Jennifer Smith
Tampa,FL
Summary
Healthcare and insurance support professional with 6+ years of combined experience in insurance eligibility, prior authorization, claims coordination, and customer service. Skilled in verifying benefits, resolving denials, maintaining patient demographics, and managing work queues. Adept at collaborating with providers, payers, and policyholders to ensure timely authorizations and patient financial clearance. Recognized for accuracy, productivity, and quality compliance in high-volume environments.
Overview
12
12
years of professional experience
Work History
Eligibility Representative – Specialty Pharmacy Division
Cigna
01.2024 - Current
- Verified insurance eligibility and benefits for specialty medications and infusion therapies.
- Processed prior authorizations, including J-code entry, dosage calculations, and payer submissions.
- Resolved authorization denials, preparing appeals and supporting documentation.
- Updated patient demographic and guarantor information across multiple systems.
- Managed departmental work queues and fax submissions, ensuring timely case resolution.
- Consistently exceeded productivity and quality standards while supporting patient financial health.
Sales & Insurance Support Specialist
Stafford Communications, Inc.
01.2022 - 01.2023
- Supported insurance advisors and clients with coverage inquiries, application status, and policy support.
- Tracked submissions through all stages, providing timely updates to stakeholders.
- Resolved escalations involving eligibility, billing, and policy issues while maintaining compliance standards.
- Delivered strong customer and provider communication, ensuring satisfaction and retention.
Customer Service Advisor / Insurance Billing
Stanley Steemer, Inc.
01.2014 - 01.2019
- Coordinated with insurance companies (including Liberty Mutual) to process claims for water extraction and restoration services.
- Verified coverage and eligibility for service requests, ensuring accurate billing and documentation.
- Entered and maintained customer insurance and payment records with high accuracy.
- Handled escalated calls related to billing disputes, claims processing, and service authorizations.
- Built a record of long-term reliability and accuracy in a high-volume, client-facing environment.
Education
Bachelor of Science - Public Relations & Advertising
University of South Florida
Tampa, FL05.2022
Skills
- Insurance Eligibility Verification
- Prior Authorization Processing (J-codes, HCPCS)
- Insurance Claims Coordination
- Denials & Appeals
- Revenue Cycle & Patient Access
- Patient Demographics & Guarantor Updates
- Provider & Payer Communication
- Work Queue & Fax Management
- Accuracy & Compliance
- Time Management
Timeline
Eligibility Representative – Specialty Pharmacy Division
Cigna
01.2024 - Current
Sales & Insurance Support Specialist
Stafford Communications, Inc.
01.2022 - 01.2023
Customer Service Advisor / Insurance Billing
Stanley Steemer, Inc.
01.2014 - 01.2019
Bachelor of Science - Public Relations & Advertising
University of South Florida
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