Jasmine Garcia
Dingmans Ferry
Overview
4
4
years of professional experience
Work History
Human Resources Benefits
Amazon
10.2024 - 01.2025
- Improved staff morale by implementing grade, salary and benefit programs in accordance with established standards.
- Managed the annual open enrollment process, ensuring a smooth and efficient experience for all employees.
- Enhanced employee benefits satisfaction by effectively managing and administering various benefit programs.
- Managed HIGH employees across compensation, benefits, HRIS and payroll departments for optimal productivity.
- Oversaw COBRA administration tasks including notifications, enrollments, and terminations in compliance with applicable laws.
Care Manager / Reimbursement Specialist
Aston Carter / TEKsystems / Abbvie Copay Support Services
02.2024 - 08.2024
- Conducted inbound and outbound calls to gather and verify patient information
- Performed comprehensive benefits investigations, including contacting specialty pharmacies to obtain details on prior authorizations, deductibles, out-of-pocket expenses, copay, and coinsurance
- Analyzed gathered information to determine patient eligibility for various assistance programs aimed at reducing out-of-pocket costs and covering copay amounts
- Enrolled patients into appropriate financial assistance programs and completed necessary overrides to ensure patients received their medications
- Submitted escalations for unresolved issues to ensure timely resolution and patient satisfaction
- Documented and submitted adverse events to ensure compliance with regulatory requirements and improve patient safety
Benefits Verification Specialist
Talent Bridge/ Lash Group
01.2023 - 02.2024
- Reviews all patient insurance information needed to complete the benefit verification process
- Triages cases with missing information to the appropriate program associate
- Verifies patient specific benefits using CPT / ICD10 coding and 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
- May include documenting and initiating the prior authorization process, claims appeals, etc
- Completes a quality review of work as part of finalizing the product
- Reports any reimbursement trends/delays to management
- Performs related duties and special projects as assigned
- (contracted)
Benefits Verification Specialist
Talent Bridge/ Lash Group
10.2022 - 02.2023
- Reviews all patient insurance information needed to complete the benefit verification process
- Triages cases with missing information to the appropriate program associate
- Verifies patient specific benefits using CPT / ICD10 coding and 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
- May include documenting and initiating the prior authorization process, claims appeals, etc
- Completes a quality review of work as part of finalizing the product
- Reports any reimbursement trends/delays to management
- Performs related duties and special projects as assigned
- (contracted)
Insurance Agent Medicare & Medicaid
Concentrix / United Health Care
10.2020 - 06.2022
- Answered constant flow of customer calls for United Health Care with minimal wait times
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns related to insurance
- Advanced knowledge of Summary of Benefits (SOB) and Explanation of Benefits (EOB) interpretation
- Knowledge in handling billing, claims, medical groups, delegated, non-delegated accounts, benefits, scheduling appointments with providers, making sure providers are in network or out of network
Education
Bachelor of Science - Health Information Management
Indiana University-Purdue University at Indianapolis
Indianapolis, IN06.2027
Skills
- Time Management, Microsoft Office Suite, Customer Service, Organization, Extremely Coachable
- Benefits administration expertise
Timeline
Human Resources Benefits
Amazon
10.2024 - 01.2025
Care Manager / Reimbursement Specialist
Aston Carter / TEKsystems / Abbvie Copay Support Services
02.2024 - 08.2024
Benefits Verification Specialist
Talent Bridge/ Lash Group
01.2023 - 02.2024
Benefits Verification Specialist
Talent Bridge/ Lash Group
10.2022 - 02.2023
Insurance Agent Medicare & Medicaid
Concentrix / United Health Care
10.2020 - 06.2022
Bachelor of Science - Health Information Management
Indiana University-Purdue University at Indianapolis
Similar Profiles
Jessica MaciasJessica Macias
Area Manager at AmazonArea Manager at Amazon
Deepak P LDeepak P L
Quality Assurance Compliance Specialist at AmazonQuality Assurance Compliance Specialist at Amazon
Kymarha DorsainvilKymarha Dorsainvil
Warehouse Worker at AmazonWarehouse Worker at Amazon
Abdulhalim LarryAbdulhalim Larry
Delivery Driver at AmazonDelivery Driver at Amazon
Steven MacIntoshSteven MacIntosh
Facilities Manager at United States Marine CorpsFacilities Manager at United States Marine Corps