JESSICA SELLERS

SKILLS

● Data Validation

● Claims and authorization research

● Microsoft Office 2010, 2013 and 365

using Excel, Word, PowerPoint

● Facets and Emdeon

● Google Docs, Sheets, Drive

● Research and Planning

● Over 4 years of Customer Service

experience

● Communication both written and verbal

EXPERIENCE

US Bank March 2023 - September 2023

Intake and Dispatch

● View and capture data from shipping documents

● Ensure documents are scanned in properly, manually enter data into database as needed

● Print and combine copies to be mailed out with original documents from Issuing Bank to Remitting Bank

JND Legal Administration September 2021 - January 2023 Class Action Lawsuit Claims Specialist

● Data validation and entry of class action lawsuit claims into Daybreak database

● Review supporting documents for claim accuracy and validity

● Assembly and verifying ad-hoc report for web domains to ensure client does not have fraudulent websites

GenCon August 2021 - September 2021

Admission Packet Assembly

● Matching admission name badges to be mailed to customers

● QA of admission packets

Cognizant October 2016 - February 2017

Claims Processor

● Data validation to ensure data matches from Softheon to UMV

● Logging production data into excel

Triwest Healthcare Alliance January - May 2016

Administrative Assistant

● Claims research and repricing

● Track and report team production numbers

● Enter incoming OHI (Other Health Insurance) surveys into CRM

● Process inter-office and incoming mail for claims department, route mail to correct department

● Log Congressional issues emails into excel spreadsheet to be assigned and worked

● Pull EOB’s and Remits from Emdeon

● Look up Medical claims in Facets, to gather information and resolve claim issues

● Complete special projects as assigned

● Data entry into CRM and Excel spreadsheets

CVS Caremark July 2015 – November 2015

Print Validation

● Review outgoing Medicare Part D letters for various events such as enrollment to ensure accuracy

● Review outgoing Annual Notice of Change Packets for completeness and accuracy

● Review Templates for various letters for placement errors, grammatical errors, and any other errors

● Communicate with lead to have letters destroyed if errors are found to maintain CMS Star ratings, guidelines, and member satisfaction

● Communicate and meet with team members and leads to keep all processes up to date and improve when necessary to maintain department metrics

● Data entry into excel spreadsheets to track department metrics Viridian Health Management April 2013 - July 2015

Data Management Coordinator

● Reporting: Aggregate, Ad-Hoc, development of custom reporting

● Data Validation

● Utilization of CRM to assist in managing client programs including incentive tracking, reporting and documenting outcomes for worksite health and diabetes prevention programs.

● Organize multiple projects meeting client needs and specifications by deadlines

● Coordinate with other departments to complete large projects seamlessly in timely manner

● Train others on how to use CRM

● Trained on how to file claims through clearing house

● Assisting in Claims department by verifying participant eligibility

● HIPAA Compliant

● Other duties as assigned

● Account Management

● Direct point of contact responsible for deliverables i.e. Client Reports

● Marketing

● Development of marketing materials including content for sales and client use Walmart September 2010 - March 2012

Deli Sales Clerk

● Utilize customer service and phone etiquette to provide a fast and enjoyable experience for customers to promote sales and return clientele

● Quickly take customer orders, Data Entry

● prepare hot foods, slice meats and cheeses, subs-sandwiches, and party trays

● Clean and sanitize all equipment to Health Department and K-Chemical standards Wet N’ Wild June - September 2010

Food Server/Cashier

● Work with a team to take orders and serve food in a fast and efficient manner

● Prepare made to order Sub-sandwiches to customers specifications

● Ring up food items in fast paced, high traffic environment EDUCATION January - December 2009

Arizona School of Massage Therapy

● Professional Massage Therapy Program

● 815.5 Total Hours

● Accet Accredited

● 3.76 GPA

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