Jocylynn Jackson
Grand Prairie
Summary
Resourceful Specialist offering expertise in problem-solving, data analysis and customer service. Adept at quickly learning new technologies and processes for driving success. Proven track record of successfully managing multiple projects and developing innovative solutions.
Overview
10
10
years of professional experience
Work History
Rentenion Specialist
State Farm
01.2019 - Current
- Provide prompt, accurate, and friendly customer service responding to inquiries regarding insurance availability, eligibility, coverages policy changes and billing clarification.
- Establish client relationships and follow up with customers as needed.
- Serve as a retention specialist by avoiding customer cancellations and taking timely payments.
- Work with the agent to establish and meet marketing goals
- Develop leads, schedule appointments, identify customer needs, and market appropriate products and services.
Medical Care Coordinator
Optum Serve
09.2016 - 11.2018
- Review of all inpatient admission to acute care, acute rehabilitation long-term acute care, and skilled nursing facilities utilizing InterQual criteria and TRICARE policy manual for first- level review medical necessity determinations.
- Coordinate patient appointments and scheduling to ensure optimal clinician productivity and customer satisfaction Resolve issues and complaints from both clients and health insurance to ensure quality regulations and policies are being maintained.
- Utilized computers and computer systems (including hardware and software) to program, write software, set up functions, enter data or process information
Pharmacy Care Coordinator
AmerisourceBergen
06.2013 - 07.2016
- Maintained pharmacy authorization documentation used to track and support various populations and pharmacy activities.
- Verified insurance for eligibility and pre-authorizations,medical billing, and claims status.
- Respond accurately, timely, and professionally to all written external and or internal correspondence regarding benefits, eligibility claim payments, denials and/ or explanation of benefits.
Education
High School Diploma -
New Beginnings
Dallas, TX01.2012
Skills
- Attentive To detail
- Type 50 WPM
- Management Skills
- Licensed Insurance Agent
- Problem solving
- Delivering complex information
- Word Audatex, Microsoft Word, Excel, outlook, Pace, Powerpoint, Word Document
Timeline
Rentenion Specialist
State Farm
01.2019 - Current
Medical Care Coordinator
Optum Serve
09.2016 - 11.2018
Pharmacy Care Coordinator
AmerisourceBergen
06.2013 - 07.2016
High School Diploma -
New Beginnings
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