Jazma Perez
Wilmer,TX
Summary
Dependable Customer Service Specialist recognized for consistency in productivity and attendance while exhibiting a positive attitude in light of challenging situations. Exhibits exemplary work ethic and willingness to learn new processes and techniques which enhance business and team efforts. Authorized to work in the US for any employer
Overview
15
15
years of professional experience
Work History
Member Support Specialist
OneShare Health LLC
04.2021 - Current
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Assisted members with understanding personalized Program sharing and Eligibility.
- Assured timely verification of member's program prior to patient procedures or appointments.
- Trained new staff on current, program guideline verification procedures and navigating AS400, Salesforce and HCI
- Responded to members calls and emails to answer questions about program guidelines.
- Educated member's on company systems, form completion, and access to services.
- Exhibited high energy and professionalism when dealing with member's and staff.
Senior Support Specialist
Multiplan
05.2019 - 08.2020
- Obtained scanned records and uploaded into company databases
- Volunteered to assist with special office projects, successfully completing tasks prior to deadlines
- Translated written documentation and notes into emails and other types of correspondence
- Transferred written information into databases to maintain consistent, accurate client records and project details.
Medical Customer Service Representative
Alegis Revenue Group, LLC
03.2015 - 05.2019
- Answered patient questions and fielded complaints to resolve issues
- Accessed patient information through various software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations
- Scheduled and confirmed patient appointments with patients and healthcare professionals
- Referred patients to appropriate professionals and services
- Checked daily doctor schedules and verified insurance
- Checked claims for errors, corrected issues and mailed out updated documents
- Met with patients and family members to discuss medical procedures, medications, treatments and continuing care plans.
Insurance Verification Representative
Prime Therapeutics
12.2008 - 03.2015
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients
- Updated patient and insurance data and input changes into company computer system
- Checked documentation for appropriate coding, catching errors and making revisions
- Instructed clients on amounts covered under benefits plans in easy-to-understand terminology
- Examined claims, records and procedures to grant approval of coverage
- Performed verification of Medicare coverage
- Pulled patient files and forwarded to appropriate offices for processing
- Kept office spaces well-stocked with administrative and medical supplies.
Education
High School Diploma -
W. Carter High School
Dallas, TX05.2008
Skills
- Active Listening
- New Hire Training
- Resolving Issues
- Call Control Skills
- Logging Call Information
- Calm and Professional Under Pressure
Timeline
Member Support Specialist
OneShare Health LLC
04.2021 - Current
Senior Support Specialist
Multiplan
05.2019 - 08.2020
Medical Customer Service Representative
Alegis Revenue Group, LLC
03.2015 - 05.2019
Insurance Verification Representative
Prime Therapeutics
12.2008 - 03.2015
High School Diploma -
W. Carter High School
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