Jennifer Taylor
Summary
Talented Team Leader experienced and dedicated to enhancing employee satisfaction and business success. Diplomatic and friendly with proven commitment to employee training. Hardworking team player bringing necessary experience and knowledge to tackle any operational demand.
Overview
25
25
years of professional experience
Work History
Patient Access Specialist/Yusimry
AssistRx
07.2023 - Current
- Enhance patient satisfaction by providing efficient services
- Maintained patient confidentiality by adhering to HIPAA guidelines
- Gather the patient's data to process an application and introduce the patient to the assistance program
- Contact the patient insurer to conduct a benefit investigation
- Contact the healthcare provider and/or patient to advise them of the results via fax, phone call, or mail
- Record every call and all tasks that are done in the patient's account
- Make all follow-up calls as needed on the case
- Performs other related duties as assigned by management
- Provide direction and guidance to my team meaning when they need assistance
- Help train new hires that starts on my program and others
- Also, would help and work other programs outside of my own.
Senior Specialist/Remote
Maximus
08.2020 - 06.2023
- Received inbound calls and helped people sign up for healthcare
- Help people unlock their Healthcare.gov accounts
- Assist people with getting their 1095A form for taxes
- Enrolled consumers in Health and Dental coverage
- Update the application and help the consumer through the process of removing the consumer's loved one that has passed away
- Send out coaching to CSR that did not take care of a consumer correctly
- Report any changes made to the consumer's application to the insurance companies
- Resolved complex issues like abusive and repeat callers
- Listen to calls and type up call transcripts that were to be used in court cases
- Did call reviews
- Research cases for CMS to help resolve consumer issues
- Help consumers understand what a tax credit were and how it helps them with their premium payments every month
- Explained to the consumer what a deductible and out-of-pocket were and what is needed for them to meet both
- Removed expired flagged that were on old cases.
Office Assistance
UMKC Oral Pathology/Faculty Practice
08.2019 - 03.2020
- Check and respond to voicemails
- Check and respond to all emails
- Check the fax machine for any faxes
- Type biopsy report that came in the mail from the day before
- Go to the mailroom and sort out any mail that has come in
- Email patient insurance to the billing company
- Print and copy the biopsy report and copied them once the reports are signed by the pathologist and place the copies inside a binder
- Faxed the biopsy report to the requesting dentist
- Log all checks that are mailed in into the system, and then send the checks to the lockbox
- Once done with the pathology work, the second part of the job was worked in the clinic
- Would give patients access to the clinic
- Greet all patients and guests that enter the clinic
- Check-in and collect co-pays or any past-due amounts they may have
- Verify patient's benefits and make sure any updated information is scanned into the system
- When new patients come in, would make sure the new patient form is completed and the forms and identification are scanned into the system
- Answer incoming calls from patients and other providers and make sure all calls are handled professionally and appropriately
- Check out patients and schedule any follow-up appointments that may be needed.
Reimbursement Specialist
Aerotek/Trialcard
11.2018 - 08.2019
- Contact medical and pharmacy insurers and conduct benefit investigation
- Conduct verification on the benefit results that was conducted by other team member to insurer the benefit investigation was done correctly before the results was delivered to the healthcare provider
- Walked the floor to be available for other employees that may have questions or needs help on their cases
- Trained new hires.
Specialty Team Lead
Briova/Optum Rx
09.2017 - 10.2018
- Was responsible for training team members on updates and changes that were made
- Monitored team progress toward the goals that needed to be met
- Responsible for getting important information out via email to the team members
- Help team members solve and resolve problems they make be having with a patient or a healthcare provider
- Took escalation calls and de-escalation the problem
- Acting supervisor whenever the supervisor was out on PTO.
Specialty Medical Billing Patient Card Coordinator
Briova/Optum Rx
07.2015 - 09.2017
- Verify if the patient's medication is going to be processed through medical or pharmacy benefits
- Educate patient's on how their medication is going to be billed and processed
- Processed buy and bill medication orders for the providers that were ordering the medications and getting reimbursed from a third party
- Patients with commercial policy I would verify if they met their deductible and out of pocket
- Then educate the patient on why their copays are what they are
- Patient with Medicare policy I would verify if they have met their deductible, out of pocket, and the coverage gap, also known as their “Donut Hole”
- Then educate Medicare patients of why their copays are what they are
- Processed prescription order that was not self-injectable medications by contacting the healthcare provider office and scheduling delivery with the doctor's office
- When a patient stated that there were not able to pay for their medication, I would help them find copay assistance or different foundation that can assist the patient with getting their medication
- Processed payments for patient's medication
- Put patients on payment arrangements.
