Jasmine L. Carter
Calera,Alabama
Summary
Resourceful Specialist offering expertise in problem-solving, data analysis and customer service. Adept at quickly learning new technologies and processes for driving success. Proven track record of successfully managing multiple projects and developing innovative solutions.
Overview
19
19
years of professional experience
Work History
CAP Facilitation Specialist
Blue Cross Blue Shield of Alabama
05.2022 - Current
- Assist trainees in achieving benchmark status.
- Facilitate weekly mentoring session with trainees, to go over calls and numbers.
- Listen to call for coaching and/or positive feedback.
- Assist trainees with questions about plans and benefits.
- Facilitate Hot topic/Fluency sessions with trainees.
- Delegate call backs to member from representative regarding updated claim information.
- Assist with Academy Awards Recognition for trainees.
- Update daily calendar and send reminders to trainees.
- Update seating charts.
- Update Sharepoint by replacing outdated information in CAP folders.
- Assist team with set up for trainees to Benchmark area.
- Assist trainees with understanding benefits, claims processing, navigating the online portal, and locating in network providers, when calling the assist queue.
Inquiry Analyst
Blue Cross Blue Shield of Alabama
02.2021 - 05.2022
- Assisted with processing and reprocessing claims.
- Answered inquiries from both providers and members.
- Verified overpaid/error filed claims.
- Processed overpaid/error filed claims.
- Keyed and processed subscriber payable claims.
Customer Relation Specialist
Blue Cross Blue Shield of Alabama
05.2016 - 02.2021
- Served as an Ace Committee Representative, to bridge the gap between CSD and Management.
- Assisted with special projects, Keying BXB, Claims call back, voice mail box, email request from managers to assist group with benefits and claims issues.
- Served as a liaison between the members and the providers when resolving claim issues.
- Facilitated training and best practices for new trainees on FCR.
- Delegated call backs to members from representatives regarding updated claim information.
- Served as a liaison between CSD Trainees and LD during observations and reverse observations.
- Assisted members with understanding benefits, claims processing, navigating the online portal, and locating in network providers.
Pre-Arrival Services Representative
University of Alabama Health Services Foundation
02.2014 - 04.2016
- Completed Medicare Secondary payer forms.
- Updated claims with current insurance.
- Communicated with Insurance Reps to update and delete insurance plans.
- Updated patient accounts, with current demographics.
- Completed daily insurance alerts.
Patient Encounter Specialist
Kirlin Clinic
04.2012 - 02.2014
- Completed IDX and Impact classes to use system effectively.
- Processed and closed daily payment batches.
- Registered patients for office visit and surgical procedures.
- Processed billing and mailing out of medical records.
- Electronically stored records and scanned x-rays into the system.
- Coded claims for processing of payments.
- Processed New Patient paperwork, referrals to and from other providers.
- Scheduled hospital follow-ups for surgical patients.
Youth Service Aide
Department of Youth Services
05.2005 - 04.2012
- Transported up to 24 delinquent juveniles on and off campus for activities, school and appointment.
- Assisted in conflict resolution, stopping fights, advising of using communication to get point across.
- Provided a safe and inclusive environment for all participants, fostering positive relationships while addressing any issues.
- Inspected and secured immediate area, of contraband and harmful materials.
- Implemented monthly safety drills, with dorm residents.
- Maintained a daily written log of the youths' daily activities.
Education
Bachelor of Healthcare Management -
American InterContinental University
Schaumburg, IL08.2019
Skills
Communication: Stellar customer service skills Deals with internal and external customers at all levels via telephone and email to ensure successful communication through active listening and thoughtful questions
Problem Solving: Resolves in-depth queries in a methodical manner, independently and with internal and external business partners, to find appropriate resolutions and efficiencies
Team Player: Enjoys sharing knowledge and encouraging the development of others
Planning and Organizing: Refined planning and organizational skills that balance work, team support, and other responsibilities in a timely and professional manner
Systems Knowledge: Proficient in Microsoft Word and Excel Experience in preparing and analyzing reporting data for management accurately
Timeline
CAP Facilitation Specialist
Blue Cross Blue Shield of Alabama
05.2022 - Current
Inquiry Analyst
Blue Cross Blue Shield of Alabama
02.2021 - 05.2022
Customer Relation Specialist
Blue Cross Blue Shield of Alabama
05.2016 - 02.2021
Pre-Arrival Services Representative
University of Alabama Health Services Foundation
02.2014 - 04.2016
Patient Encounter Specialist
Kirlin Clinic
04.2012 - 02.2014
Youth Service Aide
Department of Youth Services
05.2005 - 04.2012
Bachelor of Healthcare Management -
American InterContinental University
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