Jaynese Sanchez
Harvest
Summary
Experienced and dedicated Insurance Follow-Up Representative with a strong background in medical billing and claims follow-up. Skilled in working with both government and commercial insurance plans, with a solid understanding of the UB-04 and CMS-1500 claim forms. Knowledgeable in interpreting EOBs, reason codes, and navigating the denial and appeal process to ensure accurate and timely reimbursement. Known for quickly mastering new software systems, upholding HIPAA compliance, and maintaining professional, empathetic communication with all stakeholders. Brings a strong work ethic, team-oriented mindset, and a genuine desire to help others and make a positive impact in the community.
Overview
1
1
year of professional experience
Work History
Insurance Follow-Up Representative
HH Health Systems
10.2024 - Current
- Proactively monitored industry news and changes in healthcare regulations to ensure ongoing compliance with evolving best practices and standards within the field of insurance follow-up representation.
- Streamlined coordination between medical providers and insurance companies by serving as a reliable point of contact for all claim-related matters.
- Improved claim resolution times by consistently following up on outstanding insurance claims and diligently addressing any discrepancies.
- Maintained up-to-date knowledge of product and service changes.
Costumer Service
S3 Resupply
03.2024 - 10.2024
- Provided exceptional customer service, addressing inquiries and resolving concerns promptly.
- Delivered exceptional customer service, addressing patient inquiries promptly and professionally.
- Provided exceptional customer service, resolving complaints diplomatically and efficiently.
- Enhanced customer service by promptly addressing inquiries and concerns.
Education
Associate - Medical Coding
Calhoun Community College
Tanner, AL10-2025
Madison County Virtual Academy
Huntsville, AL05-2024
Skills
- HIPAA compliance
- Problem resolution
- Insurance verification
- Data entry proficiency
- Assertiveness
- Medical billing
- Follow-up procedures
- Claim processing expertise
- Teamwork and collaboration
- Customer service
- Problem-solving
- Time management
- Attention to detail
- Reliability
- Computer skills
Timeline
Insurance Follow-Up Representative
HH Health Systems
10.2024 - Current
Costumer Service
S3 Resupply
03.2024 - 10.2024
Associate - Medical Coding
Calhoun Community College
Madison County Virtual Academy
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