Jessica Jimenez
Calimesa,CA
Summary
Reliable, highly organized and meticulous with experience in a fast-paced office setting. Results-driven professional equipped with background in supporting operational workflows and enhancing team productivity. Good communicator and planner with strong judgment and critical thinking abilities. All skills and capabilities can be applied to any office and/or customer service setting.
Overview
14
14
years of professional experience
Work History
Employee Services Associate
University of California, Office of the President
06.2024 - Current
- First point of contact and service for UC employees, former employees, and vendors.
- Utilize customer service and workstream business process knowledge concepts to apply policies and procedures to respond to all levels of human resources inquiries, resolving most inquiries directly and escalating complex/unique issues as needed.
- Guidance and information provided primarily by phone regarding payroll, benefits, human resources, accruals, and academic personnel.
- Volunteered for extra work hours during Open Enrollment
- Listened to caller's needs to identify the problem they're experiencing and provide a resolution
Financial Services Specialist
Loma Linda University Medical Center
06.2022 - 06.2024
- Coordinate the accurate and complete registration for patients of all reimbursement types
- Responsible for verifying eligibility and benefits for both physician and hospital-based services, entering patient demographics, and confirming billing information
- Initiate and procure authorizations for all ordered services, and document incoming authorizations and other correspondence
Medical Administrative Assistant
Loma Linda Foot & Ankle Center
01.2017 - 06.2022
- Manage master calendar and schedule appointments for 3-5 providers based on optimal patient loads and clinician availability
- Enhance office efficiency by assisting front desk with callers, patient check-in, and rooming patients
- Complete skilled administrative work to support all office staff and operational requirements including sorting faxes, handling emails, and scanning documents for both office and patient needs
- Organize patient files, both paper and electronic, and streamlined operations to improve efficiency and maintain patient privacy
- Assist staff in prioritizing incoming patients by appointment and degree of injury or illness (triage)
- Conduct insurance verification and preauthorization (prescription and procedural) to prepare for upcoming appointments; Advanced knowledge of verifying eligibility and coverage of specific CPT codes through insurance web portals and by phone if needed; Responsible for handling all outgoing Medicare, PPO, Medi-cal and Worker’s Compensation referrals
- Perform Arterial ABI diagnostic testing using PADnet device and processed reporting between the Vascular Surgeon and the patient’s Podiatrist
- Coordinate Worker’s Comp QME/PQME appointments, records, and reports
- Assist with patient billing questions and complete patient FMLA/ State Disability Insurance paperwork
Medical Assistant, Front Office
Loma Linda Foot & Ankle Center
01.2015 - 01.2017
- Managed reception services for 3-5 podiatrists including greeting and checking in 60-80 patients including updating demographic information, verifying insurance coverage, and collecting co-payments
- Coordinated all Medicare and PPO insurance referrals, patient medical records (both paper and electronic), and managed scanning of all documents
- Handled 30+ callers per day and returned messages of any missed phone calls
- Processed charts according to insurance type and prioritized based referrals based on urgency
- Developed inventory logs and handled weekly front office inventory ordering
- Sorted faxes daily and responded accordingly
- Trained new front office employees and assisted with back-office duties when needed
Medical Assistant, Back Office
Loma Linda Foot & Ankle Center
05.2012 - 01.2015
- Verified patient demographics, recorded vital signs, and prepared them for the appropriate exam and/or treatment
- Cleaned patient exam rooms in between every patient and restock rooms as needed
- Assisted physicians in procedures and collecting specimens; specimens were sent to the appropriate labs based on patient’s insurance
- Gained a clear understanding of multiple insurance types and coding (i.e., HMO, PPO, Medicare, Medi-cal, and Worker’s Compensation; CPT and ICD-9 & ICD-10 coding)
- Managed back-office supplies and submitted weekly orders
- Applied wound dressings under physicians’ instruction, dispensed Durable Medical Equipment, and assisted in Operating Room once a month
Cashier
Baker’s Drive Thru
10.2010 - 05.2012
- Consistently met up-sell goals by highlighting target items with strategic promotional approaches
- Reconciled cash drawer at start and end of each shift, accounting for errors and resolving discrepancies
- Mentored new team members on registers, meeting customer needs, maximizing group performance and maintaining high satisfaction with customers
- Greeted customers, took orders at the front counter and in the Drive-Thru all while making sure orders were filled quickly & correctly and handling the payments
Education
Associates Degree - Math and Science
Riverside City College
Riverside, CA01.2019
Medical Assistant Certification -
Riverside Adult School
Riverside, CA01.2012
Skills
- Supervising staff
- Managing office operations
- Conflict resolution
- Quality assurance
- Typing 45 WPM
- Multi-line telephone systems
- Records management
- Customer service-oriented
- Articulate
- Computer skills
- Emailing, faxing and scanning
- Time management
- Attention to detail
- Advanced understanding of health insurance networks
- Intermediate understanding of payroll, benefits and Human Resources processes
Timeline
Employee Services Associate
University of California, Office of the President
06.2024 - Current
Financial Services Specialist
Loma Linda University Medical Center
06.2022 - 06.2024
Medical Administrative Assistant
Loma Linda Foot & Ankle Center
01.2017 - 06.2022
Medical Assistant, Front Office
Loma Linda Foot & Ankle Center
01.2015 - 01.2017
Medical Assistant, Back Office
Loma Linda Foot & Ankle Center
05.2012 - 01.2015
Cashier
Baker’s Drive Thru
10.2010 - 05.2012
Medical Assistant Certification -
Riverside Adult School
Associates Degree - Math and Science
Riverside City College
Similar Profiles
Sher’Ron TaylorSher’Ron Taylor
Benefit Analyst II - Survivor Unit at University of California, Office of the President- RASCBenefit Analyst II - Survivor Unit at University of California, Office of the President- RASC
Jacquelyn JacobsJacquelyn Jacobs
Benefit Analyst 2 at University of California Office of the PresidentBenefit Analyst 2 at University of California Office of the President
Brandi BeaudoinBrandi Beaudoin
Benefits Analyst II at University of California - Office of the PresidentBenefits Analyst II at University of California - Office of the President