Jamisha Banks

Research, validate, and maintain provider records to support accurate claims processing and network operations. Analyze data discrepancies, perform quality checks, and collaborate with cross-functional teams to resolve complex provider data issues.

Managed specialist referrals, prior authorizations, benefits processes, and scheduling coordination while meeting production and quality standards. Served as an escalation point for referral and authorization issues requiring research and problem resolution.

Verified insurance benefits, coordinated patient referrals, and supported patient scheduling and healthcare service workflows. Maintained accurate patient documentation and collaborated with providers and patients to resolve referral issues.

Provided remote healthcare support regarding benefits, claims inquiries, reimbursements, appeals, and prior authorizations. Performed benefit verification, researched member issues, and documented resolutions in CRM and healthcare systems.

Handled high-volume customer inquiries, researched service concerns, and resolved issues while maintaining accurate documentation. Supported operational performance goals through issue resolution and workflow coordination.

Processed orders, tracked requests, maintained account documentation, and coordinated with internal teams to resolve service issues.

Supported retail operations, inventory, scheduling, customer service, administrative documentation, and merchandising activities.

Performed data entry, records maintenance, administrative support, scheduling, correspondence, and customer service functions.

Pursuing a Bachelor of Arts in Business Management, currently in progress.

Completed general studies coursework at Tyler Junior College.

Earned a high school diploma from Creekview High School.