Jolanda Robinson
Tampa,FL
Summary
Accomplished professional with extensive experience in benefits administration, payment posting, and revenue cycle management within the healthcare and behavioral health sectors. Skilled in customer service, claims processing, grievance and appeals management, and team supervision. Recognized for strong analytical abilities, attention to detail, and a commitment to financial integrity. Excels in high-volume, fast-paced environments, leveraging expertise in regulatory compliance, process improvement, and electronic remittance advice (ERA) utilization. A collaborative team player with excellent communication and problem-solving skills, dedicated to optimizing efficiency and enhancing client satisfaction.
Overview
7
7
years of professional experience
Work History
Benefit Specialist
Quest Diagnostics
Tampa, FL
11.2023 - Current
- Provide exceptional customer service to clients, employees, and carrier representatives, resolving benefit-related inquiries.
- Assist employees in understanding and enrolling in health, dental, vision, life, disability, and FSA plans.
- Ensure compliance with federal and state benefits regulations, including COBRA, HIPAA, FMLA, and Section 125.
- Process benefit enrollments, life status changes, and other qualifying events with accuracy.
- Conduct data entry for medical, dental, and prescription benefits, while maintaining up-to-date records.
Benefit Specialist
CoAdvantage
Tampa, FL
01.2022 - 12.2023
- Provided dedicated support for client products and services to both internal and external clients.
- Ensured compliance with benefits-related federal and state laws, including Section 125, COBRA, HIPAA, and FMLA.
- Processed new hire enrollments, life status changes, and court orders with high accuracy.
- Audited benefit enrollments and processed necessary adjustments for clients and employees.
- Assisted in Open Enrollment, ACA compliance, 401(k) compliance testing, and benefits audits.
Sr. Appeals Specialist
WellCare
Tampa, FL
03.2018 - 12.2021
- Processed insurance claim forms, verified documentation, and reviewed for accuracy.
- Maintained up-to-date customer account data, and ensured compliance with HIPAA guidelines.
- Provided high-quality customer service in an inbound call center for billing and insurance inquiries.
- Researched and resolved disputes related to claim payments and eligibility.
- Promoted from Sr. Customer Service Representative to Claims and Appeals Processor.
Education
Associate of Arts - Counseling & Human Services
Hillsborough Community College
Tampa, FL01.2017
Skills
- Customer Service Excellence
- Claims Processing
- Data Analysis
- Documentation
- Appeals & Grievance Management
- Benefits Administration
- Research & Investigation
- Account Management
- Auditing
- Data Entry
Timeline
Benefit Specialist
Quest Diagnostics
11.2023 - Current
Benefit Specialist
CoAdvantage
01.2022 - 12.2023
Sr. Appeals Specialist
WellCare
03.2018 - 12.2021
Associate of Arts - Counseling & Human Services
Hillsborough Community College
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