Pamela M. Jones, M.S.
Contact Information:
Address: *** **** ****** ****. ********** Ky. 40162
Phone: 502-***-****
Electronic Mail: acxj8g@r.postjobfree.com
Education and Training:
Management with a Minor in Strategic Management
08/2011-03/2013 Masters of Science
Indiana Wesleyan University- Louisville, KY.
Business Administration–Management
08/2009-05/2011 Bachelors of Science
Northwood University - Louisville, KY.
Applied Science in Medical Assisting
08/2006-05/2008 Associate Degree
Brown-Mackie College - Louisville, KY.
Work Experience:
Clinical Pharmacy Review Associate at Humana
08/2014-Present-Louisville, KY.
•Use critical thinking, and process claims in an accurate and timely manner, while keeping production up
an in accordance with federal regulations.
•Give excellent customer service and provide the perfect customer experience.
•Use knowledgeable skills to research and find correct answers and use thinking outside the box to get this
accomplished in an accurate and timely manner.
•Process appeals and grievances by gathering data and clinical information from physicians, patients and
compiling cases and information to be reviewed by the supporting physician and pharmacist on staff.
Third Key Manager at Visionworks
10/2013-08/2014-Louisville, KY.
• Possess great communication skills and strong interpersonal and conflict resolution skills in a management
capacity.
• Basic business math and accounting skills, with strong analytical/decision-making skills.
• Recruits, interviews, and hires team members, conducts performance appraisals, takes discipline action,
motivates and trains.
• Proven ability to drive customer satisfaction, financial performance and employee satisfaction.
• Controls profit & loss, by following cash control/security procedures, maintaining inventory, managing
labor, reviewing, financial special reports and taking appropriate actions.
Blood Collection Technician at the American Red Cross
09/2008-06/2013-Louisville, KY.
• Demonstrate professionalism along with strong organizational skills and confidentiality to assess patient
records, enter new patients into the system, along with performing all vitals and checking hemoglobin levels
to ensure highest level of patient care.
• Operate as a member of a cohesive team and easily adapt to new environments when traveling in mobile
units for set-up, patient care and teardown.
• Train new staff members on policies, procedures and highest standards of patient care.
• Perform blood draws, monitor for adverse reactions, while operating within FDA standards, and OSHA
safety guidelines.
Production Team Member at Publishers Printing Company
2005-2008- Shepherdsville, KY
• Trained employees on handling bindery pockets to help ensure maximum efficiency from printing/binding
machines, and keep the machine running smoothly.
• Sorted mail and inspected packaging to ensure that products reached the customers.
Party Coordinator/Manager/Sales at Angie’s Creations
2002-2005- Rineyville, KY
• Utilized strong interpersonal skills with in-depth knowledge of process to identify client needs
and assemble all event elements to meet or exceed their expectations.
• Managed all aspects of coordinating and executing client events to include: contacting, securing the
event venue, maintaining the guest list, catering, decorations and entertainment.
Qualifications:
• Experienced in a variety of fast-paced environments requiring a high level of
professionalism, customer/patient service, confidentiality, efficiency and attention to detail.
• Demonstrate excellent organizational, delegation and mediation skills while handling day-to-
day operations of the business.
• Willing to travel and engage in continuous learning opportunities.
• Familiar with HIPPA compliance and patience privacy and confidentiality.
• Computer skills: Microsoft Word, Excel, PowerPoint, 45wpm, and electronic medical
patient records.