Hi, I’m
Aqueelah Jackson
Baton Rouge
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
12
years of professional experience
Work History
State Of Louisiana Department Of Social Services
Medicaid Eligibility Specialist
04.2022 - 01.2024
Job overview
- Enhanced Medicaid eligibility determinations by thoroughly analyzing applicants'' financial and personal information.
- Streamlined application processing for increased efficiency by implementing a well-organized case management system.
- Reduced errors in eligibility decisions with meticulous attention to detail and thorough documentation of applicant information.
- Achieved timely resolution of cases, conducting comprehensive reviews and maintaining close communication with applicants.
Adapt Health
Benefit Enrollment Specialist
03.2021 - 01.2023
Job overview
- Provide expert guidance and support to employees during benefit enrollment process to ensure accuracy and maximize utilization of available benefits.
- Provide excellent customer service by promptly responding to client inquiries and resolving any issues or concerns
- Coordinate with insurance providers to resolve any issues or discrepancies related to benefit enrollment
- Maintain a high level of confidentiality when handling employee benefit information
- Assist clients in understanding and navigating the complex healthcare system to ensure they receive the appropriate benefits and services.
Optum Service
Records Management Specialist
05.2019 - 01.2023
Job overview
- Improved records management efficiency by implementing new digital archiving systems and processes.
- Streamlined document retrieval time for internal departments through the creation of a comprehensive indexing system.
- Reduced storage costs with the implementation of a space-saving records retention schedule.
- Ensured regulatory compliance, conducting periodic audits on company documentation and recordkeeping practices.
Banner Healthcare
Claims Specialist
05.2018 - 03.2021
Job overview
- Managed large volume of medical claims on daily basis.
- Managed large volume of medical claims on daily basis.
- Collaborate with healthcare providers to ensure accurate and timely submission of medical claims.
- Analyze and evaluate claims data to identify trends and patterns, and make recommendations for process improvements to reduce claim denials and improve processing time.
- Identify and resolve complex claim issues by conducting thorough research and analysis, ensuring timely resolution and customer satisfaction.
- Utilize claims management software to track and monitor the status of medical claims, ensuring prompt resolution and accurate payment.
AppleOne
Customer Service Representative
02.2012 - 07.2017
Job overview
- Handled incoming calls from members and providers regarding claim status, PPO participation as well as benefits and eligibility.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Streamlined call center processes for improved efficiency and reduced wait times.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
Education
Southern University And A & M CollegeBaton Rouge, LA
Associate Of Science from Biological And Physical Sciences
05.2012
Capitol High SchoolBaton Rouge, LA
High School Diploma
05.2006
Skills
● Written/Oral Communication
● Strategic Planning
● Detail-Oriented
● Administrative Skills
● Confidentiality
● Conflict Resolution
● Calendar Maintenance
● Medical billing & Coding
● Medical terminology
● 45 WPM
● Customer Care/Follow Up
● ACE
● Assessments
● VI Web
● Navinet
● ECW
● Allscripts
● EPIC
● Microsoft Office Suite
(Word, Excel, PowerPoint, Outlook), and Internet Explorer
● Office Equipment: Fax Machines, Photocopiers, Data Entry, General Office Equipment
Timeline
Medicaid Eligibility Specialist
State Of Louisiana Department Of Social Services
04.2022 - 01.2024
Benefit Enrollment Specialist
Adapt Health
03.2021 - 01.2023
Records Management Specialist
Optum Service
05.2019 - 01.2023
Claims Specialist
Banner Healthcare
05.2018 - 03.2021
Customer Service Representative
AppleOne
02.2012 - 07.2017
Southern University And A & M College
Associate Of Science from Biological And Physical Sciences
Capitol High School
High School Diploma
References
Available Upon Request
Strengths And Expertise
- Leadership
- Problem Solving
- HIPAA Compliance
- Data Entry
- Medical Terminology
- Client Relationship Management
- Team Leadership
- Communication
- Microsoft Suite
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