Jasmyne Hamilton, Mba Email & Phone Number

Biloxi, Mississippi, United States

Biloxi, Mississippi, United States

Remote

Remote

In my current role as Quality Assurance Business Analyst with Change Healthcare, I am assigned to oversee/address trends among active agents and changes needed for performance evaluations by conducting meetings with managers. One of my key roles is to deliver feedback in timely manner by directing risk assessments on potential defects and requirement gaps. I am tasked to track/monitor areas of improvement for offshore team to comply with company and contract policies by engaging in calibration calls monthly.Below are my Key Achievements in this role:• Identified trending metrics to support departments with recommendations by analyzing quality reports resulting in enhancing department audit evaluations for active agents by 50-60% in 5 months.• Evaluated and audited 105 active agent accounts from 2 departments while completing 840 audits within a month aimed at meeting business partners’ expectations.

Remote

In my previous role as Benefits and Resolution Specialist with Change Healthcare, I leveraged critical thinking skills to break down problems, evaluated solutions, and made decisions for patients to present in emergency department for auto accidents and worker’s compensation. I was entrusted to assist patients with medical bills by engaging in education on available insurances and benefits processes.Below are my Key Achievements in this role:• Achieved maintaining 99% audit rating for period of 12 months.• Assisted in settlement negotiations, and maintained data in multiple management systems while enabling claims processes for over 6 hospitals.• Facilitated in obtaining over $1M in third-party coverage payments on monthly basis for multiple hospitals by applying strategic techniques.

Assumes responsibility for a Medicaid eligibility determination caseload for a designated territory within a region.• Investigates and verifies accuracy of information provided by recipients under the Medicaid programs to determine compliance with State and Federal laws, rules, and regulations.• Determines an applicant's eligibility for institutional care based on State and Federal guidelines and verifies the accuracy of information listed on the applicants' applications.• Maintains effective public relations with medical facilities and federal, state, county, and city agencies within assigned territory.• Verifies accuracy of information listed on applicants' applications including income, bank accounts, and any other assets.• Makes determination of an applicant's eligibility based upon established criteria.• Visits contact centers and medical facilities; assists other regional offices on an as-needed basis.

Gulfport, Ms

· Overview of CAHPS and the impact it has on hospital reimbursements· Participate in receiving patient care complaints and observing resolution process· Overview of Public Health Administration and what it entails· General understanding of MACRA and the steps Memorial Hospital are taking to comply· General understanding of population health efforts at Memorial· General understanding of day-to-day work of a health care administrator in an acute care hospital

Master Of Business Administration - Mba, Business Administration And Management, General

Graduate Human Resource Certificate, Human Resources Management And Services

Bachelor'S Degree, Public Health

Associate’S Degree, General Studies