Jessica Loza
Lake Station,IN
Summary
Professional with strong background in providing exceptional service and support in customer-focused environment. Expertise in resolving inquiries, managing accounts, and fostering relationships. Known for collaborative spirit and adaptability, consistently driving team success and positive outcomes. Skilled in communication, problem-solving, and multi-tasking in fast-paced settings.
Overview
11
11
years of professional experience
Work History
Member Service Representative
Midwest Operating Engineers Fringe Benefit Funds
11.2022 - Current
- Provide exceptional service through active listening, understanding member and provider needs, and offering appropriate solutions.
- Handle complaints with prompt, courteous service to uphold professional reputation.
- Partner with other departments facilitating smooth resolution of complex cases resulting in improved member experience.
- Assist members and providers with understanding personalized insurance coverage and benefits.
- Expedite insurance verification by maintaining updated knowledge of policies and procedures.
Insurance Verification Specialist
Mid America Psychological & Counseling Services
07.2020 - 11.2022
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Assisted patients with understanding personalized insurance coverage and benefits.
Receptionist
Community Hospital
04.2019 - 07.2020
- Enhanced patient satisfaction by efficiently managing appointment scheduling and rescheduling for outpatient services.
- Improved operational efficiency by accurately entering and updating patient information in electronic health records systems.
- Maintained patient privacy and confidentiality by adhering to HIPAA regulations during all interactions and recordkeeping tasks.
Receptionist
Mid America Psychological & Counseling Services
08.2015 - 04.2019
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Streamlined front desk operations for increased efficiency by effectively managing phone calls, emails, and walk-in clients.
- Demonstrated strong multitasking abilities while managing numerous tasks simultaneously under tight deadlines.
- Maintained visitor log for entering and leaving facility for security purposes.
- Organized, maintained and updated information in computer databases.
- Handled assignments independently with good judgement and critical thinking skills.
Medical Biller and Coder
Chandra Diagnostic Cardiology
05.2014 - 12.2014
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Contributed to team efficiency by maintaining organized records of patient accounts, billing statements, and payment statuses.
- Safeguarded practice revenue by diligently following up on outstanding account balances and initiating collection efforts when necessary.
- Communicated with insurance companies to research and resolved coding discrepancies.
Education
High School Diploma -
East Chicago Central High School
East Chicago, IN08-2006
Skills
- Customer service
- Detail-Oriented Mindset
- Networking Skills
- Effective Communication Skills
- Confidentiality Compliance
- HIPAA Compliance Knowledge
- Insurance coverage verification
- Data entry proficiency
- Multi-line telephone operation
- Insurance terminology
- Computer proficiency
- Proficient in Organization
Timeline
Member Service Representative
Midwest Operating Engineers Fringe Benefit Funds
11.2022 - Current
Insurance Verification Specialist
Mid America Psychological & Counseling Services
07.2020 - 11.2022
Receptionist
Community Hospital
04.2019 - 07.2020
Receptionist
Mid America Psychological & Counseling Services
08.2015 - 04.2019
Medical Biller and Coder
Chandra Diagnostic Cardiology
05.2014 - 12.2014
High School Diploma -
East Chicago Central High School
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