Jamie Batiste
Westwego
Summary
Professional with strong background in claims management, prepared to make significant impact. Skilled in assessing and processing claims accurately, resolving complex issues, and ensuring customer satisfaction. Effective team collaborator with focus on achieving results and adapting to changing needs. Known for analytical thinking, communication skills, and attention to detail.
Overview
18
18
years of professional experience
Work History
Night Audit Supervisor
Intercontinental Hotel
04.2024 - Current
- Perform all audit procedures as set forth by the Hotel and company, on a daily basis
- Verify the status of all wake-up call requests and ensure they are properly handled
- Balance all cash receipts and work performed during the audit shift
- Make deposits of cash
- Prepare the front office for the ‘AM’ shift and reset day’s business
- Act as a Guest Service representative and manager on duty during the night time hours
- Act as PBX operator during the audit shift
- Attend and actively participate in all front office meetings
- Take the initiative to greet guests in a friendly and warm manner
- Other duties as assigned
Claims Representative
United Health Care
10.2019 - Current
- Handle inquiries, concerns, complaints, grievances and appeals in a professional manner by listening to the member and showing respect
- When appropriate, the representative takes action to resolve complaints to ensure member retention and satisfaction by following department guidelines or contacts immediate supervisor for intervention
- Educate members, customers (internal / external) while effectively promoting United Health Care services, and policies on the telephone as well as face - to - face communication
- Act in accordance with United Health Care vision and values
- Participate and support development programs, active in staff meetings, and performs company educational offerings as well as demonstrating the willingness to work as a team member when needed for additional tasks to ensure excellent service
- Ensure that supplies are sufficient to perform their duties, maintain equipment in proper place after usage and maintain workspace in an orderly fashion
- Act as an efficient liaison for the member and effectively documents 100% of their communication in the service module achieving a clear link between subject line, category, sub - category and free text
- Generate denial letters when needed
- When requested, prepare daily schedules for vendors and reporting requirements
- Familiarize with standard healthcare concepts, practices, and procedures as they relate to claims adjudication and managed care
- Complete special assignments in an accurate and efficient manner with little intervention from management
- Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing, and adjusting claims.
- Analyze and identify trends and provide reports as necessary.
- Consistently meet established productivity, schedule adherence, and quality standards.
- Followed up with customers on unresolved issues.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Collaborated with internal departments and external vendors to resolve claims.
Patient Access Rep
Ochsner Health Systems
06.2018 - 06.2019
- Provide excellent customer service to all patients, guests, and family members
- Create, activate, and complete the patient scheduling, clinic registration, or hospital admission process
- Ensures all required forms are completed and other paperwork/documents are gathered and accurate
- Efficiently and accurately gathers and inputs patient/guarantor demographic and financial information; explains insurance benefits and collects co-pays, deductibles and self-pay portions due
- Performs financial analysis of each case and informs patient of financial responsibility
- Balances Cash drawer daily, prepares deposit slips and follow closing cash drawer process at the end of each shift
- Demonstrates respect and cooperation in all staff relationships, and a genuine willingness to prevent or resolve inter-personal conflicts
- Adapts behavior to the specific patient population, including but not limited to: respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style
- Other related duties as required
Bartender Manager
New Orleans Original
07.2012 - 05.2019
- Perform excellent customer service
- Oversee 2 or 3 people on a shift
- Mix drinks, take orders and make sure customers are satisfied
- Keep machine filled
- Clean required machines per night
- Maintain cleanliness of the Establishment
- Balance the register
- Close and open the store
Night Auditor
LaQuinta Inn
07.2017 - 12.2017
- Processing payments including room charges, debit and credit, cash and cheques in accordance with established procedures
- Checking guests in, out and managing any wake-up call requests using Opera
- Answering phones and handling overnight guest queries
- Running night audit property management systems or manual equivalents
- Performing other duties such as concierge services and special guest requests
Customer Service Rep
DentaQuest
07.2017 - 12.2017
- Perform excellent customer service by answering incoming phone calls from customers and providing requested information and resolution to the question
- Log all inquiries into the system and assign follow ups in the system as needed
- Respond to internal and external inquires as needed
- Meet or exceed individual and department goals
- Perform outbound outreach calls, log call in the system and run applicable reports
- Perform request a dentist functions to locate a provider and complete the placement of the member
Bank Teller
Chase Bank
01.2014 - 07.2017
- Perform excellent customer service
- Process deposits, transfers, withdrawals and other transactions in accordance with established policies and procedures
- Responsible for the security of assigned cash which must be maintained and balanced within established guidelines
- Responsible for doing CTR’s when necessary
Bank Teller
Capital One Bank
01.2008 - 05.2013
- Performed excellent customer service
- Processed deposits, transfers, withdrawals and other transactions in accordance with established policies and procedures
- Responsible for the security of assigned cash which must be maintained and balanced within established guidelines
- Responsible for doing CTR’s when necessary
Sales Clerk
Radio Shack
06.2007 - 01.2008
- Performed excellent customer service
- Greeted the customers as they walked in the door with a smile
- Handled store deposits
- Sold merchandise
- Worked on making sales
Education
Associate - General Studies; Concentration in Social Sciences
Delgado Community College
Algiers, LA05.2015
High School Diploma -
Continental Academy
Miramar, FL05.2007
Skills
- Strong attention to detail
- Team leadership
- Time management expertise
- Guest relations
- Microsoft office
- Insurance claims review
- Time management
- Claims investigation
Timeline
Night Audit Supervisor
Intercontinental Hotel
04.2024 - Current
Claims Representative
United Health Care
10.2019 - Current
Patient Access Rep
Ochsner Health Systems
06.2018 - 06.2019
Night Auditor
LaQuinta Inn
07.2017 - 12.2017
Customer Service Rep
DentaQuest
07.2017 - 12.2017
Bank Teller
Chase Bank
01.2014 - 07.2017
Bartender Manager
New Orleans Original
07.2012 - 05.2019
Bank Teller
Capital One Bank
01.2008 - 05.2013
Sales Clerk
Radio Shack
06.2007 - 01.2008
High School Diploma -
Continental Academy
Associate - General Studies; Concentration in Social Sciences
Delgado Community College
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