Jamulette R. Email & Phone Number

United States

Intermediate Computer skills (able to use web browser, data entry, ect)Review and process applications for government assistance programs, ensuring all required documentation is complete and accurateDetermine applicants’ eligibility for the Medicaid program based on established criteriaCalculate benefits levels for approved applicants, taking into account income, family size, and other relevant factorsInterview applicants by review form to gather necessary information and clarify details on their applicationsReviewing applicant dataTyping the data into an electronic systemChecking the data against program criteriaRequesting additional informationVerifying informationWriting acceptance and rejection noticesCompliance with HIPAA, Security & Privacy & Confidentiality regulationsDemonstrate competency in understanding of Medicaid, policies, forms and DHS policy

Fort Mill, South Carolina, United States

Reviews all patient insurance information needed to complete the benefit verification process. Triages cases with missing information to the appropriate program of the associate. Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options. Identifies any restrictions and details on how to expedite patient access that include documenting and initiating prior authorization process, claims appeals, etc. Completes quality review of work as part of finalizing product. Reports any reimbursement trends/delays to management. Performs related duties and special projects as assigned. Applies company policies and procedures to resolve a variety of issues.

Columbia, South Carolina, United States

Check workflow documents to ensure all required information is updated and accuratePrescreens over 100 requests into the system pertaining to different regionsRequests any missing documents as needed from vendors, suppliers, etc., which includes scanning images and/or emailEnters over 100 or more data daily into the main database to be indexedSorts and distributes incoming departmental mail or work requestsPrepares correspondence letters or packages for internal/external mailingMaintains departmental logs, spreadsheets, or databases from over 100 requestsVerifies requests by reviewing, correcting, or reentering dataOrder supplies and maintains departmental supply inventoryExperience with multitasking on multiple computer screens and applicationsAssist staff members in related duties as needed or assigned by management; Knowledgeable with Health Insurance Portability and Accountability Act (HIPAA) regulations and company policies

Columbia, South Carolina, United States

Processed over 50 medical information requests via mail, walk-ins, faxes, and telephone within a timely and accurate mannerStamped date all requests and highlights necessary data to facilitate processingValidated all requests and authorizations for release of medical information according to established procedures and Health Insurance Portability and Accountability Act (HIPAA) guidelinesPerformed quality checks of all work to ensure accuracy of the release, confidentiality, and proper invoicingProvided exceptional and professional customer service skillsPerformed all other duties as assigned by management

Certificate, Medical Billing And Coding, 3.4 Gpa

Computer Administrative Specialist, Business Administration And Management, General

High School Diploma, Adult High School/Secondary Diploma Program, 3.4 Gpa

Step team member