Summary
Overview
Work History
Education
Skills
Timeline
Generic

JAYLA VEAL

Paterson,NJ

Summary

Performed data entry and maintained accuracy of insurance policies in the system. Assisted patients with insurance enrollment and claims processing. Advised patients on insurance policies and benefits. Resolved discrepancies and disputes between insurance companies and patients. Collaborative, analytical, and resourceful law enforcement professional with graduate and undergraduate degrees in Criminal Justice. Persuasive and influential communicator with a broad foundation of the criminal justice system, including the court system, policing, investigative and research techniques, public safety, corrections, and law enforcement. Customer centric with the ability to identify issues and provide solutions. Ability to learn and apply new concepts, working independently and as part of a team.Draw on strong listening skills to determine each client’s needs and recommend helpful resources.

Overview

10
10
years of professional experience

Work History

Behavioral Health Counselor

CBH CARE
07.2024 - Current
  • Provides on-site daily supervision and essential coverage to consumers in a community residential group home program
  • Responsible for assisting consumers with their personal care goals, providing medication education, and observing their self-administration of prescribed medications
  • Performs crisis intervention services as needed and reports all consumer concerns to the group home manager
  • Participates in the development of consumer activities and encourages consumers to participate in all social, recreational, and therapeutic activities

Billing Specialist

NextGen Sport And Spine LLC
01.2022 - 02.2024

Efficient billing specialist with 2+ years of experience performing various accounts receivable functions. Strong familiarity with claims procedures, collections techniques and customer query resolution. Knowledgeable about preparing invoices, processing payments and pursuing past-due balances. Well-versed in accurately coding different types of bills for clear record keeping and tracking.

Knowledge of retina authorizations for surgery.

Knowledge of medical insurances, policies, and protocols.

Knowledge of ICD-10 and CPT coding.

Experience verifying insurance benefits.

Ability to understand insurance claims (Explanation of Benefits).

Knowledge of retina/ophthalmology terminology as it pertains to surgical authorizations.

Experience speaking to insurance companies and obtaining authorizations.

Able to multi-task and work on multiple tasks at the same time.

team player

Experience using portals such as Navinet, Availity, UHC Link, Wellcare, and Emblem.

Driver

Self Employed
05.2023 - 01.2024
  • Delivered packages to customers in a timely and efficient manner
  • Inspected vehicles for mechanical items and safety issues, ensuring they are in proper working condition
  • Maintained accurate logs of vehicle inspections and repair status
  • Provided excellent customer service by responding promptly to customer inquiries and complaints
  • Prepared documents such as bills of lading, invoices, receipts, proof of delivery documents

Asset Protection Officer

Planned Companies
08.2018 - 04.2021
  • Controlled inventory and safety in assigned areas in support of loss prevention strategies
  • Conducted detection, investigation, and resolution of investigations in assigned stores under supervision and in the detection and detection of shoplifters
  • Identified and addressed potential hazards to customers and associates, takes initiative to correct minor hazards, conducts incident investigations and completes associated reports
  • Observed customer, employee, and vendor activities to detect theft, fraud, or suspicious activity
  • Complied with accurate and timely report writing and record keeping, including retention of evidence.

Loss Prevent Officer

Century 21
10.2014 - 02.2018
  • Monitored and inspected store entrances, exits, and checkout areas to detect shoplifting or other suspicious activities
  • Investigated incidents of theft by identifying suspects, gathering evidence, and preparing detailed reports
  • Responded to alarms, emergency situations, and safety concerns in a timely manner
  • Inspected merchandise for signs of tampering or damage
  • Conducted internal investigations into employee theft or policy violations
  • Provided training to staff on loss prevention policies and procedures
  • Developed relationships with local law enforcement agencies to facilitate information sharing regarding criminal activity.

Education

Bachelor of Science - Criminal Justice

Rutgers, The State University of New Jersey
05.2023

Associate of Arts - Criminal Justice

Bergen Community College, Paramus, NJ
05.2018

Skills

  • Appointment Scheduling
  • Surveillance
  • Time Management
  • Verbal and Written Communication
  • Problem Analysis/Solutions
  • Teamwork
  • Customer Service
  • Data Collection
  • Problem solving
  • Interviewing Techniques
  • Relationship Building
  • Organization
  • Equipment Monitoring
  • Asset Protection
  • MS Office Suite – Excel, Word, PowerPoint, Outlook
  • Social Media
  • Internet Research
  • Insurance verification
  • Data entry
  • Prior authorization
  • Multi-tasking
  • Medicare and medicaid insurance verification

Timeline

Behavioral Health Counselor

CBH CARE
07.2024 - Current

Driver

Self Employed
05.2023 - 01.2024

Billing Specialist

NextGen Sport And Spine LLC
01.2022 - 02.2024

Asset Protection Officer

Planned Companies
08.2018 - 04.2021

Loss Prevent Officer

Century 21
10.2014 - 02.2018

Bachelor of Science - Criminal Justice

Rutgers, The State University of New Jersey

Associate of Arts - Criminal Justice

Bergen Community College, Paramus, NJ
JAYLA VEAL