Joselyn Jones
Port St. Lucie,FL
Summary
Conscientious individual with solid work ethic and methodical approach to tasks, skilled at supporting efficient clinic operations through accurate patient scheduling, record-keeping, and inventory management. Efficient in assisting medical staff with patient care, ensuring quick and error-free completion of tasks, and maintaining clean and organized work environment, contributing to smooth functioning of clinic.
Professional with strong background in customer interactions and service solutions. Highly skilled in conflict resolution, communication, and problem-solving, ensuring customer satisfaction and loyalty. Effective team collaborator, adaptable to changing needs, and consistently focused on achieving results through efficient and empathetic service. Known for reliability and proactive approach to meeting customer and organizational goals.
Overview
9
9
years of professional experience
Work History
Customer Service Representative
United health Group- Optum Government Solutions
05.2025 - Current
- Assist providers with enrollment questions, claims status, member eligibility, and prior authorizations.
- Case review- solved and closed cases needing escalation.
- Callback to providers who need further assistance on outstanding issues.
- Assist with new hires during nesting stage to provide accurate information.
- Accurate claim processing and detail EOB reading.
- Subject matter expert for Claims and Provider enrollment.
- Lead line/escalation calls.
WIC Clinic Assistant
Health and Hospital corporation of Marion County
Indianapolis, IN
05.2024 - 05.2025
- Assist clients with intake.
- Scheduling appointments.
- WIC benefits.
- Call voicemails back to assist missed callers.
Customer Experience Representative
Lowe's Home Improvement
Indianapolis, IN
02.2020 - 03.2024
- Assist customers with scheduling appointments to get appliances repaired.
- Advise customers of order status and tracking information.
- Except feedback and complaints from customers.
- Communicated directly with stores in regards to customers deliveries and orders.
Customer Service Representative
Anthem, Inc.
Indianapolis, IN
01.2019 - 11.2019
- Assisted members with their health insurance plan.
- Medicaid verification.
- Benefit verification.
- Processing Payments.
- Processing Claims.
- Assisted providers with claims and benefits for members.
Patient Access Representative
St Vincent Primary Care Center
02.2018 - 01.2019
- Pediatric Front Desk.
- Checking clients in for appointments.
- Verifying insurance.
- Working closely with Doctors.
- Medical records.
Customer Service Representative Lead
RCI
Carmel, IN
01.2017 - 01.2018
- Outbound calls to connect with clients and provide assistance searching and booking possible vacations.
- Inbound calls receiving calls in high altitude to assist members with their accounts.
- Always multitasking in a high intensity workplace between different systems.
Education
High School -
Franklin Central High School
Indiana05-2017
High School - undefined
Roncalli High School
Indiana02-2015
Skills
- Customer service
- Active listening
- Critical thinking
- Data entry
- Problem resolution
- Call center experience
- Computer proficiency
- Conflict resolution
- Complaint handling
- Complaint resolution
- Call center operations
- Follow-up skills
- Call management
- Team development
- Data collection
- Staff training
- De-escalation techniques
- Research
- Escalation management
- Lead generation
- Claims investigation
- Insurance claims review
- Documentation review
- Claims processing
- Attention to detail
- Claims adjustment
- Documentation processing
- Insurance coverage verification
- Denied claims identification
- Payment and investigation escalations
- Medical terminology
Personal Information
- Work Permit: Authorized to work in the US for any employer
- Visa Status: Authorized to work in the US for any employer
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Customer Service Representative
United health Group- Optum Government Solutions
05.2025 - Current
WIC Clinic Assistant
Health and Hospital corporation of Marion County
05.2024 - 05.2025
Customer Experience Representative
Lowe's Home Improvement
02.2020 - 03.2024
Customer Service Representative
Anthem, Inc.
01.2019 - 11.2019
Patient Access Representative
St Vincent Primary Care Center
02.2018 - 01.2019
Customer Service Representative Lead
RCI
01.2017 - 01.2018
High School - undefined
Roncalli High School
High School -
Franklin Central High School