Excel
Hi, I’m
Jessica Nicolette
Provider Account Manager
Canton,OH
Summary
Resourceful Account Manager with excellent client oversight, issue resolution, and relationship-building expertise. Maximized repeat business opportunities and utilized proven prospecting techniques to expand client base. High-level sales cycle knowledge and strong collaborative skills leading to optimum outcomes.
Overview
9
years of professional experience
5
years of post-secondary education
Work History
United HealthcareCanton, OH
Provider Account Manager
04.2022 - Current
Job overview
- Increased client satisfaction by building strong relationships and addressing their needs promptly.
- Successfully resolved escalated issues, preventing potential loss of valuable clients while maintaining positive relationships with all parties involved.
- Manage 7-10 provider groups at any given time.
- Maintained high client retention rate by providing exceptional customer service and anticipating client needs.
- Conducted regular account reviews to identify areas for improvement and ensure continued success.
- Provided comprehensive reporting on account performance, enabling clients to make data-driven decisions about future investments.
- Developed customized account plans for clients to help them achieve their business goals.
Emerald Mountain Inc/ Land of Oz NCBanner Elk, NC
Vendor Coordinator
06.2021 - Current
Job overview
- Assisted in negotiating contracts that promoted long-term stability and collaboration while safeguarding against unfavorable market conditions.
- Conducted regular vendor audits, ensuring compliance with regulatory requirements and company policies.
- Served as the primary point of contact between 10 external vendors and internal departments, facilitating effective communication across all parties involved in projects or contracts negotiations.
- Maintained accurate records of all vendor interactions, enabling thorough evaluation of overall relationship success rates over time.
- Developed comprehensive vendor evaluation criteria, leading to more effective partnerships and higher-quality services.
- Streamlined the vendor selection process for improved efficiency and reduced lead times.
- Organized and updated databases, records and other information resources.
Emerald Mountain Inc/ Land of Oz NCBanner Elk, NC
Wardrobe Supervisor
08.2018 - Current
Job overview
- Enhanced wardrobe organization by implementing a coded system and efficient storage solutions.
- Developed strong relationships with vendors to secure discounts on bulk purchases, reducing overall expenses for productions.
- Increased accuracy in costume design by conducting thorough research on historical clothing styles and materials.
- Manage 75+ actors
- Improved efficiency by implementing a tracking system for costume allocation, maintenance, and returns.
- Promoted teamwork among crew members through effective delegation and clear communication of tasks and expectations.
- Assisted in budget management, sourcing cost-effective materials while maintaining quality standards.
- Collaborated with directors to develop wardrobe concepts that aligned with the artistic vision of each production.
- Streamlined communication between departments by maintaining detailed records of wardrobe inventory and usage.
- Conducted routine inspections of costumes for wear-and-tear or damage, promptly addressing any issues before performances.
- Diligently maintained essential sewing equipment, optimizing performance for seamless alterations during show runs.
United HealthcareCanton, OH
Coordination of Benefits Representative
01.2021 - 04.2022
Job overview
- Verified insurance coverage by telephone and online to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities.
- Resolved issues and inquiries from plan participants and medical providers regarding health benefits through email, portal and service forms
- Observed strict procedures to maintain data and plan participant confidentiality.
- Coordinated submission and processing of medical insurance claims.
- Conducted research, gathered information from multiple sources and presented results
United HealthcarePIttsburgh, PA
Claims Representative
04.2018 - 01.2021
Job overview
- Managed large volume of medical claims on daily basis.
- Followed up on potentially fraudulent claims initiated by claims representatives.
- Evaluated accuracy and quality of data entered into agency management system.
- Paid or denied medical claims based upon established claims processing criteria.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Reviewed and processed 30+ member claims each day
UPMCPittsburgh, PA
Operations Analyst
03.2016 - 12.2018
Job overview
- Generated reports of findings to help management with making key decisions.
- Designed and managed medical identification card for all health plan members
- Designed plans to improve operations and suggested changes to systems for overall organization.
- Supported supervisor and associated team members to maintain system functionality
- Assessed and modified operational procedures and tools to achieve optimum quality control.
- Developed written documents for backend update requests
- Completed Executive Summaries for documentation as required
- Supported supervisor and associated team members to maintain system functionality.
Education
SAE School of Audio EngineeringNashville, TN
Diploma from Audio Technology
01.2009 - 01.2010
University Overview
Studied the art of mixing, editing, recording, audio production and postproduction and business
practices. Trained in computer programs such as Peak, Protools, Final cut, and Finale
Slippery Rock UniversitySlippery Rock, PA
Bachelor of Arts from Music
01.2004 - 01.2008
University Overview
Studied facets pertaining to classical music such as music theory, history, conducting and
instruments in an orchestral/ensemble setting. Obtained training in flute performance.
Proficient with PC and Mac / Microsoft Office, Outlook and iWork
Skills
Complaint resolution
Report preparation
Staff education and training
Creative problem solving
Recordkeeping strengths
Medical terminology knowledge
Logistics management
Relationship management
Software
MS Office
Microsoft Teams
CSP Facets
ISET
Mac
Timeline
Provider Account Manager
United Healthcare
04.2022 - Current
Vendor Coordinator
Emerald Mountain Inc/ Land of Oz NC
06.2021 - Current
Coordination of Benefits Representative
United Healthcare
01.2021 - 04.2022
Wardrobe Supervisor
Emerald Mountain Inc/ Land of Oz NC
08.2018 - Current
Claims Representative
United Healthcare
04.2018 - 01.2021
Operations Analyst
UPMC
03.2016 - 12.2018
SAE School of Audio Engineering
Diploma from Audio Technology
01.2009 - 01.2010
Slippery Rock University
Bachelor of Arts from Music
01.2004 - 01.2008