Microsoft office suilt (Excel, PowerPoint, Word, Outlook)
Jeamela Young
Montgomery,AL
Summary
Results-oriented achiever with proven ability to exceed targets and drive success in fast-paced environments. Combines strategic thinking with hands-on experience to deliver impactful solutions and enhance organizational performance. A seasoned professional with proven track record in managing client intake and administrative tasks, providing reliable and flexible support in dynamic environments. Known for collaborative teamwork and achieving high standards in client relations. Proficient in data entry, client communication, and problem resolution. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Results-oriented achiever with proven ability to exceed targets and drive success in fast-paced environments. Combines strategic thinking with hands-on experience to deliver impactful solutions and enhance organizational performance.
Overview
10
10
years of professional experience
Work History
Intake Representative
Cigna Healthgroup
10.2022 - Current
- Prior Authorization team helping clients with the processing of medical claims
- Exceeded performance metrics regularly, demonstrating consistent dedication to quality work and customer satisfaction.
- Familiarity with health care claims billing procedures (HCPCS, CPT, ICD-10-CM, etc.
- Managed and assisted approximately 80 incoming calls and emails per day
- Streamlined communication between departments through diligent documentation of client information and needs.
- Handled sensitive client situations with compassion while maintaining adherence to organizational policies and procedures.
- Identified areas for process improvement within the intake department, aiding in the implementation of more efficient practices.
- Maintained strict confidentiality of client information, adhering to HIPAA regulations and company policies at all times.
- Collaborated with team members to address complex cases, resulting in improved case management for clients.
- Conducted thorough assessments of client needs, connecting them with appropriate resources and services within the organization.
- Assisted in the development of training materials for new Intake Representatives, contributing to overall team success.
- Improved client retention rates by consistently providing exceptional customer service and follow-up support as needed.
- Managed high call volumes while maintaining a professional demeanor, ensuring a positive experience for all callers.
- Communicated with referral sources, physicians, and associated staff to check documentation for proper signatures.
- Documented patient medical information, case histories, and insurance details to facilitate smooth appointments and payment processing.
- Coordinated with healthcare providers to ensure accurate and timely sharing of patient information, enhancing continuity of care.
- Enhanced patient experience, conducting thorough initial assessments to understand their needs fully.
- Improved data management with introduction of new software, streamlining intake process and enhancing record accuracy.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Excellent communication skills, both verbal and written.
- Self-motivated, with a strong sense of personal responsibility.
Realtor
KW Realty
01.2020 - 01.2023
- Developed strong knowledge of local market conditions, allowing for accurate pricing strategies and targeted marketing efforts.
- Assisted buyers with finding ideal homes by assessing needs, requirements, and budgets.
- Assisted approximately 30 clients calls and inquiries per day
- Streamlined contract negotiations by meticulously reviewing documents and communicating clearly with all involved parties.
- Generated leads for potential buyers and sellers by hosting open houses, conducting market analysis, and networking within the community.
- Built lasting relationships with clients through excellent communication, personalized service, and dedication to their needs.
- Managed contracts, negotiations, and all aspects of sales to finalize purchases and exceed customer expectations.
- Managed scheduled meetings to maintain satisfaction of both buyers and sellers and facilitate smooth purchases.
- Leveraged market knowledge and analysis to provide guidance and advice on best options for clients.
- Prepared and presented contracts and other legal documents to clients.
- Wrote contracts to outline sales and purchases of properties.
- Handled day-to-day happenings of real estate office to consistently grow client base and increase revenue.
Claims Assistance
Wells Fargo
01.2017 - 01.2020
- Managed a high volume of claims efficiently while maintaining attention to detail resulting in minimized errors and reworkings.
- Conducted comprehensive research to interpret coverage details accurately thereby reducing ambiguities that could lead to disputes or litigation.
- Logged, allocated and managed claims.
- Ensured compliance with company policies and industry regulations through meticulous documentation of claim files.
- Coordinated effectively between multiple departments such as underwriting, finance and legal teams ensuring smooth flow of information throughout the claims process.
- Provided exceptional customer service through clear communication, empathy, and proactive problem-solving during difficult situations.
- Reduced claim resolution times with thorough investigation and prompt communication with involved parties.
- Created and updated software tracking spreadsheets.
- Enhanced claims processing efficiency by streamlining workflows and optimizing data entry procedures.
- Improved customer satisfaction levels by providing timely, accurate, and empathetic support during the claims process.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
- Generated, posted and attached information to claim files.
- Maintained strong relationships with service providers for seamless coordination during claim resolutions.
- Managed approximately 50 to 80 incoming calls. emails. and faxes per day per client
Manager
Title Cash
06.2010 - 04.2017
- Managed budget allocations to prioritize spending on high-impact projects, optimizing resource utilization.
- Planned, created, tested and deployed system life cycle methodology to produce high quality systems to meet and exceed customer expectations.
- Developed comprehensive risk management plan, minimizing potential disruptions to business operations.
- Controlled resources and assets for department activities to comply with industry standards and government regulations.
- Set aggressive targets for employees to drive company success and strengthen motivation.
