Lisa M. Jackson

Assist members with their pharmacy benefit plans and respond to prescription insurance, medication coverage and mail order prescriptions inquiries. Provide members a better understanding of their coverage and options in addition to offering solutions needed to help simplify their health care experience.

Set up and prepared the test site. Checked people in for appointments and directed walk-ins. Instructed patients on the collection of specimen procedures. Resulted and logged Covid-19 rapid PCR tests, in addition to tracked and reported key data points. Participated in training and continued education programs as necessary. Complied with all designated safety policies and procedures in the work area, including the use of personal protective equipment necessary to prevent exposure to potentially infectious agents. Complied with applicable federal, state and local laws and company policies. Maintained all HIPAA standards, adhered to quality assurance procedures and performed other related duties as needed.

Provided guidance, interpretation, and education on customer service inquiries as well as collected patient balances. Documented all actions taken on a patient's account via customer relationship management. Reviewed on-line account history and EOB's to ensure all payers have been billed and to validate the accuracy of payments and adjustments posted. Established reasonable payment plans according to department policies; set up payment arrangements in system and monitored payments for consistency and timeliness. Counseled patients on various local, state and federal agencies, which may be available to assist with funding of health care.

Processed unemployment applications via mail, internet and phone. Verified and updated data as needed. Assisted with unemployment claim inquires, explained rules and guidelines of unemployment compensation. Initiated and processed audits, handled and implemented steps to prevent and resolve overpayments of unemployment benefits. Assisted with the adjudication process in order to determine eligibility of benefits. Assisted claimants with re-employment.

Handled inbound calls in a call center setting. Assisted customers with products and services inquiries. Worked with clients Ticket Master, Pitney Bowes and Marlboro. Resolved issues with orders.