Patient Care Coordinator
Briova/Optum Rx
06.2014 - 07.2015
- Received inbound calls from patients and pharmacists
- Maintained patient confidentiality by adhering to HIPAA guidelines
- Scheduled mail order delivers of patient's medications
- Assist with resolving error code and rejections the pharmacies received after trying to process claim through the patient's insurance
- Processed prior authorization that were submitted by the healthcare providers
- Help patient create new mail service accounts
- Process claims for a thirty- and ninety-day supply and inform the patient and/or the healthcare provider of the copy
- Inform the patient and/or the healthcare provider if a medication is covered under the patient's formulary or not.
Collector
Encore
05.2008 - 02.2010
- Received inbound calls from members and conducted outbound calls to members
- Identify customers with outstanding debts
- Contact and track debtors, encouraging timely repayment
- Handle customer questions, complaints, and inquiries
- Create and implement debt collection courses of action
- Negotiate specific payment plan arrangements with debtors.
Supervisor/Cleaner
Bush's Cleaning Services
02.2004 - 04.2008
- Creating and managing team schedules for fifteen employees
- Went out to worksite and help complete the tasks that are needed when the crew was shorthanded
- Go out to the different sites once the work was completed to make sure nothing was missed
- Make sure the employee's timecards were completed correctly and submitted their time into payroll
- Conducted coaching when needed
- Submitted invoices to the businesses that were getting clean once a month for payment.
Manager
KFC
06.2001 - 02.2004
- Managed the store
- Went to the bank every morning to deposit the money that was made the day before
- Created and managed the schedule for the crew of 10 people once a week
- Did inventory once a week, so everything would stay in stock
- Place order for chicken and different products that were needed once a week
- Conducted meetings and crew training once a month.
Lock Box Processor
US Bank
06.1999 - 04.2001
- Collected payments that was sent to different businesses PO boxes
- Processed paper checks in a timely manner for several different companies
- Updated company accounts receivable records
- Conducted outbound calls as well as fax the companies to informed them of their daily deposits.
Education
Bachelor of Arts - Psychology of Addiction
Southern New Hampshire University
Manchester, NH01.2019
Bachelor of Arts - Addiction Counselor
Ashford University
San Diego, CA01.2017
Associate of Arts - Social Work
Kansas City Kansas Community College
Kansas City, Kansas01.2010
Diploma - Visual Arts
Wyandotte High School
Kansas City, Kansas01.2001
Skills
- Patience
- Research
- Attentiveness
- Communication Skills
- Ability to use "Positive Language"
- Proactive Listening
- Conflict Resolution
- Empathy
- Take Responsibility
- Positive Attitude
- Ability to navigate a computer
- Typing
- Health Care
- Leadership/ Supervisory skills
- Health Insurance
- ICD 10 Code
- Prior Authorization
- Commercial, Medicare, and Medicaid Benefit
- Pharmacy claims
- Medically Billed claims
- Claims Processing
- Scheduling
- Payment Processing
Accomplishments
- Supervised a team of 15 staff members
- Highly skilled at using Microsoft Word and Excel to develop inventory tracking spreadsheets.
Community Service
- Wyandotte High School, Classroom Aide, 1999, 2001
- Wyandotte High School, Student Councilor, 2000, 2001
- City Union Mission, Volunteer, 2010
Timeline
Patient Access Specialist/Yusimry
AssistRx
07.2023 - Current
Senior Specialist/Remote
Maximus
08.2020 - 06.2023
Office Assistance
UMKC Oral Pathology/Faculty Practice
08.2019 - 03.2020
Reimbursement Specialist
Aerotek/Trialcard
11.2018 - 08.2019
Specialty Team Lead
Briova/Optum Rx
09.2017 - 10.2018
Specialty Medical Billing Patient Card Coordinator
Briova/Optum Rx
07.2015 - 09.2017
Patient Care Coordinator
Briova/Optum Rx
06.2014 - 07.2015
Collector
Encore
05.2008 - 02.2010
Supervisor/Cleaner
Bush's Cleaning Services
02.2004 - 04.2008
Manager
KFC
06.2001 - 02.2004
Lock Box Processor
US Bank
06.1999 - 04.2001
Bachelor of Arts - Psychology of Addiction
Southern New Hampshire University
Bachelor of Arts - Addiction Counselor
Ashford University
Associate of Arts - Social Work
Kansas City Kansas Community College
Diploma - Visual Arts
Wyandotte High School