Jayla Hart
Charlotte,NC
Summary
Dedicated leader equipped with an entrepreneurial mindset, data skills, and exceptional customer service. Dedicated professional with proven performance in management leadership and communication. Detailed-oriented and well organized. Ready to make an immediate contribution to your organization. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
8
8
years of professional experience
Work History
PROVIDER SPECIALIST
Carolina Complete Health Network
12.2019 - 02.2023
- Direct Contact for Healthcare Providers regarding operational and administrative issues with Managed Care
- Collaborated with staff to provide weekly data files for outgoing communications
- Investigate, resolve, and communicate Provider issues and changes by email and phone
- Coordinate and Negotiate NC Medicaid Contracts with Providers and Health Systems.
PROGRAM SUPERVISOR
Trial Card
10.2017 - 11.2019
- Assisted HUB services with Reimbursements, Pharmaceutical Manufacturing and Patient Services
- Developed and implemented corporate trainings and SOP's for all new and current Policies, Procedures and Systems
- Processed Prior Authorizations and completed Bl's for Medicare
- Coached and Mentored new and senior specialist on the companies Policies and Procedures (Max Team of 21 employees)
- Monitored and Graded agent calls and Provided feedback to help develop success plans
- Identified and implemented program improvements to enhance performance.
CUSTOMER SERVICE AMBASSADOR
Total Outsourced Systems
05.2015 - 09.2017
- Assisted and Maintained Reports on my team of agents and Mentored and Cached them weekly
- Handled incoming calls for customers with special billing requests
- Handled scheduling for customers for our Clinical Testing Locations with local pharmacies
- Exceeding the company’s monthly quality goal of 85% by maintaining a 90% quality average
- Delivered personalized customer service relating to questions and promptly resolved basic problems on customer.
Education
Associate of Science -
Midlands Technical College
West Columbia, SCWillard High School
Willard, MO12.2014
Skills
- Training and Development
- Customer Service
- Project Management
- Critical Thinking
- Team Collaboration
- Empathy and Compassion
- Organizational Skills
- Claims Resolution
- Quality Assurance
- Policy Implement
- Time Management
- Performance Metrics
- Data Entry
- Task Prioritization
Timeline
PROVIDER SPECIALIST
Carolina Complete Health Network
12.2019 - 02.2023
PROGRAM SUPERVISOR
Trial Card
10.2017 - 11.2019
CUSTOMER SERVICE AMBASSADOR
Total Outsourced Systems
05.2015 - 09.2017
Associate of Science -
Midlands Technical College
Willard High School
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