JORDAN OCASIO
Philadelphia,Pa
Summary
Dedicated professional experienced in enhancing organizational brands through consistent practices and effective communication. Demonstrated adaptability under pressure while proactively addressing challenges. Committed to contributing to team success and achieving organizational goals.
Overview
1
1
Certification
9
9
years of professional experience
Work History
Patient service associate II
Jefferson
Jenkintown, Pennsylvania
09.2025 - Current
- Reviewed prior authorization requests for healthcare benefits accuracy.
- Verified member eligibility and plan coverage details.
- Collected clinical documentation for medical necessity review.
- Communicated with providers regarding missing authorization information.
- Updated authorization records in payer systems and work queues.
- Maintained compliant documentation across prior authorization workflows.
- Reviewed prior authorization requests to ensure accuracy and completeness of required information.
- Scheduled peer to peer reviews for physicians to discuss medical necessity with insurance providers.
- Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.
- Notified ordering providers of denied authorizations.
- Maintained accurate records of all authorization activities in the database system.
- Responded promptly to inquiries from providers, patients and payers regarding status of prior authorization requests.
- Provided guidance to providers regarding the prior authorization process.
- Provided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills.
- Maintained files for referral and insurance information, entering referrals into system.
- Identified reasons behind denied claims and worked closely with insurance carriers to promote resolutions.
- Assisted healthcare providers with appeals for denied authorizations, including gathering additional information and documentation.
- Trained new staff on prior authorization procedures and company policies.
- Analyzed trends in authorization denials and reported findings to management for quality improvement initiatives.
- Responded to patient calls, facilitating communication and support for healthcare needs. and routed messages to Jefferson clinical teams.
- Verified insurance coverage and updated patient records in Jefferson systems.
- Scheduled appointments and coordinated referrals for Jefferson patients.
- Welcomed patients and provided initial assistance to ensure smooth check-in., determined purpose of visit and directed to appropriate staff.
- Transmitted medical records and other correspondence by mail, e-mail, or fax.
- Answered telephones and directed calls to appropriate medical or administrative staff.
- Adhered to HIPAA requirements to safeguard patient confidentiality.
- Assisted with patient check-in and registration by verifying insurance coverage, collecting co-payments, and scheduling follow-up appointments.
- Processed referrals from primary care providers or other specialists according to established protocols.
- Coordinated prior authorization with insurance carriers and clinical staff.
- Communicated referral status to patients and provider offices.
- Communicated regularly with referring physicians, nurses, case managers, social workers, and other healthcare professionals regarding referral processes and requirements.
- Provided support to patients regarding insurance inquiries and referral clarifications. in understanding their insurance coverage and answered questions about referrals, authorizations, and other related issues.
Shift Lead
Best Buy
Willow Grove, PA
09.2022 - 03.2025
- Monitored sales performance, implementing strategies that met sales targets
- Supervised daily operations, ensuring smooth workflow and effective team collaboration during shifts
- Handle customer matters and resolve issues efficiently to maintain high levels of customer satisfaction
- Managed cash handling and transactions, ensuring accuracy and maintaining accountability
- Coordinate with sales team on efficiency and store goals.
- Executed store opening and closing procedures to ensure operational readiness
- Ensure the store is clean, organized, and visually appealing
Patient Service Associate
Jefferson
Jenkintown, Pennsylvania
03.2025 - 09.2025
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Checked patients in and out using Jefferson front desk workflows.
- Registered patients in Jefferson scheduling systems and verified demographic information.
- Scheduled appointments and coordinated referrals for Jefferson patients.
- Collected copays and processed patient payments at Jefferson service desks.
- Answered patient calls and routed messages to Jefferson clinical teams.
- Verified insurance coverage and updated patient records in Jefferson systems.
- Supported patients with forms, directions, and visit preparation at Jefferson.
- Maintained accurate records and protected patient information under Jefferson guidelines.
- Communicated with patients with compassion while keeping medical information private.
- Performed administrative duties such as filing medical records, completing paperwork, and updating patient databases.
- Transmitted medical records and other correspondence by mail, e-mail, or fax.
- Routed laboratory or diagnostic results to appropriate staff.
- Contributed innovative ideas and solutions to enhance team performance and outcomes.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services
- Completed day-to-day duties accurately and efficiently.
Externship
Lab Corp
Fairless Hills, PA
05.2024 - 06.2024
- Acquired hands-on experience through 120 hours of onsite training in a healthcare setting.
- Ensured cleanliness and organization of work environment to uphold safety and infection control standards
- Performed successful venipunctures independently and safely in a clinical setting
- Assisted in processing and preparing blood and urine samples for laboratory analysis
- Followed proper protocols for specimen collection, handling, labeling, and packing
- Supported processing and preparation of blood and urine samples for laboratory analysis, contributing to accurate test results
- Exhibited professionalism and empathy during patient interactions to enhance patient experience
- Demonstrated professionalism and empathy when interacting with patients
Supervisor
Tina's Cleaning Service
Wildwood, NJ
06.2017 - 05.2024
- Provided excellent customer service by addressing any client concerns and ensuring satisfaction with cleaning services.
- Oversaw cleaning supplies and equipment, tracked inventory and replenished stock.
- Addressed client concerns promptly, enhancing satisfaction and fostering positive relationships through excellent customer service.
- Assisted in training new staff members on proper cleaning procedures
- Maintained detailed records of cleaning schedules and completed tasks to support accountability and operational transparency.
- Performed thorough cleaning and sanitation of various condominiums, ensuring high standards of cleanliness
Sales associate
Primark
Willow Grove, PA
04.2021 - 07.2021
- Assisted coworkers in completing tasks efficiently to meet deadlines
- Stocked shelves, organized products, and labeled prices to enhance shopping experience
- Contributed to sales initiatives by collaborating with team members to develop strategies.
Brand Representative
Hollister
Willow Grove, PA
07.2020 - 03.2021
- Delivered exceptional customer service to enhance customer experience
- Operated registers for efficient customer transactions
- Utilized the registers to check people out
- Responded to phone inquiries from customers, providing information and assistance. and customer orders
Education
Certificate - Phlebotomy
Bucks County Community College
Newtown, PASkills
- Prior authorization/Referral knowledge
- Insurance verification
- Healthcare
- Epic systems
- Attention to detail
- Time management
- Multitasking
- Prioritization
- Communication
- Customer service
- Teamwork
- Adaptability
- Phone reception
- Medical Terminology
Certification
CPR/AED
Timeline
Patient service associate II
Jefferson
09.2025 - Current
Patient Service Associate
Jefferson
03.2025 - 09.2025
Externship
Lab Corp
05.2024 - 06.2024
Shift Lead
Best Buy
09.2022 - 03.2025
Sales associate
Primark
04.2021 - 07.2021
Brand Representative
Hollister
07.2020 - 03.2021
Supervisor
Tina's Cleaning Service
06.2017 - 05.2024
Certificate - Phlebotomy
Bucks County Community College