Rose Jean

Healthcare and insurance professional with 7+ years of experience in billing support, claims research, benefits verification, and customer account management. Experienced in reviewing claim status, investigating payment discrepancies, researching denials, and supporting revenue cycle operations. Skilled at utilizing payer portals, billing systems, and reporting tools to identify issues, resolve account discrepancies, and improve operational efficiency.

Known for strong analytical skills, detailed documentation, and the ability to communicate complex information clearly to clients, providers, and internal teams.

Remote Billing Representative - QUEST DIAGNOSTICS - Remote

(2025-07)

• Research claim status, payment details, denials, and reimbursement issues using billing support systems and payer portals.
• Review account balances and investigate discrepancies related to payments, adjustments, and insurance processing.
• Support accounts receivable activities by following up on unpaid claims and outstanding balances.
• Process refunds, payment plans, and account corrections while ensuring compliance with company policies.
• Analyze claim trends and recurring issues, escalating concerns to appropriate departments for resolution.
• Maintain detailed documentation of claim research, payment investigations, and account activity.
• Consistently achieve 95%+ quality and productivity metrics.

Remote Medicare Customer Support Representative - UNITEDHEALTHCARE (via TTEC) - Remote

(2023-08 - 2025-04)

• Assisted members with claim status inquiries, benefits verification, coverage questions, and payment-related concerns.
• Utilized payer systems and online portals to research claim activity and explain adjudication outcomes.
• Investigated eligibility and billing issues while coordinating with internal departments for resolution.
• Documented account activity and case resolutions in accordance with company procedures

Remote Bilingual Customer Service Representative - AETNA, A CVS HEALTH COMPANY - Remote

(2018-09 - 2023-04)

• Supported Medicare members with claims inquiries, billing questions, and benefits interpretation.
• Researched payment determinations and assisted members in understanding claim outcomes.
• Maintained detailed documentation and escalated unresolved issues to appropriate teams

High School Diploma