JM
Open to opportunities

Jahnni McCloud

@jahnnimccloud

Detail-oriented healthcare professional with expertise in medical billing.

United States

What I'm looking for

I am looking for a role that values patient care and offers opportunities for professional growth.

I am a dedicated healthcare professional with extensive experience in healthcare benefits verification, medical billing, and insurance claims processing. My career has been marked by a commitment to ensuring accurate documentation and efficient claim resolution, utilizing medical coding systems such as ICD-10, CPT, and HCPS. I pride myself on my ability to navigate complex insurance policies while maintaining HIPAA compliance, providing exceptional service to patients, healthcare professionals, and insurance carriers alike.

In my most recent role as a Health Care Benefits Verification Representative at Elevance Health, I verified insurance coverage for new patients and facilitated the prompt processing of medical claims. My strong communication skills have allowed me to effectively resolve discrepancies and update patient records, enhancing workflow efficiency in medical billing procedures. I have a proven track record of delivering excellent customer service, ensuring that patients receive clear and accurate information regarding their insurance coverage and billing issues.

With a Bachelor of Science in Technical Management from Texas Southern University, I am well-equipped with the knowledge and skills necessary to excel in the healthcare industry. I am passionate about leveraging my expertise to contribute positively to healthcare organizations and improve patient experiences.

Experience

Work history, roles, and key accomplishments

EH

Health Care Benefits Verification Representative

Elevance Health

Aug 2023 - Dec 2024 (1 year 4 months)

Verified insurance coverage for new patients to ensure accurate billing and coding. Facilitated prompt processing of medical claims by re-verifying insurance information for existing patients and utilized medical codes to accurately document and process patient information for insurance claims.

HE

Healthcare Call Center Customer Service Representative

Health Equity

May 2021 - Jul 2023 (2 years 2 months)

Verified insurance coverage for new patients to ensure accurate billing and coding. Facilitated prompt processing of medical claims by re-verifying insurance information for existing patients and utilized medical codes to accurately document and process patient information for insurance claims.

AT

Healthcare Call Center Representative

Atento

Dec 2019 - Present (5 years 6 months)

Provided customer service in a high-volume call center, adeptly addressing inquiries and concerns related to insurance policies. Specialized in live calls with elderly patients, demonstrating empathy, patience, and a thorough understanding of their unique needs.

Education

Degrees, certifications, and relevant coursework

Texas Southern University logoTU

Texas Southern University

Bachelors of Science, Technical Management

Pursuing a Bachelor of Science in Technical Management, focusing on the integration of technology and business operations. Gaining expertise in project management, organizational leadership, and strategic planning within technical environments.

Tech stack

Software and tools used professionally

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Jahnni McCloud - Health Care Benefits Verification Representative - Elevance Health | Himalayas