JESSICA HARNETT
Hyde Park,MA
Summary
Detail-oriented and dependable team player with strong organizational skills. With over 10 years experience, I am confident I have the ability to handle multiple projects simultaneously with a high degree of accuracy and positive attitude.
Overview
13
13
years of professional experience
Work History
Benefits and Eligibility Representative
MassHealth
03.2023 - Current
- Obtain and validate demographic and financial information that are listed and not listed on eligibility forms, contact collateral sources of information, and determine the immigrant status.
- Ensure accuracy and completeness with eligibility forms submitted by the members requesting benefits.
- Respond to member inquiries to provide information regarding the eligibility requirements.
- Manage call center incoming calls and respond to customer inquiries via phone, email, and chat.
- Resolve customer complaints and escalate issues to appropriate departments.
- Maintain customer records, update account information, and process orders.
- Schedule appointments with applicants to gather information and explain benefits processes.
- Reconcile MHO case information with information from other agencies and sources to verify continued eligibility for benefits.
- Assist clients with accurate eligibility form, application and document completion.
- Review applications for different aid programs and determine which qualification criteria for individuals.
- Process and certify documents for accuracy and compliance with government regulations.
- Train staff on current eligibility requirements and policies.
- Interview applicants and explain scope of different available benefits.
- Resolve discrepancies with client applications to verify eligibility.
- Assist clients with completion of applications and paperwork.
Patient Service Representative II
Spaulding Rehabilitation Hospital
08.2015 - 03.2023
- Acquire insurance authorizations for services
- Efficiently perform insurance verification and pre-certification/pre-authorization functions
- Work with billing department to ensure patient claims and accounts are accurate
- Manage over 100 incoming and outgoing calls per day
- Maintain detailed administrative and procedural processes to improve accuracy and efficiency
- Update patient accounts and information daily
- Communicate with patients via phone, email and in person to ensure proper follow up with provider
- Complete registration quickly and cordially for all new patients
- Handle and process confidential patient information
- Schedule patient appointments
- Demonstrate knowledge of HIPAA Privacy and Security regulations by appropriately handling patient information
- Took copayments and compiled daily financial records.
- Reviewed and corrected claim errors to facilitate smooth processing.
- Monitor shared portal in-boxes and ensure inquires are addressed
- Assisted and conducted new hire interviews and training
- Explained plans for treatment and payment options.
- Helped address client complaints through timely corrective actions and appropriate referrals.
- Facilitated communication between patients and various departments and staff.
- Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
- Maintained energy and enthusiasm in fast-paced environment.
Appointment Scheduler
Virginia Surgery Associates, P.C.
08.2012 - 08.2015
- Managed incoming and outgoing calls for busy medical office.
- Maintained detailed administrative and procedural processes to improve accuracy and efficiency.
- Updated patient accounts and information on a daily basis.
- Communicated with patients via phone, email and in person to ensure proper follow up with provider.
- Completed registration quickly and cordially for all new patients.
- Handled and processed confidential patient information.
- Acquired insurance authorizations for procedures and tests order by the attending physician.
- Scheduled surgeries and procedures in conjunction with Surgical Coordinator.
- Scheduled patient appointments.
- Provided Administrative support for three physicians.
- Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
- Confirmed patient information, collected copays and verified insurance.
- Consistently informed patients of their financial responsibilities prior to services being rendered.
- Efficiently performed insurance verification and pre-certification as well as pre-authorization functions.
- Monitored shared portal in-boxes and ensured inquiries were addressed.
Administrative Assistant
The Marino Center for Integrative Health
07.2011 - 07.2012
- Treated all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner.
- Recorded and filed patient data and medical records.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Carefully reviewed medical records for accuracy and completion as required by insurance companies.
- Assisted in the maintenance of medical charts and/or electronic medical records (filing, Op Reports, test results, home care forms).
- Prepared prescription refill requests on behalf of the physician.
- Strictly followed all federal and state guidelines for release of information.
- Scheduled patient appointments.
- Completed registration quickly and cordially for all new patients.
- Determined prior authorizations for medication and outpatient procedures.
- monitored shared email in-boxes and ensured inquiries were addressed.
- Provided administrative support for three physicians.
- Scheduled radiology exams for patients.
- Resolved and clarified issues with patients medications and collaborated with local pharmacies.
- Performed qualitative analysis of records to ensure accuracy, internal consistency and correlation of recorded data.
- Researched questions and concerns from providers and provided detailed responses.
Education
High School Diploma - General Studies
Newton South High School
Newton2004
Skills
- Bilingual in Spanish and English
- Insurance eligibility/authorization verification
- Schedule management
- Administrative support
- HIPAA compliance
- Employee training and development
- Microsoft Office, Excel, Type 50 wpm
- First Aid/CPR
- BLS certification
- Appointment Setting
- Patient Information Verification
- Payment Collection
- Spreadsheets
- Office Supply Ordering
- Medical Records Maintenance
- Directing Callers
Timeline
Benefits and Eligibility Representative
MassHealth
03.2023 - Current
Patient Service Representative II
Spaulding Rehabilitation Hospital
08.2015 - 03.2023
Appointment Scheduler
Virginia Surgery Associates, P.C.
08.2012 - 08.2015
Administrative Assistant
The Marino Center for Integrative Health
07.2011 - 07.2012
High School Diploma - General Studies
Newton South High School