Jessica Haynes
Phoenix
Summary
Analytical healthcare professional transitioning into Medical Claims Analysis, leveraging hands-on experience in nutrition counseling and insurance verification. Known for meticulous documentation and collaboration with multidisciplinary teams, supporting underserved communities while focusing on reducing billing errors and optimizing revenue-cycle processes.
Overview
1
1
Certification
9
9
years of professional experience
Work History
Nutritionist – Women, Infants & Children (WIC Program)
Mountain Park Health Center
Phoenix
02.2024 - Current
- Provide one-on-one nutrition counseling for 10–20 clients daily, supporting women, infants, and children in underserved communities.
- Deliver prenatal and postpartum nutrition education including meal planning, healthy weight gain, and anemia prevention.
- Guide mothers through breastfeeding education, milk supply support, and infant feeding best practices.
- Develop individualized care plans aligned with family goals and cultural food preferences.
- Support high-risk clients including gestational diabetes, feeding difficulties, and failure to thrive.
- Employ motivational interviewing strategies to enhance client engagement and promote sustainable health behaviors.
- Collaborate with OB/GYN, lactation, behavioral health, and social care teams for integrated client care.
- Record client progress and risk assessments in eClinicalWorks (EHR) to ensure accurate tracking and continuity of care.
- Analyze caseload and EHR data to identify population-level nutritional needs and trends; prepare reports using Excel and Google Data Analytics to inform program planning and targeted education.
- Conduct insurance verification and coordinate referrals for additional health and nutrition services, ensuring clients receive appropriate community and specialty care.
Life Guide
Life Guides
Tempe
09.2021 - 10.2025
- Successfully guided clients through life transitions with empathy and support.
- Facilitated individual and group sessions that empowered clients to achieve personal growth and set actionable goals.
- Guided individuals through personal development sessions and workshops to enhance self-awareness and foster positive life changes.
- Developed personalized action plans based on client needs and aspirations.
- Developed personalized action plans based on individual needs and aspirations.
- Trained new guides on best practices for client engagement and support strategies.
Hearing Aid Specialist
Heartfelt Hearing
Mesa
07.2021 - 01.2024
- Conducted thorough audiometric evaluations to identify suitable hearing solutions.
- Provided expert consultation on hearing aid selection and fitting tailored to client needs.
- Educated clients on device usage, maintenance, and troubleshooting techniques.
- Achieved high customer retention through proactive follow-up care and personalized ongoing support.
- Analyzed client feedback to refine service offerings and tailor product recommendations.
- Managed inventory, ensuring adequate stock levels and timely reordering for seamless service delivery.
- Coordinated insurance verification and billing with private insurers and Medicare, ensuring accurate documentation for timely coverage.
- Processed claims using advanced billing software, documenting outcomes and maintaining accurate records.
Medical Office Administrator
An Oasis of Healing
Mesa
09.2020 - 05.2021
- Processed patient insurance claims and verified coverage details to minimize delays in patient service.
- Managed patient scheduling using electronic health record systems.
- Maintained accurate patient records and confidential information.
- Facilitated communication between healthcare providers and patients to ensure clarity and understanding.
- Assisted in billing inquiries and payment processing for services rendered.
- Streamlined office operations to support efficient workflow and improve patient care.
- Registered new patients into the practice management system.
Optician
Vision Max Optometry
Williamsport
05.2019 - 05.2020
- Guided patients in selecting eyewear tailored to lifestyle and prescription requirements, enhancing satisfaction and visual comfort.
- Provided comprehensive eye exams and vision assessments to ensure optimal patient care.
- Instructed clients on lens care and frame adjustments to improve usability and prolong product lifespan.
- Oversaw inventory of optical products, ensuring access to current styles and technologies for optimal patient choices.
Insurance Verification Specialist
McKesson Specialty Health
Scottsdale
08.2017 - 11.2018
- Verified insurance eligibility and managed prior authorizations, ensuring documentation accuracy and compliance with payer policies.
- Executed data reviews of authorization records and EHR entries to enhance consistency, reducing claim denials.
- Communicated benefit and coverage details to patients and clinical teams while documenting interactions to meet regulatory standards.
- Performed quality-assurance audits on authorization workflows, identifying process gaps and recommending corrective actions to increase payer success rates.
- Maintained current knowledge of healthcare regulations and payer requirements to guarantee compliant submission of authorizations and claims.
- Reviewed policy documents to determine coverage eligibility.
- Trained new team members on claims procedures to ensure compliance and effective operations.
Education
Bachelor of Science - Nutrition Sciences
Purdue University
West Lafayette, IN07-2026
Skills
- Motivational Interviewing
- Care Planning
- EClinicalWorks (EHR)
- Client Relationship Building
- Data review
- Data interpretation
- Data quality
- Google Data Analytics
- Excel
- Reporting
- Healthcare metrics
- Insurance verification
- Claims management
- Claims analysis
- Documentation accuracy
- Quality assurance
- Medical terminology
- HIPAA
- Healthcare regulations
- Data interpretation
Personal Information
Title: Medical Claims Analyst
Certification
- Google Data Analysis
Timeline
Nutritionist – Women, Infants & Children (WIC Program)
Mountain Park Health Center
02.2024 - Current
Life Guide
Life Guides
09.2021 - 10.2025
Hearing Aid Specialist
Heartfelt Hearing
07.2021 - 01.2024
Medical Office Administrator
An Oasis of Healing
09.2020 - 05.2021
Optician
Vision Max Optometry
05.2019 - 05.2020
Insurance Verification Specialist
McKesson Specialty Health
08.2017 - 11.2018
Bachelor of Science - Nutrition Sciences
Purdue University