JESSICA COPELAND

*** **** ****** ****

Tallahassee, FL 32301

ad4pqo@r.postjobfree.com

SUMMARY

•Knowledge of data processing terminology, procedures, and workflow.

•Encompasses superb customer service skills.

•Experience working with graphic designs, spreadsheets, and word processing.

•Strong secretarial skills that include answering multi-line telephone systems.

•Proficient in Word, Excel, PowerPoint, Adobe, Access, and Outlook.

•Strong ability to interpret laws, rules, policies, and/or regulations.

•Strong ability to work in large/ diverse group settings. Strong problem-resolution skills.

EMPLOYMENT

Dr. Shaun Laurie MD, Tallahassee, FL 10/2022 - Present

Front Desk Receptionist

•Greeting and checking in patients, verifying their information is accurate and up to date.

•Answering phone calls and directing them to the appropriate staff member or department.

•Scheduling appointments and optimizing the provider schedule.

•Assisting medical staff with administrative tasks and following HIPAA regulations.

•Maintaining the front office lobby area to ensure patients are seen in a clean and safe environment.

•Using scheduling programs, email, medical office software, databases, data entry and billing

Tidal Basin, Tallahassee, FL 04/2021- 08/2022

Eligibility Specialist

•Assist families and individuals with financial resources for public assistance.

•Knowledge of department programs and operations through the Our Florida Program.

•Ability to handle confidential/sensitive client information.

•Conducts case analysis to ensure program integrity and compliance.

•Collects, informs and reviews various verification and documentation to ensure accurate eligibility determinations.

•Prepare reports regarding eligibility determination results.

•Determining eligibility for government or private aid programs based on income levels, household composition, assets owned, and debts owed.

•Review applications for errors or inconsistencies to process payments including checks and Ach Deposits.

•Communicate with tenants and Landlords over the phone and in person to ensure they receive the correct information and that payments are processed correctly.

Big Bend Care, Tallahassee, FL 08/2021 - 04/2021

Case Manager

•Ensured the completion of the required intake procedures per the Dept. of Health’s HIV/AIDS case management standards and guidelines.

•Assesses the need for internal and external support systems.

•Ensured the linkage of clients with needed programs.

•Monitored follow-through on referrals and appointments.

•Have a thorough knowledge and understanding of the Client’s Rights and Responsibilities as well as all client procedures.

•Advocated on the client’s behalf in accessing needed services.

•Recommended changes in case management policies and procedures.

•Completes pre-intakes as required.

•Maintained and reported caseload data as requested.

Automated Health Systems, Tallahassee, FL 01/2020 –08/2020

Eligibility Specialist

•Responded to member, provider and other inquires via telephone, correspondence or lobby walk-in while meeting all corporate guidelines and performance standards.

•Recorded, investigated, and resolved member complaints as detailed in the Grievance Procedure narrative.

•Assisted in the knowledge of new members and in the reeducation of existing members regarding health plan procedures.

•Logged, tracked, and appropriately documented all issues utilizing on-line systems and procedures, and in accordance with all applicable guidelines and requirements.

•Filed complaints through AHCA to disenroll out of the Florida Medicaid Program.

•Handled a high and intense number of incoming calls in a timely manner.

•Assisted multiple customers per day in a call center setting while providing successful solutions.

•Enroll and complete Medical Plan Changes for qualified Medicaid members.

•Provide quality customer service and support during each call.

Encompass Health, Tallahassee, FL 01/2019 -12/2019

CNA

•Checked patients’ pulse, temperature, and respiration

•Provided patients with help moving in and out of beds, baths, wheelchairs, and/or automobiles

•Assisted with dressing, grooming, and personal care

•Cared for patients by changing bed linens, and washing and ironing laundry

•Entertained, converse with, or read aloud to patients to keep them mentally healthy and alert

•Administered prescribed oral medications under the written direction of physicians, or as directed by home care nurse or aid, as well as ensured that the medicines were taken

•Provided transportation, assistance, and companionship while accompanying patients to doctors' visits, or on other trips outside of the home.

Moffitt Cancer Center, Tampa, FL 02/2018 –11/2018 Eligibility Specialist

•Responded to member, provider and other inquires via telephone, correspondence or lobby walk-in while meeting all corporate guidelines and performance standards

•Recorded, investigated, and resolved member complaints as detailed in the Grievance Procedure narrative.

•Assisted in the knowledge of new members and in the reeducation of existing members regarding health plan procedures

•Logged, tracked, and appropriately documented all issues utilizing on-line systems and procedures, and in accordance with all applicable guidelines and requirements

•Completed authorization for radiology

•Conducted case analysis to ensure program integrity and compliance.

•Collected, informs, and reviews various verification and documentation to ensure accurate eligibility determinations.

•Prepared reports regarding eligibility determination results.

CERTIFICATES AND LICENSES

CNA

CPR Certification

Contact this candidate