Jennifer Etienne
Miami,FL
Summary
Diligent Claims Representative with solid background in outbound operations, consistently ensuring efficient workflow and high standards of accuracy. Proven track record in managing order fulfillment processes and enhancing team productivity. Demonstrated ability to adapt to fast-paced environments and utilize problem-solving skills effectively.
Overview
14
14
years of professional experience
Work History
Inbound/Outbound Associate-Utilization
Aetna Medicaid Administrators LLC
Miami
11.2021 - Current
- Effectively communicate with providers and colleagues
- Receive calls and provide detailed information on pending authorizations
- Review claims on past prior authorization request
- Assist with services while protecting patient information
Patient Access Representative
Memorial Hermann Medical Group
Texas
01.2019 - 09.2021
- Schedule patient appointments with Primary Care Physician
- Receive inbound and outbound calls
- Verify insurance eligibility and benefits
- Post payments & balance with the appropriate system
- Communicate effectively with other office staff
Care Coordinator
Chen Medical
Miami
04.2012 - 08.2018
- Scheduling diagnostic test, specialist, primary care physician appointments
- Generate authorizations for specialist appointments and surgeries from the patients
- Obtain the proper CPT and ICD 10 Codes for the specialist visits, diagnostic studies and surgeries in a timely matter
- Coordinate Home Health and Home PT/OT for homebound patients and verify services by communicating with the assigned agencies
- Communicate all necessary information about surgeries, specialist visits and diagnostic test scheduled by myself to patients
- Trained new employees on our system and daily task
- Working closely with the primary physician to provide superior outcomes for the patients
- Ensure patient’s external missed appointments are rescheduled and properly documented
Front Desk Agent
Chen Medical Center
Miami
01.2012 - 04.2012
- Digital filing
- Schedule appointments
- Verify insurance eligibility
Education
A.A - Health Services
Broward College
Pembroke Pines, FL06-2018
Skills
- Strong communication skills; customer service skilled
- Basic computer, keyboarding, and data entry skills
- Proficient in Microsoft office
- Client and patient support
- Protect & secure the privacy of clients and patients
- Administrative support
- Medical terminology knowledge
- Able to multitask
- Teamwork
Timeline
Inbound/Outbound Associate-Utilization
Aetna Medicaid Administrators LLC
11.2021 - Current
Patient Access Representative
Memorial Hermann Medical Group
01.2019 - 09.2021
Care Coordinator
Chen Medical
04.2012 - 08.2018
Front Desk Agent
Chen Medical Center
01.2012 - 04.2012
A.A - Health Services
Broward College