Petrina Jackson
Elgin,SC
Summary
Experienced healthcare and insurance operations professional with 8+ years of experience across claims support, fraud analysis, medical customer service, data entry, and licensed insurance sales. Skilled in managing high-volume data environments, ensuring data accuracy, supporting claims and enrollment processes, and resolving discrepancies in HIPAA-regulated systems. Proven ability to lead workflow tasks, support team operations, and deliver accurate results under strict compliance and productivity standards.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Licensed Insurance Agent
EHealth
- Assisted clients with selecting appropriate insurance plans based on needs and eligibility
- Verified member information and ensured accurate enrollment documentation
- Maintained compliance with state and federal insurance regulations
CNA (Certified Nursing Assistant)
Opus CNA
11.2024 - 01.2026
- Provided direct patient care including daily living assistance and vital monitoring
- Documented patient information accurately in medical records systems
- Collaborated with nursing staff to ensure quality patient care and safety compliance
Team Lead | Data Entry
EHealth
07.2024 - 01.2026
- Led daily data entry operations ensuring accurate processing of insurance and member data
- Reviewed team submissions for errors, completeness, and compliance with internal standards
- Assisted in training and onboarding new data entry associates
- Managed workflow distribution to maintain productivity and meet deadlines
- Resolved escalated data discrepancies and supported quality assurance efforts
Medical Assistant
Medical University of South Carolina (MUSC)
12.2023 - 05.2024
- Assisted providers with patient intake, documentation, and clinical support tasks
- Maintained accurate electronic health records (EHR) data entry
- Supported clinical workflow efficiency and patient scheduling operations
Licensed Insurance Agent
Teleperformance
10.2023 - 12.2023
- Provided insurance education and policy enrollment support to customers
- Verified eligibility and completed enrollment documentation accurately
- Delivered high-volume customer service in a fast-paced call center environment
Fraud Analyst
TSYS
06.2022 - 09.2023
- Investigated suspicious financial transactions and identified potential fraud patterns
- Analyzed structured transaction data to detect anomalies and risk indicators
- Documented findings and escalated confirmed fraud cases according to protocol
- Supported compliance with financial security and regulatory standards
CNA (Certified Nursing Assistant)
Lexington Medical Center
01.2022 - 07.2022
- Assisted patients with daily care activities and monitored health status
- Recorded patient data and reported changes to nursing staff
- Maintained patient safety and infection control standards
Licensed Insurance Agent
Bloom Insurance
06.2021 - 04.2022
- Sold and serviced insurance policies including health and supplemental plans
- Assisted clients with claims questions and policy updates
- Ensured compliance with licensing regulations and company procedures
CNA (Certified Nursing Assistant)
PruittHealth
01.2021 - 10.2021
- Provided hands-on patient care in long-term care setting
- Supported nursing staff with documentation and patient monitoring
- Ensured resident comfort, safety, and daily care needs were met
Customer Service Representative
Anthem Insurance
08.2017 - 11.2020
- Assisted members with benefits, claims status, and eligibility questions
- Maintained accurate documentation of customer interactions
- Resolved billing and coverage issues in accordance with policy guidelines
- Supported high-volume inbound call operations in a regulated environment
Medical Debt Collector
Receivable Solutions
09.2016 - 08.2017
- Contacted patients regarding outstanding medical balances
- Negotiated payment arrangements and documented account activity
- Maintained compliance with FDCPA and healthcare billing regulations
Education
High School Diploma -
Fairfield Central High School
Winnsboro, SC06-2013
Skills
- Claims & Enrollment Data Processing
- Healthcare Data Entry & Validation
- Fraud Detection & Investigation Support
- Medicare / Medicaid Systems
- HIPAA Compliance
- Insurance Sales & Licensing
- Customer Service & Member Support
- Medical Records & Administrative Support
- High-Volume Work Queue Management
- Team Support & Task Coordination
- Client account management
- Client relationship management
- Insurance product expertise
- Insurance sales expertise
- Client retention
- Accuracy and attention to detail
- Deadline oriented
- Task delegation
- Error detection
- Data validation
- Data entry software proficiency
- Microsoft Excel
- Deadline management
- Typing speed
- Customer service
- Prescription processing
- HIPAA compliance
- Patient confidentiality
- Accurate data entry
- Time management
- Patient care
- Compassion and empathy
- Attention to detail
- Clinical documentation
- Medication administration
Certification
- Licensed Health Insurance Agent
- CNA
- Pharmacy Technician
Timeline
CNA (Certified Nursing Assistant)
Opus CNA
11.2024 - 01.2026
Team Lead | Data Entry
EHealth
07.2024 - 01.2026
Medical Assistant
Medical University of South Carolina (MUSC)
12.2023 - 05.2024
Licensed Insurance Agent
Teleperformance
10.2023 - 12.2023
Fraud Analyst
TSYS
06.2022 - 09.2023
CNA (Certified Nursing Assistant)
Lexington Medical Center
01.2022 - 07.2022
Licensed Insurance Agent
Bloom Insurance
06.2021 - 04.2022
CNA (Certified Nursing Assistant)
PruittHealth
01.2021 - 10.2021
Customer Service Representative
Anthem Insurance
08.2017 - 11.2020
Medical Debt Collector
Receivable Solutions
09.2016 - 08.2017
Licensed Insurance Agent
EHealth
High School Diploma -
Fairfield Central High School