Jane E Jones Email & Phone Number

United States

Answer incoming calls in a timely, accurate and professional manner. Responsibilities include but are not limited to the following, and are subject to change from time to time at the discretion of management: • Handling of all incoming calls • Research inquires: Eligibility, Claims, Authorizations, Provider Status, Faxes and Notifications • Route all calls and adjustments to the appropriate departments/personnel • Log every incoming call and close all calls within five (5) business days • Deal with irate callers and use good judgment to determine whether a call needs to be routed to a higher level of authority • Educate providers' office as needed on processing authorizations and claims • Consistently follow all customer service coaching and monitoring guidelines • Return calls to members and providers with in the promised timeframe • Represent the company on the "front lines" in a polite and professional matter. Customer Service experience • Experience in a health care industry is preferred • Phone/ headset use experience • Ability to operate a PC and navigate computer applications • Strong keyboarding and 10-key skills with ability to perform typing/keying tasks for extended periods of time • Ability to use proper English grammar and demonstrate such knowledge in communication with members and providers • Knowledge of general office technology • Ability to multi-task • Ability to problem solve • Outgoing personality, enjoys working with and helping others • Polite, friendly, professional disposition • Calm demeanor; not easily discouraged; short rebound • Fast-learner with a willingness to constantly learn • Strong customer focus • Reliability, punctuality

Sanford, Fl

Complete a thorough and full patient registration via telephone contact with the patient guarantor or referring provider prior to the patient arriving for their outpatient clinic appointment or testing appointment. A Registration Specialist in Pre-Registration is responsible for obtaining and updating patient demographics, guarantor information and insurance coverage information, as well as verifying insurance coverage eligibilityEssential Duties and Responsibilities: * Obtain and verify patient demographic information a minimum of once a year to ensure that the patient record is up-to-date and accurate. * Obtain and verify patient guarantor information a minimum of once a year to ensure that the patient record is up-to-date and accurate and is available for billing purposes.* Obtain patient insurance coverage information and verify the patient’s insurance coverage eligibility, whether via phone, web-site or electronic eligibility checks.* Work the Pre-Registration work queues to determine which patients require pre-registration 1-7 days prior to their upcoming appointment, as well as work error work queues to support billing operations.* Work post-reg work queue for UHC ER and City/Jefferson Pathology* Contact patients via telephone to obtain needed information.* Answer all incoming phone calls in a timely manner and using good customer service.* Obtain benefits for specialty clinic in order to collect time of service payment.* Become familiar with insurance requirements, for example, to determine if insurance is managed care insurance.* Communicate with the Insurance Specialists so that proper authorizations can be obtained prior to the visit.* Complete the Medicare Secondary Payer Questionnaire when needed for upcoming appointments* Ability to provide information to patients regarding PT/OT services and directions to various locations. * Maintain and adheres to HIPAA privacy policies.

Deland, Florida

•Coordinate communication between patients, family members, medical staff, administrative staff, or regulatory agencies.•Interview patients or their representatives to identify problems relating to care.•Maintain knowledge of community services and resources available to patients.•Refer patients to appropriate health care services or resources.•Investigate and direct patient inquiries or complaints to appropriate medical staff members and follow up to ensure satisfactory resolution.•Explain policies, procedures, or services to patients using medical or administrative knowledge.•Read current literature, talk with colleagues, continue education, or participate in professional organizations or conferences to keep abreast of developments in the field.•Identify and share research, recommendations, or other information regarding legal liabilities, risk management, or quality of care.•Keep records or prepare reports for owner or management concerning visits with clients.•Provide information or refer individuals to public or private agencies or community services for assistance.•Visit individuals in homes or attend group meetings to provide information on agency services, requirements, or procedures.•Interview individuals or family members to compile information on social, educational, criminal, institutional, or drug history.•Submit reports and review reports or problems with superior.•Advise clients regarding food stamps, child care, food, money management, sanitation, or housekeeping.•Consult with supervisor concerning programs for individual families.•Oversee day-to-day group activities of residents in institution.•Assist in locating housing for displaced individuals.•Transport and accompany clients to shopping areas or to appointments, using automobile.

