Jessica Flowers
Durham,NC
Summary
Experienced and innovative professional with over a 12-year track record of exceeding expectations and building lasting relationships through successful program planning and implementation. Highly motivated to think outside the box and create innovative solutions. Seeking a new role where hard work and dedication are highly valued.
Overview
8
8
years of professional experience
Work History
Reimbursement Specialist
Mercalis
11.2023 - 05.2024
- Verify medical insurance benefits, including the ability to obtain and process payer forms
- Enters referral/patient information into electronic medical record system and other applications as needed
- Coordinate prior authorization for medical procedures with payer authorization departments
Traveler Assignment Navigator
Nomad Health
11.2021 - 02.2023
- Negotiate and create contracts for up to 80 healthcare travelers, resulting in an 88% contract extension rate
- Develop communications cadence plan for healthcare professionals & rolled out to Navigator team of 75
- Create day-to-day and urgent communication tickets for assignment concerns maintaining 24 hour SLA resulting in a 98% CSAT score
Project Coordinator
Covance
11.2020 - 05.2021
- Coordinate prior authorizations and coordination of benefits on behalf of clients
- Create and maintain electronic medical records, access patient information, generate reports, schedule appointments and manage task lists
- Assist in maintaining training guides and resource libraries to effectively train and support new hires as a subject matter expert
Senior Claims Representative
Baby Brezza
06.2016 - 02.2020
- Team leader for product issues and website support
- Created and owned escalation tickets including collaborations with product development for completion
- Created and maintained product FAQ, troubleshooting, and user guides
Technical Support Agent
Conduent
06.2018 - 02.2019
- Manage day-to-day phone volume and ensure service levels are met
- Manage call handling rules and setting up call analytics for businesses to track automation implementation and call tracking
- Handle up to 3 chat clients addressing technical inquiries using diagnostic tools to resolve complex service and device issues
Education
High School Diploma -
Irvington High School
Esthetics Technology -
Durham Technical Community College
Skills
- Data Documentation
- Insurance Eligibility Verification
- Experienced with Microsoft Office Suite
- Healthcare Billing Expertise
- CRM Software
- Ticket Resolution Management
- Complaint Handling
- Medical terminology knowledge
- Insurance company knowledgeable
- HIPAA Compliance Expertise
- Effective Phone and Email Communication
- Client Support
Timeline
Reimbursement Specialist
Mercalis
11.2023 - 05.2024
Traveler Assignment Navigator
Nomad Health
11.2021 - 02.2023
Project Coordinator
Covance
11.2020 - 05.2021
Technical Support Agent
Conduent
06.2018 - 02.2019
Senior Claims Representative
Baby Brezza
06.2016 - 02.2020
High School Diploma -
Irvington High School
Esthetics Technology -
Durham Technical Community College