STACIA JACKSON
Wilmington,DE
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Seeking opportunities to expand skills while facilitating company growth. Dedicated Customer Service professional with knowledge of and proven multitasking abilities and committed to maintaining professional relationships with claimants and employers.
Overview
15
15
years of professional experience
Work History
Claims Processor
DELAWARE DEPARTMENT OF LABOR
WILMINGTON, DE
11.2019 - Current
- Processed a high volume of incoming claims in accordance with established policies and procedures.
- Reviewed and verified employment information to assess coverage and determine appropriate claims processing procedures.
- Adhered to all applicable laws, regulations, and company standards while processing claims.
- Researched discrepancies between submitted documentation and actual records to identify errors or omissions.
- Managed escalated customer complaints pertaining to denied or delayed payments in a timely manner.
- Increased customer service success rates by quickly resolving issues.
- Handled customer inquiries and suggestions courteously and professionally.
- Reports were generated and tracked data to monitor operational priorities and scheduling.
Pharmacy Technician
Rite-Aid Pharmacy
Wilmington, DE
01.2015 - 08.2019
- Prepared medications for dispensing by counting, pouring, labeling, and verifying doses.
- Performed data entry for patient profiles, billing information and prescription orders into the pharmacy software system.
- Verified accuracy of medication labels before they were dispensed to customers
Accounts Payable Clerk
Frecenious Vascular Care
Great Valley, PA
01.2014 - 01.2015
- Maintained accounts payable files and records in an organized manner.
- Entered data into accounting system to maintain accurate financial records.
- Monitored accounts receivable aging reports to ensure timely payments.
Medical Biller and Coder
D'Souza & Associates
Hockessin, DE
11.2008 - 07.2013
- Verified accuracy of patient information and insurance data in billing system.
- Resolved denied claims by researching payer requirements and preparing appeals.
- Reconciled accounts receivable to ensure accuracy of payments received.
Education
High School Diploma -
HOWARD HIGH SCHOOL
Wilmington, DE06-1986
Skills
- Medical Terminology Knowledge
- Customer Service
- Insurance Claim Forms Review
- Attention to Detail
- Regulatory Compliance Understanding
- Information Verification
- Claims Processing
- Insurance Coverage Verification
- Organizing and Prioritizing Work
- Proficient in Excel spreadsheet
References
References available upon request.
Timeline
Claims Processor
DELAWARE DEPARTMENT OF LABOR
11.2019 - Current
Pharmacy Technician
Rite-Aid Pharmacy
01.2015 - 08.2019
Accounts Payable Clerk
Frecenious Vascular Care
01.2014 - 01.2015
Medical Biller and Coder
D'Souza & Associates
11.2008 - 07.2013
High School Diploma -
HOWARD HIGH SCHOOL
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