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Bio

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Jaimz Heatherly is a seasoned customer service professional with a strong background in billing, insurance, and management. She has worked in various industries, including healthcare, retail, and property management, utilizing her skills in customer satisfaction, time management, and communication. With experience in handling customer inquiries, resolving issues, and providing excellent service, Jaimz has developed a strong understanding of the importance of customer satisfaction and loyalty. She is proficient in Microsoft Excel, Outlook, and other software applications, and has a strong knowledge of insurance billing and medical plans.

Experience

  • ZRT Laboratory
    • Beaverton, OR
    • Billing & Customer Service Specialist
      • Aug 2014 - Oct 2015
      • Beaverton, OR

      - Provided information to callers about testing services, specimen collection and pricing- Set up new accounts for patients, vendors, pharmacies and providers and processed account resource orders- Prepared and submitted claims to various insurance companies either electronically or by paper- Maintained a strong working knowledge of major medical plans and leading healthcare networks- Responded to inquiries from providers and patients on a broad scope of coverage issues pertaining to eligibility, coordination/explanation of benefits, and payment schedules- Processed payments from insurance companies and patient payments on accounts and prepared daily bank deposits- Issued collection letters and contacted patients regarding past-due accounts as determined in compliance with the insurance and patient billing collection procedures - Evaluated patient requests for hardship and adjustments to account balances- Reconciled outstanding balances and incidents of returned claim checks from insurance companies

  • Nordstrom
    • Tanasbourne Rack
    • Merchandiser
      • Sep 2013 - Jan 2014
      • Tanasbourne Rack

      Processed and tagged mark down items throughout store departmentsRotated merchandise from stock room to retail floorScanned and tagged store inventory during annual evaluation

  • Aetna
    • Portland, Oregon Area
    • CSR
      • Nov 2011 - Jul 2013
      • Portland, Oregon Area

      - Handled incoming calls following the company call metric standards - Identified and escalated priority issues - Explained disability and FMLA benefits to Boeing employees and documented calls accordingly - Routed callers to appropriate contacts and resources as necessary

  • Meritain Health
    • Anchorage, Alaska Area
    • Member Care Specialist
      • Feb 2010 - Sep 2011
      • Anchorage, Alaska Area

      - Quoted medical benefits to members and providers, explained deductibles, coinsurance, out-of-pocket and other health plan specifications- Identified, researched and resolved member issues and questions or followed up on member inquires that were not immediately resolved- Handled 50 - 80 inbound calls daily completing call logs and reports- Recognized, documented and alerted the supervisor of trends in member and provider calls - Other duties as assigned

  • Allstate
    • Anchorage, Alaska Area
    • Casualty Claims Processor
      • Apr 2008 - Sep 2009
      • Anchorage, Alaska Area

      - Collected and documented medical records and billing from treating facilities for evaluation of claim settlements- Maintained timely correspondence with attorneys and medical facilities abiding by state insurance laws, policies and procedures- Proper use of Avaya telephones and call routing software to assist in high volume of calls during major catastrophes - Was an active member of company’s employee recognition committee - Claim task management and balancing to assist in product movement - Employee of the Month, October 2008

  • Weidner Property Management
    • Anchorage, Alaska Area
    • Leasing Agent
      • 2007 - 2008
      • Anchorage, Alaska Area

      - Cultivated professional relationships with staff, residents and vendors to ensure highest level of customer satisfaction- Prepared and processed legal documents, accounts payable, invoices and filing in accordance with company policies and procedures- Created advertising strategy using knowledge of current market trends- Collected delinquent accounts and maintained proper correspondence with attorneys and eviction services- Represented Weidner Investment Services in court hearings for evictions - Extensive use of property management computer software including reports, accounting, payments and resident files

  • Sullivan's Steakhouse
    • Anchorage, Alaska Area
    • Corporate Trainer, Head Hostess
      • 2006 - 2007
      • Anchorage, Alaska Area

      - Upheld a professional appearance and demeanor, providing and inviting first impression for all guests- Handled bookkeeping and distribution of reservations- Acting liaison between management and front of house staff (i.e. servers, bussers, hostesses and bar staff)- Provided direction and set an example for staff - Led 3 week training session for out of state grand opening (2006, Branson, MO)

    • Barista, Computer Technician, Management
      • 2005 - 2005

      - Maintained computer systems with installation of software and troubleshooting of network activities- Prepared specialty coffee, assorted drinks and select items from the café menu- Custom built gaming systems for customers and assisted in selecting hardware tailored to their needs- Handled accounting and closing management procedures including but not limited to housekeeping, cash register close out, preparation and bookkeeping of bank deposits

Education

  • 2006 - 2006
    University of Alaska Anchorage
    Psychology
  • 2005 - 2005
    University of Nevada-Reno
    Interior Design, Psychology
  • 2004 - 2005
    Mat-Su College, University of Alaska Anchorage
    General

Suggested Services

This profile is unclaimed. These are suggested service rates with 0% commision upon successful connection

Industry Focus. “Healthcare”

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