Jayla Wilson
Atlanta,GA
Summary
Compassionate healthcare professional dedicated to providing quality patient care, supporting patient needs, and maintaining confidentiality. Knowledgeable in healthcare processes, medical documentation, and patient communication, with a strong commitment to continuous learning, professionalism, and compliance with healthcare standards.
Overview
1
1
year of post-secondary education
6
6
years of professional experience
Work History
Provider network support
United Healthcare
Atlanta, GA
03.2024 - Current
- Served as a direct point of contact for healthcare providers, addressing questions about claims, payments, insurance coverage, and provider fee schedules.
- Reviewed provider fee schedules, insurance plan benefits, and coverage details to clarify reimbursement rates and determine applicable benefits.
- Explained and reviewed Explanation of Benefits (EOBs) with providers, clarifying payment decisions and adjustments to enhance understanding of patient responsibility and claim outcomes.
- Reviewed claim documentation, including X-rays and supporting medical records, to determine claim outcomes and facilitate timely approvals or denials.
- Investigated and reconciled payment discrepancies, validated provider billing and enrollment information, and coordinated corrections with claims and credentialing teams to ensure accurate provider reimbursements.
- Maintained accurate provider records while following healthcare privacy, quality, and compliance requirements.
Registered Behavior Technician
Hopebridge
Kennesaw, Georgia
06.2022 - 03.2024
- Provided one-on-one behavioral therapy to clients with autism and developmental needs under BCBA supervision.
- Implemented individualized treatment plans to improve communication, social skills, and daily living skills.
- Monitored behaviors, documented progress, and communicated observations to clinical supervisors.
- Maintained a safe, supportive environment while protecting client dignity and confidentiality.
- Collaborated with clinical teams and families to support consistent, individualized care..
- Supported food tolerance and feeding goals, as well as potty training and toileting independence
Patient Access Services Representative
Med spa
07.2020 - 10.2021
- ● Greeted patients, scheduled appointments, and managed check-in and check-out procedures.
- ● Verified patient demographics, insurance eligibility, and benefits while maintaining accurate records.
- ● Assisted patients with questions regarding services, referrals, and billing.
- ● Coordinated appointments and communicated with clinical staff to support efficient patient flow.
- ● Maintained patient confidentiality and followed HIPAA guidelines.
Education
Associate of Science -
South College
Atlanta, GA 01.2026 - 10.2026
Wheeler High School
Marietta , GaSkills
- Claims processing
- Insurance verification
- Provider relations
- Patient access services
- HIPAA compliance
- Healthcare administration
Timeline
Associate of Science -
South College
01.2026 - 10.2026
Provider network support
United Healthcare
03.2024 - Current
Registered Behavior Technician
Hopebridge
06.2022 - 03.2024
Patient Access Services Representative
Med spa
07.2020 - 10.2021
Wheeler High School