Bernardra Jamison
Personify Health
741 Old Elloree Rd Orangeburg
22
years of professional experience
Patient Advocate supporting members through healthcare coverage questions, claims issues, and benefit explanations with a steady, service-focused approach. Draws on experience in claims processing, benefit verification, and member support to resolve discrepancies, clarify payer requirements, and keep cases moving toward timely resolution. Maintains accurate documentation and HIPAA compliance while handling sensitive information with care and professionalism.
Work History
Patient Advocate
1 Year 11 Months- Review 200 insurance verifications weekly to confirm patient coverage and benefits before claim submission.
- Process 4 medical claims daily to support timely payment for services rendered.
- Investigate and resolve complex medical claims issues to keep processing moving under tight deadlines.
- Verify patient insurance coverage and benefits accurately before claims are processed.
- Handle high claim volumes efficiently while maintaining accuracy and prompt turnaround.
- Apply HIPAA compliance and patient confidentiality standards throughout claim handling.
Patient Care Advocate
1 Year 11 Months- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Provided exceptional service through active listening, understanding member needs, and offering appropriate solutions.
- Enhanced patient satisfaction by addressing inquiries and resolving issues related to medical appointments, billing, and insurance.
- Handled sensitive patient information with confidentiality, adhering to HIPAA regulations at all times.
Patient Advocate
4 Years 9 Months- Improved claims workflow efficiency by identifying bottlenecks and implementing process changes.
- Navigated Medicare and Medicaid rules to secure maximum reimbursement for qualifying services.
- Submitted electronic and paper claims documentation to meet timely filing requirements.
Medical Transportation Appointment Scheduler
4 Years 9 Months- Provided excellent customer service through attentive listening, empathetic communication, and efficient problem-solving during the scheduling process.
- Managed high call volume while maintaining professionalism and accuracy when gathering client information for appointment bookings.
- Acted as first point of contact and set appointments for prospective clients.
- Enhanced customer satisfaction with timely and accurate appointment confirmations and reminders.
Member Service Representative
2 Years 1 Month- Assisted members with account management, including updating personal information and setting up automated payments.
- Processed account transactions accurately, ensuring proper documentation and timely processing.
- Built rapport with members by engaging in genuine conversations and demonstrating a commitment to their financial wellbeing.
- Provided exceptional customer service by addressing patient concerns regarding coverage and out-of-pocket expenses.
Benefit Verification Specialist
6 Years 10 Months- Managed high-volume caseloads while maintaining strict deadlines for completing benefit verifications and authorizations.
- Ensured compliance with HIPAA regulations during all aspects of the benefit verification process, protecting patient privacy.
- Improved patient satisfaction by accurately verifying benefits and providing timely responses to inquiries.
- Streamlined pre-service financial clearance processes, expediting access to care for patients in need of urgent medical intervention.
Education
Bachelor Of Applied Science - Healthcare Administration
Skills
Customer service
Financial transactions
HIPAA compliance
Claims processing
Insurance verification
Healthcare
Benefits explanation
Open enrollment
Appointment scheduling
Patient confidentiality
Medical terminology
Call center experience
Medicare(A
B
C
D)
Medicaid
Education
Colorado Springs, CO
Timeline
Patient Advocate
Personify Health
12.2024 - CurrentRead More
Patient Care Advocate
LabCorp
01.2023 - 12.2024Read More
Patient Advocate
Signify Health
04.2018 - 01.2023Read More
Medical Transportation Appointment Scheduler
Modivcare
07.2013 - 04.2018Read More
Member Service Representative
BroadPath Healthcare
06.2011 - 07.2013Read More
Benefit Verification Specialist
Blue Cross and Blue Shield
08.2004 - 06.2011Read More
Colorado Technical University
Bachelor Of Applied Science from Healthcare Administration
Read More