Jenai Metayer
Ocoee
Summary
Motivated and compassionate nursing student pursuing an Associate/Bachelor of Science in Nursing with an anticipated graduation date of December 2026. Seeking a student nurse intern position to further develop clinical skills and provide high-quality patient care in a healthcare setting. Strong communication, teamwork, and patient assessment abilities with a dedication to professional growth and excellence in nursing practice.
Overview
13
13
years of professional experience
Work History
Prior Authorization Representative
BioPlus Specialty Pharmacy
Altamonte Springs, FL
01.2024 - Current
- Processed prior authorization requests using electronic health record systems to ensure timely approvals.
- Collaborated with healthcare providers to gather necessary documentation for medication approval.
- Evaluated patient eligibility for medications based on insurance guidelines and clinical criteria.
- Educated patients on the prior authorization process, addressing inquiries to enhance understanding.
- Maintained accurate records of authorizations and communication logs to support compliance audits.
- Verified eligibility and compliance with authorization requirements for service providers.
Health Insurance Verification Specialist
CARE METX LLC
08.2022 - 12.2024
- Contact insurance carriers to verify patient's insurance eligibility, benefits and requirements.
- Request, track and obtain pre-authorization from insurance carriers within time allotted for medical and services.
- Request, follow up and secure prior-authorizations prior to services being performed.
- Collects and reviews all patient insurance benefit information, to the degree authorized by the SOP of the program.
- Provides assistance to physician office staff and patients to complete and submit all necessary insurance forms and program applications.
Team Lead / Patient Advocate
THE ASSISTANCE FUND
10.2018 - 11.2020
- Assists patients on a daily basis to enroll into copay and financial assistance programs.
- Completed health insurance premium reimbursement requests for eligible patients.
- Maintains patient and family confidence by keeping complaint information confidential. (HIPAA)
- Improves quality results by studying, evaluating, and re-designing patient complaint processes; implementing changes.
- Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations.
Residential HVAC Install Coordinator
Westbrook Service Corporation
04.2013 - 10.2018
- Schedule work for all service lines (HVAC, Plumbing, Electrical)
- Prioritize calls according to urgency and importance (emergency vs nonemergency).
- Maintain dispatch board.
- Inform customers of the progress of service operations while ensuring that Technicians operate in a cost-effective fashion.
- Ensure Technicians are on route and show up on time.
- Verify Technicians have included photos, notes, and adequate detail in work orders.
- Daily follow up on assigned service line.
- Coordinate sales team by managing schedules, filing important documents and communicating relevant information.
Education
General Studies -
Ocoee High School
Ocoee01.2010
Associate's Degree - undefined
Valencia Community College
01.2018
Associate Degree in Nursing - Registered Nursing
Rasmussen University
Altamonte Springs, FL12.2026
Skills
- Patient Care
- Patient Assessments
- Medication Administration
- Electronic Medical Records (EMR/EHR)
- Patient Education
- Team Collaboration & Communication
- Benefits Investigations
- Prior Authorization
- Typing (70 WPM)
Languages
English
Haitian Creole
Timeline
Prior Authorization Representative
BioPlus Specialty Pharmacy
01.2024 - Current
Health Insurance Verification Specialist
CARE METX LLC
08.2022 - 12.2024
Team Lead / Patient Advocate
THE ASSISTANCE FUND
10.2018 - 11.2020
Residential HVAC Install Coordinator
Westbrook Service Corporation
04.2013 - 10.2018
Associate's Degree - undefined
Valencia Community College
General Studies -
Ocoee High School
Associate Degree in Nursing - Registered Nursing
Rasmussen University
Personal Information
Title: Benefits Specialist