Jean Locklear
Madison,GA
Summary
Skilled manufacturing and production team member with technical skills and attention to detail. Understands safety and consistently exceeds performance requirements. Dedicated to quality processes and final product results.
Overview
7
7
years of professional experience
Work History
Manufacturing Operation Technician II
Takeda Pharmaceuticals
Social Circle, GA
07.2022 - Current
- Performed machine set-up activities prior to start up of production run.
- Assisted in training other technicians on proper use of equipment and safety protocols.
- Conducted quality checks on finished products to ensure accuracy.
- Troubleshot problems with equipment, devices or products.
- Prepared and assembled materials and set up and operated production equipment in accordance with current manufacturing practices and standard operating procedures.
- Ensured compliance with all safety regulations while operating machinery.
- Identified problems within the assembly line and implemented solutions accordingly.
- Adhered to applicable regulations, policies and procedures for safety and environmental compliance.
- Operated automated systems to produce product according to customer specifications.
- Trained new employees on company and safety standards, providing assistance and remediation with issues.
- Followed detailed instructions from engineering personnel during production runs.
- Maintained updated knowledge through continuing education and advanced training.
- Set up and operated production machinery according to specific standards and protocols of company.
A/R and Appeals Specialist
Care Plus Management
Athens, GA
09.2021 - 07.2022
- Acted as intermediary between insurance companies and customers by researching and assessing information to determine claim validity.
- Monitored reports to identify claims issues and worked with adjusters to resolve problems.
- Reviewed appeals submitted by patients and providers to ensure accuracy and compliance with policies.
- Collaborated with provider relations staff to resolve disputes between providers and health plans concerning payment for services rendered.
- Demonstrated strong problem solving skills when resolving difficult customer service issues.
- Prepared written responses for customer inquiries regarding their appeals status.
- Assisted in developing departmental goals as well as individual performance objectives.
- Researched complex cases involving multiple parties or multiple issues to provide accurate decisions on appeals.
- Ensured all documents are stored securely according to HIPAA standards.
- Worked closely with internal teams such as Medical Directors, Customer Service Representatives, and Provider Relations staff in order to facilitate successful resolution of appealed claims.
- Processed claims for payment or forwarded to appropriate personnel for further investigation
- Prepared and reviewed insurance-claim forms and related documents for completeness.
- Handled billing related activities focused on medical specialties.
- Precisely calculated refunds, premiums, and adjustments.
Patient Financial Services Representative
Piedmont Healthcare Corporate
Athens, GA
01.2017 - 01.2021
- Assisted in the maintenance of patient accounts to ensure accuracy of information including demographic, insurance and financial data.
- Performed cash reconciliations for patient accounts ensuring accuracy of records.
- Reviewed daily reports to identify any discrepancies or errors in patient account balances.
- Answered incoming calls from patients regarding billing inquiries and resolved customer service issues.
- Researched and responded to customer inquiries via phone, email, or mail regarding billing statements, services rendered.
- Ensured HIPAA compliance when handling confidential patient information.
- Prepared monthly statistical reports for management review.
- Identified areas of improvement in policies and procedures associated with Patient Financial Services operations.
- Verified eligibility for patients prior to appointment scheduling.
- Worked closely with the accounting department to ensure proper posting of payments into the system.
- Contacted third party payers regarding unpaid claims or denied claims for further investigation and resolution.
- Contacted insurance companies to check status of claim payments.
- Answered customer questions regarding account discrepancies or problems.
- Wrote appeal letters to insurance companies for denial of claims.
- Notified credit departments and turned over records to attorneys when customers failed to respond to collection attempts.
Education
Certification - Medical Insurance Coding
Central Carolina Community College
Siler City, NC01-2015
High School Diploma -
Magnolia Highschool
Lumberton, NC06-1987
Skills
- Materials knowledge
- Production processes observation
- Safety Protocols
- Equipment Preparation
- Production Scheduling
- Staff Training
- Good Manufacturing Practices
- OSHA Compliance
- Materials Loading
- Standard Operating Procedures
References
References available upon request.
Timeline
Manufacturing Operation Technician II
Takeda Pharmaceuticals
07.2022 - Current
A/R and Appeals Specialist
Care Plus Management
09.2021 - 07.2022
Patient Financial Services Representative
Piedmont Healthcare Corporate
01.2017 - 01.2021
Certification - Medical Insurance Coding
Central Carolina Community College
High School Diploma -
Magnolia Highschool