Janelle Mukete
Newnan, GA *****
401-***-**** - ad4pta@r.postjobfree.com - WWW: https://www.linkedin.com/in/jmukete
Professional Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Motivated to maintain efficient work to meet team goals.
Skills
Proficient in English & Haitian Creole: Read, write and speak
Proficient in Microsoft Office
Proficient in Google Applications
7+ years Excellent customer service
Data Entry
ICD 10 coding
Billing
Processing/adjusting claims
Critical & Strategic Thinking
Adaptability and Flexibility
Processing Claims
Healthcare Terminology
Claims Terminology
Team Collaboration
Multitasking Abilities
Case Management
Effective Communication
Assertive
Analytical Skills
Data Collection
Time Management
Attention to Detail
Public Health Knowledge
Proficient in Salesforce
Call Center Experience
Clear verbal & written communication
Individual and Community Advocacy
Relationship Building
Proficient in QuickBook
Payment Processing
Payment Disputes
Client and Community Service
Maintaining Updated Records
Project Planning and Organization
Human Resources
Assignment Management
Schedule Coordination
Problem-Solving
HIPAA Guidelines
Schedule Management
Training Skills
Team building
Record keeping
Supervision and leadership
Quality Assurance
Organization
Project Planning
Troubleshooting
Work History
04/2022 to 07/2023
Human Resources - Contact Tracer
Shutterfly – Remote
Provided education and guidance on isolation protocols, symptoms monitoring, and available resources to individuals diagnosed with COVID–19
100-150 Outbound Calls
Project Planning
Documentation Review
Product indexing
Conduct interviews with Shutterfly employees who have tested positive or have been exposed to someone who has tested positive
Document all interactions and maintain confidentiality of sensitive information in accordance with HIPPA regulations
Submit Paid Sick Leave to payroll
Answering employee inquires
11/2020 to 11/2021
Contact Tracer
Partners In Health – Remote
Provided education and guidance on isolation protocols, symptoms monitoring, and available resources to individuals diagnosed with COVID–19
50-100 Outbound Calls
Conducting interviews with Massachusetts residents who have tested positive or have been exposed to someone who has tested positive
Document all interactions and maintain confidentiality of sensitive information in accordance with HIPPA regulations
Follow up, monitoring persons during quarantine/isolation
06/2015 to 03/2020
Blue Cross Medicare Concierge
Blue Cross Blue Shield RI – Providence, RI
100-150 Incoming & outbound call handling
Manage 50-100 insurance policy accounts daily
Process claims
Work independently and collaboratively in a fast-paced environment
Review policy coverage and interpreted insurance contracts to determine claim eligibility
Maintained accurate records and documentation throughout claim process
Correct billing errors by corresponding with hospitals and doctors office
Pharmacy inquiries
Verify insurance
Answer inquiries by clarifying desired information
Researching, locating, and providing information, explain products and services to new and existing members
Performed Special Projects
Floor Support: Assisting colleagues w/ their cases and live calls
Reviewing ICD codes
Submit & review grievances & appeals
Education
10/2022 - Present
Bachelor of Science: Finance - Undergraduate Studies
Post University - Waterbury, CT
Minor: Healthcare Management
Member of Honors Society
Hobbies and Interests
Volunteer work within my community
Languages
English
Native
Haitian Creole
Bilingual