Jhazmine Hunter
Columbus,GA
Summary
Detail-oriented professional with a robust background in customer service, administration, and healthcare operations. Proven track record in managing sensitive information and maintaining confidentiality while collaborating effectively with diverse teams. Skilled in streamlining workflows and resolving complex issues, with a focus on enhancing communication among stakeholders. Aspiring to contribute to Human Resources by utilizing organizational and interpersonal skills to boost employee engagement and improve recruitment processes.
Overview
8
8
years of professional experience
Work History
Authorization Specialist
AdventHealth
12.2023 - Current
- Process and verify authorizations for medical services to ensure timely approvals
- Coordinate with insurance providers, physicians, and patients to gather necessary documentation
- Maintain compliance with healthcare regulations and company policies
- Analyze patient accounts to prevent authorization denials and billing errors
- Provide excellent customer service by assisting patients with insurance and authorization inquiries
- Collaborate with internal departments to streamline workflow and improve efficiency
Sr Customer Service Representative
United Healthcare
08.2022 - 12.2023
- Company Overview: Student Resources
- Provided exceptional service to both internal and external clientele.
- Facilitated resolution of questions related to claims, eligibility, and enrollment processes.
- Provided support for member services in claims resolution.
- Contributed to planning, organization, and completion of CSR Notes efforts alongside handling data breaches.
- Executed efficient handling of all calls while addressing student concerns with accuracy.
- Systematically address issues using solid business judgment.
- Implemented efficient communication strategies during exchanges with service providers and consumers.
- Guided students on account navigation to foster their self-sufficiency.
- Suggested customer service strategies to optimize team performance.
- Ensured precise and prompt documentation of phone call interactions.
Patient Accounts Specialist I
Orlando Health
Orlando, USA
01.2022 - 08.2022
- Company Overview: Orlando, FL
- Managed patient billing accounts with accuracy.
- Evaluated patient payment capacity and identified suitable financial solutions.
- Facilitated resolution of concerns through communication with payers and patients.
- Ensured accurate claim submissions by proactively addressing and correcting reported errors.
- Managed system work queues using electronic payer error reports to address DNB and claim edits.
Referral Specialist
Orlando Health
Orlando, USA
04.2021 - 01.2022
- Company Overview: Orlando, FL
- Ensured comprehension of medical prerequisites throughout the screening phase.
- Ensured familiarity with necessary ICD-9 and CPT codes.
- Maintained professional communication standards consistently.
- Maintained daily schedule reviews, ensuring all alterations were conveyed to the team.
Unit Secretary
Orlando Health
Orlando, USA
11.2019 - 04.2021
- Company Overview: Orlando, FL
- Welcomed and guided visitors, staff and others courteously.
- Processed physicians' orders efficiently, precisely and thoroughly according to policy/procedures.
- Managed inbound calls and efficiently redirected to appropriate recipients.
- Executed data entry tasks, assembling and compiling medical records.
Guest Services Representative
Orlando Health
Orlando, USA
02.2019 - 11.2019
- Company Overview: Orlando, FL
- Accompanied guests to required hospital areas.
- Kept up-to-date with hospital personnel departments and their locations.
- Handled inquiries and requests from guests and team members via phone or in person.
Nutritional Services Attendant
AdventHealth Apopka
Apopka, USA
03.2017 - 02.2019
- Company Overview: Apopka, FL
- Ensured timely delivery of patient meal trays.
- Demonstrated exceptional professionalism in all interactions.
- Demonstrated strong communication skills through diverse channels.
Education
Bachelor of Arts - Major in Interdisciplinary Studies, Minor in Health Services Administration
University of Central Florida
Orlando, FL05.2020
Associates of Arts - in Psychology
Seminole State College
Sanford, FL05.2017
Skills
- Confidentiality
- Analytical skills
- Team player
- Multi-tasking
- Ability to work under pressure
- Proficient in Microsoft Word
- Insurance verification
- Prior authorization processing
- HIPAA compliance
- Effective communication skills
- Proficient in Microsoft PowerPoint
- Proficient in Microsoft Excel
Timeline
Authorization Specialist
AdventHealth
12.2023 - Current
Sr Customer Service Representative
United Healthcare
08.2022 - 12.2023
Patient Accounts Specialist I
Orlando Health
01.2022 - 08.2022
Referral Specialist
Orlando Health
04.2021 - 01.2022
Unit Secretary
Orlando Health
11.2019 - 04.2021
Guest Services Representative
Orlando Health
02.2019 - 11.2019
Nutritional Services Attendant
AdventHealth Apopka
03.2017 - 02.2019
Bachelor of Arts - Major in Interdisciplinary Studies, Minor in Health Services Administration
University of Central Florida
Associates of Arts - in Psychology
Seminole State College