CHRISTINA JONES

***** * ****** ******, ********, AZ 85138

602-***-**** ad2ijx@r.postjobfree.com

SUMMARY

A dedicated and hardworking administrative professional, with a strong background in account management

and customer service. Strong background in the healthcare and insurance industry. Excellent administrative

skills and an accomplished multi-tasker, who ensures the achievement of established objectives. As a driven professional, makes substantial contributions to the teams driving the growth of an organization.

EXPERIENCE

Discover, Phoenix, Arizona

Collections Specialist, March 2023 - present

Working in Collections department. New to me and I miss working with a Medical/Healthcare/Insurance Company so I can use all of my experience and skills to grow with that type of company.

Verify that the person calling, or we are calling out to is the correct card member.

Provide details on past due, current minimum due and due date to cardmember. Then try to collect what they can pay. Try to set up Direct Pay for future payment.

Notating account about conversion and updating status with new detail.

AVEANNA HEALTHCARE, Chandler, Arizona

Patient Account Representative, August 2021-December 2022

Working in Change Order department. I have worked three different positions were duties included receiving

a revised prescription for an existing patient.

Verify that prescription is valid and all clinical information is included. If not, reach out to physician, hospital and/or patient’s family to let them know what we need to proceed.

Keep patient’s family informed as to the process and what needs to be done to complete.

Request prior authorization when needed.

Follow up on authorizations.

Continue to keep family informed on authorization status, including approvals, denials and provide further assistance with appeals.

Continuous computer program updates including clarifying updated notes.

Contacted patients regarding delivery items, confirming address, provided benefit and authorization detail

finalizing process for future refill needs and answering their questions.

Development new ideas to succeed improving our team’s quality and quantity.

Team player, continually helping in other areas.

Open to constant changes and adapted quickly and efficiently.

Supervisors and coworkers commented on professionalism, teamwork, excellent attitude and always meeting or exceeding expectations. I have received letter from patient’s family commending my performance and going the extra mile to make our company shine.

CORAM/CVS INFUSION SERVICES, Phoenix, Arizona

Sr Assistant Customer Service, INF, August 2018-July 2021

Position began in an Authorization position where duties included initiating authorizations, renewals, and expiring authorizations. Moved into an Intake position that included setting up patient so that a delivery of our company’s products and/or supplies are received in a timely manner.

Made outbound calls to insurance companies to obtain authorization requirements for patient benefit plan.

Processed authorization request online when possible, working with multiple insurance systems.

Continued to follow up to obtain status with the goal to get authorization approved.

Contacted physicians for detail, to obtain a valid prescription and medical documentation when

necessary.

Contacted patients regarding authorization status, denials, and further assistance.

Processed incoming prescriptions by reviewing and then enter multiple computer systems.

Contacted patients regarding delivery items, confirming address, provided benefit and authorization detail

finalizing process for future refill needs and answering their questions.

Development new ideas to succeed improving our team’s quality and quantity.

FRESENIUS MEDICAL CARE, Mesa, Arizona

Patient Account Specialist, December 2015-August 2018

Position consisted of insurance verification for patients receiving dialysis at our facilities. Duties included listening attentively as well as asking the correction questions so that the correct information was obtained. Also, needed to load this detail on spreadsheet and into company system so that billing and authorization would be processed correctly.

Made outbound calls to insurance companies to obtain patient benefit detail.

Developed methods to access critical information during call.

Assisted with re-verification and authorization departments whenever needed.

Capability to correct or add information when patient account was incorrect or incomplete.

Knowledge on my position and what needed to be completed as well as quotas were always met or exceeded.

Began as a temporary employee and hired immediately once my transitional period was completed.

MCKESSON SPECIALTY HEALTH, Scottsdale, Arizona

Insurance Specialist II (Long term temp position), July 2014-August 2015

Responsible for assisting patients applying for a prescription discount program. Also, obtained and provided detail to physician and patient on how medication would be covered. Moved into Authorization position.

Made outbound calls to insurance companies to obtain patient benefit detail.

Developed methods to access critical information during call.

Trained new employees.

Advanced to prior authorization and denials of coverage including continual follow up.

Performance reviews were always met or above company expectations.

Quality performance would consistently be at or near 100 percent.

BENEFIT MALL, Phoenix, Arizona

Office Manager, July 2001-January 2005

Held position responsible for organizing office operations and procedures. Oversaw staff procedures and performance.

Prepared reports such as profit and loss, office analysis, and achievement of financial objectives.

Successfully oversaw tracking and budget, income, and sales per representative.

Reported to multiple managers.

Organized office operations and procedures.

Aided in payroll, including rate increase as well as performance reviews.

Delegated workflow to all staff members.

Oversaw all office equipment and computer costs, upgrades, and inventory control.

Senior Account Specialist, January 2005-March 2014

Performed all post-sales duties, including customer service and client billing.

Processed premium payments, including review for accuracy.

Provided financial and business reports to management and corporation.

Implemented all post-sales processes, including customer service.

Answer and made telephone calls in a professional manner with clients, customers, business contacts, insurance companies, agents and corporate.

Performed word processing, using Microsoft Office.

Performed accounting, using QuickBooks.

Created financial and production spreadsheets also created presentations, using Microsoft Office.

Successfully utilized strong communication skills.

ADDITIONAL EXPERIENCE

PROFESSIONAL INSURANCE SERVICES, Menlo Park, California, Account Manager, 1996-2001.

VIC WYCOTT INSURANCE SERVICS, San Mateo, California, Account Manager, 1992-1996.

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