Customer Service Patient Access
Resume:
Jakera Allen
Phone- 346-***-****
Email- ************@*****.***
Dynamic Communicator, effective cross functional communication skills. Works well under pressure. Manages priorities with ease. Maintains professionalism and exemplary customer service. Solid administrative experience and result driven. Well-organized and proficient with details. Has a passion for serving the needs of others. Skilled collaborator and Solution oriented.
Experience
AUGUST 2021 – PRESENT
Patient Access Representative /UT Health Houston/UT Physicians – Houston, Texas
Verify insurance eligibility, benefits, and authorizations to support accurate claim processing and reimbursement. Research and resolve pre-bill discrepancies, escalating complex payer issues to revenue cycle leadership. Handle escalated patient calls and resolve insurance or billing issues using de-escalation and problem-solving techniques. Conduct pre-service insurance eligibility, benefits, and authorization checks to prevent claim delays and denials.
JANUARY 2016- MARCH 2020
Partner Services Lead /Uber Technologies – Houston, Texas
Review electronic document submissions for accuracy and integrity. Route documents for approval or rejection. Perform device and partner account activations, including a device tutorial during partner onboarding. Perform device and partner account deactivation. Inform management in a timely manner of compliance problems.
OCTOBER 2013 – DECEMBER 2015
Receptionist/Art Institute of Houston-North – Houston, Texas
Responsible for answering incoming calls. Routing calls promptly and correctly to the proper staff person or voicemail. Greet visitors in a friendly, welcoming and professional manner, and direct them to their proper destination. Assist as necessary with special admission events. Run and distribute reports.
AUGUST 2011 TO AUGUST 2013
Provider Engagement Representative/UnitedHealth Group – Houston, Texas
Responded to complex provider inquiries regarding claims billing, payments, and eligibility. Performed claims adjudication and ensured compliance with Medicaid and Medicare regulations. Consistently met or exceeded productivity, quality, and adherence goals.
Skills– Claims Examination & Adjudication (Medicare/Medicaid/Commercial) Medical Billing & Insurance Verification, CPT, HCPCS, ICD-9/ICD-10 Coding, EMR Systems: Athena IDX, Salesforce, HIPAA & Quality Assurance Compliance, EOB Review, UB-04/CMS-1450 Processing Data Entry & 10-Key Accuracy, Problem Resolution & Provider Communication
Education
MAY 2005 -WEST ORANGE STARK HIGH SCHOOL/ORANGE, TEXAS
JANUARY 2023 -HOUSTON BAPTIST UNIVERSITY/HOUSTON, TEXAS
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