Summary
Overview
Work History
Education
Skills
Assessments
Certification
Timeline
Generic

Jomika Thomas

Fresno

Summary

Collaborative leader partners with coworkers to promote engaged, empowering work culture. Documented strengths in building and maintaining relationships with diverse range of stakeholders in dynamic, fast-paced settings.

Overview

17
17
years of professional experience
1
1
Certification

Work History

Insurance Follow-Up Specialist

PFS GROUP
11.2024 - Current
  • Worked with multiple carriers and offered customers best insurance options for specific needs.
  • Coordinated benefits by applying applicable deductibles, co-insurance and out-of-pocket costs.
  • Obtained payments from patients and scanned identification and insurance cards.
  • Utilized knowledge of insurance principles, policies and procedures to make decisions on risk assessment.
  • Responded to patient queries and concerns concerning insurance coverages and deductibles.
  • Called insurance companies to get precertification and other benefits information on behalf of patients.
  • Studied insurance industry changes, remaining up-to-date with latest trends and protocols.
  • Interacted with insurance companies on regular basis, ensuring that patients had adequate coverage for services.
  • Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.

Customer Service Lead

GetixHealth
08.2022 - 09.2024
  • Customer service billing specialist lead
  • Resolved customer service issues using company processes and policies and provided updates to customers.
  • Trained, oversaw, and mentored new team members to strengthen performance and job expertise.
  • Stepped up to assist customer service manager with complaints and issues during times of department short staffing.
  • Reviewed associate performance to identify training needs.
  • Supervised day-to-day customer service operations to provide staff with guidance and drive productivity.
  • Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.

Customer Service Representative Level 3

Van Ausdall & Farrar
06.2017 - 08.2022
  • I started this company as a site manager for a high priority client, I recently moved to Houston, Texas and the job allowed me to work remotely as a customer care representative.
  • Maintained up-to-date knowledge of product and service changes.
  • Responded to customer requests for products, services, and company information.

Customer Service Rep

Anthem blue cross blue shield
06.2013 - 05.2017
  • Current Responds to customer questions via telephone and correspondence regarding insurance benefits, Provider contracts, eligibility and claims. Analyzes problems and provides information/solutions. Operates a PC/image station to obtain and extract information; Documents information, activities and changes in the database. Develop and maintain positive customer relations and coordinates with various functions within the company to ensure customer request and questions are handled appropriately and in a timely. Trained new employees quarterly. Cross-trained and provided back-up for other customer service representatives when needed.
  • Followed-through on all critical inter-departmental escalations to increase customer retention rates.
  • Increased efficiency and performance by monitoring team member productivity and providing feedback.
  • Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.
  • Investigated and resolved customer inquiries and complaints quickly.

Student Loan Collector

Sallie Mae
02.2012 - 06.2013
  • Delivered exceptional customer service on collection calls and maintained calm and professional demeanor.
  • Worked in call center environment handling manual and automatically dialed outbound calls.
  • Documented customer payment interactions and account statuses for future reference.
  • Developed strong relationships with customers to foster timely payments and account resolution.
  • Resolved customer disputes and disagreements through professional, calm communication to find mutually beneficial solutions.

CUSTOMER SERVICE REP

TELEPERFORMANCE
04.2008 - 01.2012
  • Educated customers about billing, payment processing and support policies and procedures.
  • Met customer call guidelines for service levels, handle time and productivity.
  • Delivered prompt service to prioritize customer needs.
  • Provided excellent customer care by responding to requests, assisting with product selection and handling ordering functions.

Education

High School Diploma -

Broad Ripple
Indianapolis, IN
06-2019

Skills

  • Detail-oriented data management
  • Prioritization and scheduling
  • Client support
  • Proficient in English
  • Proficient in HIPAA compliance standards
  • Excel proficiency
  • Data communication expertise
  • Experienced in software utilization
  • CPT coding
  • Medical coding
  • Medical billing
  • Medical collection
  • Customer service
  • Medicare knowledge
  • Strong verbal communication
  • Organizational skills
  • Insurance regulations
  • Medical billing proficiency
  • Insurance verification

Assessments

Call center customer service — Proficient April 2022 Demonstrating customer service skills in a call center setting Full results: Proficient Customer focus & orientation — Proficient April 2022 Responding to customer situations with sensitivity Full results: Proficient Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.

Certification


  • Epic trainer

Timeline

Insurance Follow-Up Specialist

PFS GROUP
11.2024 - Current

Customer Service Lead

GetixHealth
08.2022 - 09.2024

Customer Service Representative Level 3

Van Ausdall & Farrar
06.2017 - 08.2022

Customer Service Rep

Anthem blue cross blue shield
06.2013 - 05.2017

Student Loan Collector

Sallie Mae
02.2012 - 06.2013

CUSTOMER SERVICE REP

TELEPERFORMANCE
04.2008 - 01.2012

High School Diploma -

Broad Ripple

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