Portia JacksonPJ
Open to opportunities

Portia Jackson

@portiajackson

Experienced medical and insurance professional with strong claims processing skills.

United States

What I'm looking for

I am looking for a role that values communication, teamwork, and professional growth.

I am a seasoned medical and insurance professional with over a decade of experience in insurance claims processing, patient care, and administrative support. My career has been marked by a commitment to exceptional communication, technical proficiency, and detail orientation. I have a proven track record in managing complex claims, ensuring regulatory compliance, and delivering excellent customer service. My ability to handle high call volumes and utilize internal systems has consistently improved efficiency in my roles.

Throughout my career, I have developed extensive expertise in medical and insurance coding, regulatory compliance, and patient care. My experience as an Insurance Claims Processor at WPS has honed my skills in navigating complex regulations and ensuring accurate resolution of claims. Additionally, my role as a Life Insurance Claims Specialist at Globe Life allowed me to handle sensitive claims processes with empathy and professionalism, ensuring compliance with HIPAA regulations while providing key payout information.

I am dedicated to enhancing patient comfort and well-being, as demonstrated in my role as a Patient Care Technician at Golden Years Health Care. My strong analytical abilities and attention to detail have been instrumental in my success across various positions, including HR Generalist and Medical Records Specialist. I am eager to bring my skills and experience to a new opportunity where I can continue to make a positive impact.

Experience

Work history, roles, and key accomplishments

WP
Current

Insurance Claims Processor

WPS

Jan 2022 - Present (3 years 4 months)

Managed MVH overseas claims, navigating complex regulations and quality standards for accurate resolution. Handled coordination of benefits, resolved system errors, and applied procedure/diagnosis codes using ICD-9, ICD-10, CPT-4, and HCPCS. Performed currency conversion, eligibility verification, and error correction.

GC

Patient Care Technician

Golden Years Health Care

Jan 2017 - Jan 2022 (5 years)

Provided high-quality care to ill and injured individuals under medical supervision. Performed vital sign assessments, specimen collection, catheterization, and assisted with daily living activities. Demonstrated strong interpersonal skills and attention to detail to enhance patient comfort.

GL

Life Insurance Claims Specialist

Globe Life

Jan 2021 - Jan 2022 (1 year)

Handled sensitive life insurance claims processes with empathy and professionalism. Managed death notifications, provided comprehensive documentation, and delivered accurate claim status updates. Ensured compliance with HIPAA regulations and provided key payout information.

IQ

Insurance Claim Representative

Iqor

Jan 2017 - Jan 2018 (1 year)

Managed high volumes of incoming calls efficiently while delivering exceptional customer service. Assisted with insurance claims information, processed refunds, and managed claim-related tasks. Created selling opportunities and ensured accurate and timely claim processing.

PS

HR Generalist

Parkwest Staffing

Jan 2016 - Jan 2017 (1 year)

Managed administrative tasks, facilitated office operations, and supported human resources functions. Handled correspondence, maintained files, and coordinated office repairs. Oversaw the complete application and onboarding process, including ADP payroll, reference checking, and screenings.

MC

Medical Records Specialist

MD Anderson Cancer Center

Jan 2012 - Jan 2016 (4 years)

Handled complex documentation and managed patient records with accuracy and confidentiality. Processed documents, validated patient insurance and demographics, and communicated appointment/prepayment information. Utilized One Connect applications and secured HIPAA information.

NG

Customer Service Representative

NCO Group

Jan 2010 - Jan 2012 (2 years)

Efficiently managed high call volumes and delivered exceptional customer service. Scheduled client assistance, processed transactions, and resolved issues with precision. Handled POS systems and credit card transactions, ensuring accurate support and resolution.

Education

Degrees, certifications, and relevant coursework

LS

Lawrence Elkins Senior High School

2004 - 2008

Tech stack

Software and tools used professionally

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Portia Jackson - Insurance Claims Processor - WPS | Himalayas