Renita Jackson
Houston,TX
Summary
Detail-oriented scheduling coordinator with expertise in patient information management, insurance verification, and financial counseling. Committed to enhancing patient experiences and ensuring compliance.
Overview
1
1
Certification
12
12
years of professional experience
Work History
Scheduling Coordinator
Core Primary Case
06.2023 - 03.2026
- Schedule patients' appointments and enter required information in the computer system in an accurate and timely manner.
- Confirmed insurance eligibility and benefits, completing all necessary notifications and authorizations promptly.
- Obtain demographics, insurance and financial information from patient or guarantor. Enters information in computer system with a high degree of accuracy.
- Protected financial integrity of facility by collecting patient liability, establishing payment arrangements, discussing payment options, screening eligibility, and providing comprehensive financial counseling, including charity application review and submission.
- Ensured medical necessity compliance by obtaining data, reviewing compliance systems, and effectively communicating information to patients and guarantors.
- Explain all required forms to the patient or guarantor and obtain the necessary signatures.
- Post payments in the computer system and generate the patient appropriate receipt.
- Communicated effectively and professionally with physicians, care management, ancillary departments, nursing units, physician's office staff, insurance companies, and patients and families.
- Ensured meticulous documentation was completed to maintain high standards of record-keeping.
- Adhere to all universities' policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice.
Insurance Specialist
Anthem
11.2020 - 04.2023
- Processed healthcare claims for providers to ensure timely reimbursement.
- Managed prior authorizations for DME products, facilitating timely access to necessary medical supplies.
- Assisted inbound calls for provider and member services regarding healthcare benefits to ensure accurate information delivery.
- Updated member demographics, assigned primary care physicians, and submitted grievances to enhance member satisfaction and care coordination.
- Familiarized with HMO, PPO, EOP, Medicare and Medicaid health insurance for Texas, California, West Virginia, and five other states.
- Transferred prospects over to the state portal to apply for medical storage.
Customer Service Representative
AT&T
10.2016 - 07.2020
- Accepted inbound calls in the loyalty department regarding customers' active accounts.
- Listened to customers' concerns and developed action plans to ensure satisfaction with outcomes.
- Handled over an average of eighty calls per day, notated accounts thoroughly before the call ended.
- Initiated new services, processed cancellations, and sold AT&T and Direct TV products to meet customer needs.
- Troubleshot DVR systems, Wi-Fi boxes, and phones to resolve minor issues efficiently.
- Collected payments through a secured network and scheduled arrangements.
- Educated customers on AT&T policies, terms, and conditions before setting up new services, or disconnecting services.
Customer Service Representative
First Health
02.2014 - 09.2016
- Conducted outbound calls to residents in New York and surrounding areas to inform them about ending or terminated health insurance coverage.
- Assessed eligibility status for new medical coverage proposals to ensure accurate member onboarding.
- Informed members of various locations across the metroplex for health coverage applications.
- Trained to handle inbound calls for member service. for inbound calls for member service. Educated members on medical benefits, assigned primary care physicians, updated demographics, and sent out new member ID cards.
Education
Undergrad Certicate in Accounting - Accounting
DeVry University
Lisle, IL06-2025
Skills
- Patient scheduling
- Appointment management
- Insurance verification
- Medical compliance
- Documentation accuracy
- Financial counseling
- Client relationship management
- Customer Service
Certification
- Accounting
Timeline
Scheduling Coordinator
Core Primary Case
06.2023 - 03.2026
Insurance Specialist
Anthem
11.2020 - 04.2023
Customer Service Representative
AT&T
10.2016 - 07.2020
Customer Service Representative
First Health
02.2014 - 09.2016
Undergrad Certicate in Accounting - Accounting
DeVry University