Jovonne Wilson
Monroe,LA
Summary
To seek and maintain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
16
16
years of professional experience
Work History
Medicaid Analyst
State Of Louisiana
Monroe , LA
09.2019 - Current
- Conducts interviews with clients and makes other necessary collateral contacts for verification in determining eligibility for Medicaid Programs.
- Examines application packets for timeliness, completeness, and appropriateness prior to authorization of reimbursement.
- Makes decisions on complex eligibility factors and determines the level of benefits for federal and state funded programs as a result of the rolldown procedure.
- Interprets and applies complex federal, state, and agency policies for each program.
- Conducts special investigations and compiles reports concerning fraud and location of absent parents.
- Counsels and refers potentially eligible recipients or applicants to other agencies.
- Contacts individuals, companies, businesses, local, state and federal agencies as needed to obtain or to verify information.
- Records findings, recommendations, and services provided; completes case record forms and necessary correspondence in connection with assigned cases.
LOAN COLLECTION REPRESENTATIVE
Coast Professional Inc.
West Monroe , Louisiana
08.2018 - 09.2019
- Deployed automated system tracking and skip tracing to locate hard-to-find, re-located customers.
- Processed debtor payments and updated accounts to reflect new balance.
- Advised customers of alternative actions and strategies for debt repayment and attempted to avoid adversarial communications.
- Entered client details and notes into system for interdepartmental access and review.
- Worked with customer to create debt repayment plan based on current financial condition.
Customer Service Representative
Vantage Health Plan, Inc.
Monroe, LA
02.2016 - 07.2018
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Offered advice and assistance to customers, paying attention to special needs or wants.
- Cultivated customer loyalty, promoted repeat customers and improved sales.
- Improved customer satisfaction ratings by addressing issues and fostering timely resolution.
- Answered all member calls and inquiries
- Insured callers are answered accurately and efficiently in allotted time frame
- Documented call specifics in Call Tracking module
- Responded to member and provider inquiries via email request with same day turn-around
- Completed weekly breakdown of member, provider, and/or broker inquiry calls for auditing purposes
- Reviewed weekly audits and provided to the member service representative by the member service auditor
- Efficiently and accurately gathered and inputted patient/guarantor demographic and financial information; explained insurance benefits and informed of co-pays, deductibles and self-pay portions due •
- Researched prescription drug issues
- Assisted daily walk-in's
Operations Associate
JPMorgan Chase
Monroe, LA
08.2009 - 01.2016
- Reviewed loans for accuracy and forwarded for processing
- Scanned loans into WinCMSS software and routed to several locations as needed
- Generated reports to check loans for errors before being forwarded to Quality Review
- Assisted with updating and requesting archived files from Iron Mountain • Extensive Research on dated request
- Employee addendums
- Performed extensive research on dated loan request
- Responsible for coordinating meetings with our offsite storage facility and process improvements
- Retrieved Foreclosure and Bankruptcy files from Attorneys
Education
No Degree - Accountant
Grand Canyon University
Phoenix, AZNo Degree - Vocal Music Education
University of Louisiana At Monroe
Monroe, LACertification - Phlebotomy
Unitech Training Academy - Lafayette
West Monroe, LA07.2009
Skills
- Effective communication skills
- Documentation and paperwork
- Program knowledge
- Application Review
- Multitasking Abilities
- Customer Service
- Team building
- Data Entry
- Flexible and Adaptable
- Conflict Resolution
- Good Telephone Etiquette
- Problem-Solving
Timeline
Medicaid Analyst
State Of Louisiana
09.2019 - Current
LOAN COLLECTION REPRESENTATIVE
Coast Professional Inc.
08.2018 - 09.2019
Customer Service Representative
Vantage Health Plan, Inc.
02.2016 - 07.2018
Operations Associate
JPMorgan Chase
08.2009 - 01.2016
No Degree - Accountant
Grand Canyon University
No Degree - Vocal Music Education
University of Louisiana At Monroe
Certification - Phlebotomy
Unitech Training Academy - Lafayette
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