Jayda Morgan
Greenville,TX
Summary
Experienced healthcare administrative professional with a background in insurance verification, claims support, medical billing, referral intake coordination, and healthcare operations. Skilled in reviewing insurance documentation, processing claims and appeals, coordinating with providers and members, and maintaining HIPAA compliance in fast-paced healthcare environments. Experienced working within healthcare clearinghouse operations, patient referral management, and insurance support services while maintaining accuracy, organization, and strong attention to detail.
Overview
7
7
years of professional experience
Work History
Healthcare Customer Service Representative
MedWatch
05.2025 - Current
- Verified insurance eligibility, benefits, referrals, and authorization requirements for members and providers.
- Assisted members with claim questions, billing concerns, EOB explanations, and coverage determinations.
- Coordinated communication between providers, facilities, insurance carriers, and patients to resolve claim and billing issues.
- Reviewed insurance information and patient documentation for accuracy and completeness across multiple systems.
- Explained patient financial responsibility including deductibles, coinsurance, copays, and non-covered services.
- Researched claim statuses, network participation, and reimbursement information to support issue resolution.
- Maintained accurate documentation and case updates while handling sensitive HIPAA-protected information.
- Managed high-volume inbound calls and administrative tasks in a fast-paced healthcare environment.
- Escalated complex claim, billing, and provider issues to appropriate departments for resolution.
- Assisted with appointment coordination, provider searches, and benefit-related inquiries for members.
- Interpreted insurance benefit structures including in-network/out-of-network coverage and deductible application.
- Supported claims and billing resolution efforts by reviewing EOBs, claim processing details, and provider billing information.
- Worked across multiple healthcare and insurance platforms to update records, document interactions, and track case activity.
Billing Representative Clerk
UnitedHealth Group | Optum
03.2023 - 04.2025
- Reviewed and processed primary and secondary insurance claims within a high-volume healthcare billing environment.
- Verified claim documentation and attached Explanation of Benefits (EOBs) to secondary claims prior to submission.
- Prepared and mailed insurance claims, appeals, and supporting documentation to insurance carriers for processing and review.
- Generated and distributed patient correspondence related to billing and claim activity.
- Maintained organized claim files and reviewed account folders to ensure accurate claim routing and documentation handling.
- Assisted with claims follow-up processes by preparing appeal letters and supporting documentation for resubmission.
- Supported revenue cycle operations through accurate administrative processing and timely document handling.
- Worked within a healthcare clearinghouse environment while maintaining confidentiality and HIPAA compliance.
- Managed multiple administrative billing tasks simultaneously while meeting productivity and turnaround expectations.
Intake Coordinator
AccentCare
11.2019 - 02.2023
- Received, reviewed, and processed incoming patient referrals from hospitals, physicians, and healthcare facilities.
- Verified patient eligibility, insurance coverage, and authorization requirements prior to start of care.
- Reviewed referral documentation for compliance with Medicare and Medicaid guidelines, including physician orders and face-to-face documentation.
- Coordinated communication between patients, families, providers, clinicians, and external partners to support timely care initiation.
- Entered and maintained accurate patient information within Homecare Homebase EMR system.
- Ensured referral documentation was complete, accurate, and compliant with healthcare regulations and company standards.
- Managed multiple referrals simultaneously while meeting productivity and turnaround expectations in a fast-paced environment.
Education
High School Diploma - undefined
Greenville High School
Skills
- Insurance Eligibility Verification, Claims Processing Support, Medical Billing & Appeals, Explanation of Benefits (EOB) Review, Revenue Cycle Support, HIPAA Compliance, Patient & Provider Coordination, Healthcare Documentation, Referral Intake Processing, Medicare & Medicaid Documentation Compliance, Homecare Homebase EMR, Claims Appeals & Correspondence, Administrative Support, Healthcare Operations, Data Entry & Documentation Management, Medical Claims Routing, Customer Service, Multitasking in Fast-Paced Environments
Timeline
Healthcare Customer Service Representative
MedWatch
05.2025 - Current
Billing Representative Clerk
UnitedHealth Group | Optum
03.2023 - 04.2025
Intake Coordinator
AccentCare
11.2019 - 02.2023
High School Diploma - undefined
Greenville High School