Jessica Mesa
@jessicamesa
Energetic medical coordinator with over 8 years of experience.
United StatesWhat I'm looking for
With over eight years of experience in the medical field, I have developed a strong foundation in various roles including Grievance Coordinator, Referral Coordinator, and Customer Service. My expertise lies in navigating complex healthcare systems, ensuring compliance, and providing exceptional service to both members and providers. I am fluent in English and Spanish, which allows me to communicate effectively with diverse audiences.
In my current role as an Escalation Response Specialist III at Centene Corporation, I have honed my skills in resolving member and provider complaints, tracking grievance cases, and interpreting data from multiple sources. My commitment to delivering high-quality customer service is evident in my ability to empathize with clients and address their concerns promptly. I am passionate about advocating for patients and ensuring they receive the care they deserve.
Experience
Work history, roles, and key accomplishments
Escalation Response Specialist III
Centene Corporation
Sep 2019 - Present (5 years 8 months)
As an Escalation Response Specialist III, I researched and resolved member and provider complaints related to billing, claims, and customer service. I tracked grievances for compliance, escalated issues, and provided empathetic customer service while adhering to corporate guidelines.
Referral Coordinator / Billing Specialist
Carlos Silva MD
May 2018 - Oct 2019 (1 year 5 months)
In my role as a Referral Coordinator and Billing Specialist, I managed authorization and referral submissions, resolved member and provider complaints, and performed insurance verifications while ensuring compliance with health plan procedures.
Referral Clerk
Citrus Park Medical Care
May 2012 - May 2018 (6 years)
As a Referral Clerk, I handled authorizations and referrals using EMR systems, managed patient communications, collected co-pays, and performed insurance verifications while ensuring efficient patient check-in and check-out processes.
Education
Degrees, certifications, and relevant coursework
CIConcorde Career Institute
Certificate, Insurance Billing and Coding
2010 - 2010
Completed a program in Insurance Billing and Coding, gaining knowledge in medical billing processes and coding systems.
A. P. Leto High School
High School Diploma, General Education
2005 - 2009
Earned a High School Diploma, completing a general education curriculum and developing foundational skills for further education.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
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