Medical Billing Collection Analyst/ Insurance Verification and Final AuthorizationFlorida Health Care/ East Coast Barittrics at Halifax Health in Daytona BeachOct. 2012-April 2014• followed up on unpaid claims for collections• Maintained current knowledge of all new Medicare information• Created, edited and maintained weekly and monthly reports.• entering payments and eligibility as well as by performing other duties as assigned• Verified insurance• Final Authorization on upcoming surgery’s

I had the organizational function that deals with billing new Medicare out, following up on claims that did not pay. Keeping up on all new Medicare information. Authorization of new DME and billing and following up on them also.

I had the organizational function that deals with new employees-- such as compensation, hiring, performance management, organization development, safety, wellness, benefits, employee motivation, communication, administration, and training and motivating team members. Accurately and confidentially recorded customer's records. Efficiently tracked office inventory and supplies in cost-control purchases. Assisted company President/Owner as needed. Created, edited and maintained weekly and monthly reports. A/P, A/R, and Payroll. Billing, filing Medicare and Insurance claims and followed up. Negotiated and obtain contracts for the company.

Taught Lab ClassesIn the Medical Assisting field. -Front Office --Secretarial work, Contact with insurance companies, Answering phones and making appointments , Ordering supplies ,Greeting patients, Pulling and filing patient charts ,Calling in or faxing prescriptions, Converting charts to electronic charting. Back Office, Escorting patients to rooms, weighing patients, taking vital sign, taking medical histories, Listening or questioning patients on current health issues or the issue of concern for this visit. Assisting doctors with medical procedures, giving injections or drawing blood, Clarifying doctor's instructions with a patient. Dr. Zavala Feb. 2003-Aug.2003Referral Department, Medical Assistant front office and back office.Set up referrals for patients when needed, verity insurance and billed daily. As Medical Assistant-answer phones, set up appointments, order supplies, greeting patients, pulling and filing of charts. Call in or fax prescriptions. Escorting patients to rooms, weighting patients, taking vital signs. Taking down of medical histories, assisting doctor with medical procedures, giving injections, clarifying doctors. Listening or questioning patients on current health issues of concern for each visit.

Referral Department and BillingAccurately and confidentially recorded customer's records. Efficiently tracked office inventory and supplies in cost-control purchases. Assisted Doctor as needed. Created, edited and maintained weekly and monthly reports. A/P, A/R, and Payroll. Billing, filing Medicare and Insurance claims and followed up on them. Got Insurance contracts for the company. Set up referrals as needed for patients as needed. Billing, filing Medicare and Insurance claims and followed up.

, acted as float for various departments.I provided quality care and support to the patient and the family. Under the directionof a nurse, the responsible for feeding, hygiene, dressing, communicating, and safephysical activity for the patient. I also observe patients' physical, emotional, and mental status and report any changes to nursing staff. Was in charge of the infection control program of all the CNA'S both new and of the ones who needed yearly updates. Strong communication skills. Under the direction of the nurse, I assisted in delivering care to the patients.

• Billed Medicare and other insurance claims• Followed up on all unpaid claims• A/P, A/R and payroll• Created, edited and maintained weekly and monthly reports • Responsible for all levels of hiring new employees and training, motivation, communication• Efficiently tracked office inventory and supplies in a cost-control purchases• Assisted Doctor as needed

I provided quality care and support to the patient and the family. Under the directionof a nurse, the responsible for feeding, hygiene, dressing, communicating, and safephysical activity for the patient. I also observe patients' physical, emotional, and mental status and report any changes to nursing staff. Was in charge of the infection control program of all the CNA'S both new and of the ones who needed yearly updates. Strong communication skills. Under the direction of the nurse, I assisted in delivering care to the patients.

Bachelor Of Science Degree, Health Care Administration, 3.5

Completed: Bachelor Of Science in Health Care Administration and Associate of Science in Medical Assisting. On the advisory board.

Associate'S Degree, Medical/Clinical Assistant, 3.5

On the advisory board for Florida Metropolitan University Help the Student Service department with many different activities

Associate Of Science Degree, Medical Assisting; Nursing Assistant (C

Activities and Societies: CNA after school function's* Assistance with Self-Administration of Medication-25 hour class; Certificate.