracts and claims processing rules to maintain compliance and accuracy.
- Managed provider calls and correspondence regarding benefit eligibility and service concerns to ensure timely and accurate resolutions.
- Delivered high-quality customer service to providers through clear communication and attentive issue resolution.
- Managed provider questions, claims responses, and phone requests with timely, accurate support.
- Set response expectations by addressing provider needs in prompt, professional, and courteous manner.
- Resolved provider inquiries and internal questions with strong judgment and consistent communication.
- Maintained up-to-date knowledge of claims workflows, systems, databases, and subsystems to enhance processing accuracy.
- Reviewed data sources for accuracy, consistency, and relevance.
- Collaborated with cross-functional teams to ensure accuracy of research results.
- Demonstrated fluency in claim processing.
Economic Self Sufficiency Specialist
Department of Children & Families
Jacksonville, FL
11.2013 - 03.2022
- Analyzed client needs to identify service gaps in available resources. and found needed resources for individuals, such as housing, job placement, and other forms of assistance.
- Determined program eligibility in accordance with current regulations using the computer-based eligibility system.
- Educated potential participants on program services and procedures to facilitate enrollment.
- Analyzed client needs to identify service gaps in available resources. and found needed resources for individuals, such as housing, job placement, and other forms of assistance.
- Oversaw quality assurance program through systematic assessments and audits. through on-site assessments, internal audits, and customer surveys to ensure service effectiveness.
- Answered calls to help customers with their questions and concerns.
- Answered calls to help customers with their questions and concerns.
Education
Associate of Arts -
Florida State College at Jacksonville: Kent Campus
Jacksonville, FL01-2020
High School -
Edward H. White High School
Jacksonville, FL01-2007
Skills
- Claims processing
- Claims documentation
- Claims analysis
- Quality assurance
- Research documentation
- Attention to detail
- Strong verbal communication
- Customer service
- Organization
- Multitasking
- Team collaboration
- Analytical thinking
- Self-motivated
Timeline
Provider Claims Service Representative
AmeriHealth Caritas
04.2022 - Current
Economic Self Sufficiency Specialist
Department of Children & Families
11.2013 - 03.2022
Associate of Arts -
Florida State College at Jacksonville: Kent Campus
High School -
Edward H. White High School