- Assisted approximately 50 incoming calls, faxes, and in person clientele per day
- Established team priorities, maintained schedules and monitored performance.
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
- Identified and communicated customer needs to supply chain capacity and quality teams.
- Accomplished multiple tasks within established timeframes.
- Cross-trained existing employees to maximize team agility and performance.
- Built high-performing teams through effective recruitment, onboarding, and talent development initiatives.
- Achieved departmental goals by developing and executing strategic plans and performance metrics.
- Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
- Recruited, interviewed and hired employees and implemented mentoring program to promote positive feedback and engagement.
- Evaluated employee performance and conveyed constructive feedback to improve skills.
- Reduced operational costs through comprehensive process improvement initiatives and resource management.
- Opened and closed location and monitored shift changes to uphold successful operations strategies and maximize business success.
- Assisted in organizing and overseeing assignments to drive operational excellence.
- Managed budgets effectively, ensuring optimal financial performance while investing in necessary resources for business growth.
- Developed detailed plans based on broad guidance and direction.
- Launched quality assurance practices for each phase of development
Behavioral Health Caregiver
People Helping People
01.2006 - 01.2010
- Assists residents with activities of daily living, including bathing, dressing, grooming, toileting, transferring and getting to and from activities and meals according to the individual service plan
- Assistance with behavioral therapy
- Providing companionship and emotional support, and listening to their concerns
- Maintained a safe and clean environment for patients, reducing risks and ensuring optimal health outcomes.
- Monitoring health and wellbeing, maintaining records and reporting any changes
- Address client needs with respect and attention to safety
- Monitored clients' overall health and well-being and noted significant changes.
- Built strong relationships with clients to deliver emotional support and companionship.
- Contributed to a positive atmosphere for patients by using effective communication and active listening skills.
- Prioritized patient dignity, privacy, and autonomy during all aspects of care provision.
- Enhanced patient comfort by providing compassionate and attentive care, addressing individual needs and preferences.
- Provided emotional support to patients and their families during challenging times, fostering trust and strong relationships.
- Efficiently organized schedules for multiple clients simultaneously while maintaining high-quality care standards.
- Facilitated smooth transitions between home care settings by coordinating services and communicating effectively with all parties involved.
- Assisted in rehabilitation exercises as prescribed by medical professionals, guiding patients towards improved mobility and function.
- Assisted 3 clients in one household setting per day
Education
3 years of college completed - Business Administration
JACKSONVILLE STATE UNIVERSITY
Jacksonville, AL01.2009
High school diploma -
Stanhope Elmore High School
Millbrook, AL01.2006
Skills
- Medical databases
- Electronic health records systems
- Medical office software for data entry and retrieval
- HIPAA Compliance
- ICD 9, ICD10, CPT Codes
- Electronic Health Records
- Medical terminology knowledge
- Patient Care Coordination
- Office Management
- Excellent Communication
- Financial Analysis
- Clerical/Administrative Personnel Supervision
- Excellent written and verbal communication skills
- Expertise in creating spreadsheets, reports, presentations
Personal Information
Work Permit: Authorized to work in the US for any employer
Additionalinformation - Skillssummary
- Clerical/Administrative Personnel Supervision
- Accounts Receivable/Payable Inventory Control/Accountability
- Reconciliation Customer Service/Public Relations
- Financial Analysis/Calculation Computer Operations/Data Entry
- Excellent written and verbal communication skills; able to establish collaborative, professional relationships with upper management, co-workers, and diverse clientele.
- Expertise in creating spreadsheets, reports, presentations, and in compiling and analyzing data to troubleshoot and efficiently resolve discrepancies and increase productivity.
- Proficient at short and long term planning and in multitasking in a high-paced environment to achieve company goals and timely project completion.
- A dedicated and resourceful decision maker and problem solver who identifies needs and spearheads new projects with enthusiasm.
- Recognized for creativity in adapting to new challenges and the demands of increased responsibility.
- Skilled in team building, leadership and in promoting employee moral and motivation.
Quote
Design is not just what it looks like and feels like. Design is how it works.
Steve Jobs
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
swipe to browse
Software
Database Management (SQL, Oracle My SQL)
Data analysis and visualization (Excel Tableau, Power BI)
Programming (Python, Java, C JavaScript)
Timeline
Intake Representative
Cigna Healthgroup
10.2022 - Current
Realtor
KW Realty
01.2020 - 01.2023
Claims Assistance
Wells Fargo
01.2017 - 01.2020
Manager
Title Cash
06.2010 - 04.2017
Behavioral Health Caregiver
People Helping People
01.2006 - 01.2010
High school diploma -
Stanhope Elmore High School
3 years of college completed - Business Administration
JACKSONVILLE STATE UNIVERSITY
Similar Profiles
Kerry QuinnKerry Quinn
Infusion Nurse at Accredo HealthgroupInfusion Nurse at Accredo Healthgroup
Ashley OwenAshley Owen
Medical Assistant at Bronson HealthgroupMedical Assistant at Bronson Healthgroup
Elisa SalazarElisa Salazar
Lead Patient Care Coordinator at United HealthGroupLead Patient Care Coordinator at United HealthGroup