Jamilah Pride

Towson, Maryland, United States

443-***-****

adsau3@r.postjobfree.com

WORK EXPERIENCE

Team Lead/ Bartender

**/****- *******

Delaware North Companies Travel Hospitality Services, Inc.

● Staff management.

● Inventory control.

● Crowd control.

● Payment processing

● Customer service.

● Sales.

● Cash handling.

● Mixology.

Appeals Resolution Specialist

09/2021- 03/2022

Ageatia Global Solutions (CareFirst)

● Collecting and analyzing information needed to facilitate appeals.

● Inputting medical records, prior authorizations, statements, claim forms, appeal correspondence and updates in the appropriate databases.

● Researching claims, answering inquiries, and coordinating with other departments to assist them with provider inquiries.

Insurance Follow-up/ Appeals Specialist

04/2018-01/ 2021

Medical Account Management

● Processed hospital bills for payment against auto insurance claims.

● Corresponded with attorneys and auto claims adjusters to both identify and resolve issues preventing claim resolution.

● Prepared and filed appeals in response to auto insurance claim denials.

● Verified auto insurance benefits to ensure coverage and eligibility.

● Ensured proper coordination of benefits between medical and auto insurances.

● Ensured proper CPT and ICD code usage.

Legal Assistant / Receptionist

October 2017-March 2018

Robert Half Ltd

● Managed the life cycle of Social Security Disability claims.

● Maintained a caseload of clients applying for Social Security benefits

● Filed appeals.

● Gathered evidence needed to support claims, updated records, prepared invoices and fee petitions.

● Assisted with preparation for administrative hearings.

● Greeted clients and visitors.

● Drafted correspondence.

● Scanned, photocopied, faxed and filed documents.

● Answered and routed incoming calls on a multi-line telephone system.

● Scheduled clients.

● Maintained and scheduled conference rooms.

● Maintained the waiting area, lobby and other public areas.

● Ordered supplies.

● Processed mail.

● Verified employee identification and issued visitor passes. Customer Services Representative

05/2015-02/2017

Paypal Inc

● Assisted customers with the completion of financial transactions.

● Educated customers on financial and technological products and services.

● Assisted with troubleshooting software and internet and application issues.

● Assisted in the resolution of disputes between merchants and buyers.

● Processed payments on lines of credit, educated customers about credit products and resolved credit product related inquiries.

Processing Clerk

01/2015-03/2015

Spectraforce (Toyota Financial)

● Reviewed vehicle leasing contracts, assessed customer compliance with lease terms and conditions, researched state laws, gathered and reviewed car service records.

● Verified customer payment history, terminated leases and billed customers. Patient Access Coordinator

08/2014-12/2014

Insight Global (Johns Hopkins)

● Pre-screened potential neurosurgery patients

● Read and transcribed radiology reports.

● Verified insurance, scheduled appointments, pre-registered patients, managed patient's files, and made follow up phone calls to patients with department related inquiries. Customer Services Representative

03/2010-01/2014

Level One Personnel (EzPass)

● Assisted customers with general inquiries regarding state regulations and toll related products and services.

● Registered accounts

● Processed payments.

● Filed disputes, appeals, citations, and CCU referrals.

● Audited accounts to ensure compliance with government regulations

● Handled escalations.

● Issued credits and adjustments on accounts.

EDUCATION

University of Baltimore. Baltimore, Maryland, United States BA- Jurisprudence

2015

MA-Negotiations and Conflict Management

In progress

I am an energetic people-person who works well with others. I have years of experience working in a variety of customer service oriented environments. I possess both strong interpersonal and verbal communication skills, and one of my greatest strengths is my ability to adapt to changes in business needs and when I am in high pressure situations. Working in customer service and patient service positions has made an ideal candidate for any position that requires persuasiveness, patience, efficient problem solving, and mental endurance while interacting with others. I embrace learning new skills and excel in overcoming obstacles. I am professional as well as cheerful and I enjoy challenges. I am confident that once I am given an opportunity you will see that having me on board will be beneficial to all those I work with.

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