Angela Simmons Jones

SKILLS

Data Entry **,**0kph

Typing 45-60wpm

ICD 10/CPT codes

Microsoft Office Suite

Electronic Registration Systems

POS Software

Call Center Metric Production

Medical Terminology

Insurance compliance

Multiple line switchboard

Office equipment

Conflict Resolution

PROFESSIONAL EXPERIENCE

Touchette Regional Hospital April 2021- Current

Patient Registration (Contract)

Greet patient/Check in for clinic

Answer inbound calls

Schedule COVID vaccine dose

Update charts with vaccine information

Sanitation area daily

Athena system qualified

Screening for COVID (take temperature and ask covid related questions)

Mindlance November 2020- January 2021

Insurance Verification Specialist

Verified insurance eligibility for both medical insurances for upcoming appoints by utilizing internal websites

Answered patient, insurance companies, clerical staffing questions

Maintained strictest confidentiality

Complied HIPPA guideline/ regulations

Reviewed patient deductibles and copays to enter them into the billing system and spreadsheets

Customer Service/ Patient Access Representative II October 2018-Febuary2020

Granite City Regional Medical Center

Maintained multiple lines switchboard, communicate with internal and external customers.

Registered patients for emergency and outpatient services.

Verified government and commercial insurance eligibility.

Managed a variety of administrative and clerical functions in a high-volume office.

Worked independently with little or no direct supervision.

Prepare daily attendance and scheduling reports and monthly activity reports.

Answered phones and directed incoming calls.

Processed and distributed daily mail.

Data Entry March 2018 – September 2019

Vertexer Centene Corporation

Entered data into company databases and invoices into CRM system for use by customers.

Downloaded reports for specific clients, locations, or time periods by request.

Responsible for training new employees on company policy and data entry basics.

Patient Register/Customer service Janurary2018–July 2018

Touchette Hospital

Read current literature, talk with colleagues, continue education, or participate in professional organizations or conferences to keep abreast of developments in the field.

Identified and share research, recommendations, or other information regarding legal liabilities, risk management, or quality of care.

Develop and distribute newsletters, brochures, or other printed materials to share information with patients or medical staff.

Analyzed patients' abilities to pay to determine charges on a sliding scale.

Taught patients to use home health care equipment.

Customer Service Representative December 2017 – March 2018

Precision Practice

Collected the insurance liabilities and answered the insurance questions.

Reached out to new patients and their families/caregivers to provide guidance on oncology treatment.

Specialized in patients with Medicare and Medicaid - helped patients navigate complex rules and policies to guarantee appropriate coverage.

Interacted with doctors regularly to provide updates on concerns or follow-up questions from patients.

Patient Register/ Customer service January 2017 – November 2017

Des Peres Hospital

Scheduled, calculated bills and obtaining pre authorizations.

Investigated and directed patient inquiries or complaints to appropriate medical staff members and follow up to ensure satisfactory resolution.

Explained policies, procedures, or services to patients using medical or administrative knowledge.

Magellan Health Services – Maryland Heights, MO (Contract) October 2016 – January 2017

Customer Service Representative

Took inbound calls from patients, resolved internal and external customer inquiries.

Scheduled appointments with clinician, confirmed patient benefits/eligibility, obtained authorizations and process claims.

Switchboard Operator/ Customer Service October 2013-August 2016

Anderson Hospital

Answered incoming calls regarding benefits, eligibility, etc., resolve inquiries, address billing/coding inaccuracies and complete full patient registration, secure legal consents.

Created electronic patient files, schedule diagnostic procedures, validate physician orders and medical necessity, obtain insurance verifications and authorizations, and collect patient liabilities.

Office Support Specialist May 2006 – November 2012

Southern Illinois University- Edwardville

Supervised student workers, performed general office duties, completed travel arrangements and expense voucher.

Generated monthly reports, maintained fixed asset inventory, assisted with audits, and audited response, provided clerical supported for Upward Bound Program Directors, completed salary time records.

EDUCATION

Bachelor of Science Business Administration

Southern Illinois University Edwardsville

Edwardsville, IL

-Angela is a bachelor’s degree candidate with customer service experience within the healthcare industry.

-Her experience included but is not limited to

oPatient registration within an ER environment

oInsurance verification

oData entry of patient demographics

oFielding calls

-Angela is finishing up a contract with for us and has proven to be a quality employee. Throughout her contract with us, she has maintained strong communication both verbal and written. She has also demonstrated adaptability to different situations within the workplace as well.

-Angela had represented us well and will represent your company well if given the opportunity.

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