Jocling Kefale
Dallas,GA
Summary
Self-motivated Benefits Specialist demonstrating superior understanding of Insurance benefits. Astute professional providing benefits support in fast-paced corporate setting. With 5+ years of experience and working remotely.
Overview
19
19
years of professional experience
Work History
Benefits Verification Specialist
Continuum Global Solutions
09.2022 - 05.2024
- Expedited appeals process for denied claims through meticulous preparation of supporting documentation and adherence to timelines.
- Assisted clients with resolving complex benefits issues, improving overall customer satisfaction.
CSR/Nursing Coordinator
Verdia
09.2019 - 03.2022
- Increased patient satisfaction scores with personalized care plans tailored to individual needs.
- Evaluated and monitored care and services throughout shift to improve quality levels.
CNA
PHS Staffing
01.2012 - 12.2012
- Assisted patients with daily living activities, promoting independence and dignity.
CNA
Maxim
10.2010 - 09.2012
- Assisted patients with daily living activities, promoting independence and dignity.
CNA
TLC Care Center
06.2010 - 10.2010
- Assisted patients with daily living activities, promoting independence and dignity.
CNA
Harmon Medical and Rehab Hospital
10.2009 - 06.2010
- Assisted patients with daily living activities, promoting independence and dignity.
Residential Advisor
Sierra Nevada Job Corps Center
03.2007 - 11.2007
- Established consistent relationships with students to maintain professional boundaries.
Customer Service Representative
Innotrac
07.2005 - 11.2005
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
Medical Records Assistant
Hearthstone of Northern Nevada
03.2005 - 08.2005
- Performed thorough quality checks on incoming records, ensuring proper filing and organization within the system.
Education
ASSOCIATE - Health Administration
University of Phoenix
Tempe, AZ10.2010
High School Diploma -
SIERRA NEVADA HIGH SCHOOL
SPARKS, NV01.2005
Skills
- Accuracy and Precision
- Healthcare regulations
- Policy Interpretation
- Benefits Explanation
- Multitasking
- Excellent Communication
Additional Information
Google Drive, Google Sheets, AVI Mark, Microsoft Office (Word, Excel, PowerPoint), Outlook, Teams, Zoom, Skype, ISP, SMG 360, TalkDesk, LYFT Concierge App, Community, Insight, Sharepoint, Shoretel, ADP, GA Medicaid, LA Medicaid, Simple Think, Filtering, Project Management, Multi-tasking capabilities, Flexibility, Interpersonal skills, Efficiency, friendly and professional, computer literate, ability to operate office equipment, Strong organizational skills, Strong attention to detail, ICD 10 codes
REFERENCES
Provided upon request.
Timeline
Benefits Verification Specialist
Continuum Global Solutions
09.2022 - 05.2024
CSR/Nursing Coordinator
Verdia
09.2019 - 03.2022
CNA
PHS Staffing
01.2012 - 12.2012
CNA
Maxim
10.2010 - 09.2012
CNA
TLC Care Center
06.2010 - 10.2010
CNA
Harmon Medical and Rehab Hospital
10.2009 - 06.2010
Residential Advisor
Sierra Nevada Job Corps Center
03.2007 - 11.2007
Customer Service Representative
Innotrac
07.2005 - 11.2005
Medical Records Assistant
Hearthstone of Northern Nevada
03.2005 - 08.2005
ASSOCIATE - Health Administration
University of Phoenix
High School Diploma -
SIERRA NEVADA HIGH SCHOOL
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