Anita Jones

Ready and willing, professional and adaptable; let us get to work.

Phoenix, AZ 85033

ad3pqm@r.postjobfree.com

+1-310-***-****

Ready to re-engage and rise above in excellence.

Authorized to work in the US for any employer

Work Experience

Currently Retired

In Home Personal Care - Phoenix, AZ

June 2014 to Present

Willowed in 2019, Reconstructing my life, managing and developing new strategies for living alone. Business Analyst

A-D Business Services - Compton, CA

September 2014 to April 2020

Conduct Business accounting and auditing

● Prepare monthly and yearly profit and loss statements

● Preparation of quarterly and annual tax statements

● Annual preparation of employee W-9s, W-2s and other related tax documents

● Input and calculation of monthly expenses and deficits

● Assemble documents for Tax Preparation, Personal and Business Caregiver/Personal Assistant

Care for Elderly Parent - Compton, CA

September 2010 to August 2014

Resigned to care for elderly father, after the passing our mother. This was important to myself and my family, to care for parents in his declining years. Financial Administrator

UT Medical Group, Inc - Memphis, TN

September 2008 to September 2010

Assist Directors of Operations in the daily financial operation of various clinical departments

• Document and communicate information concerning reimbursements, contractual rates, provider measurements and resolutions to recurring issues.

• Prepare Performance reports of monthly production of physicians. One to one relationship with physicians, directors, corporate staff and others daily

• Create and maintain financial analysis of departmental contracts, revenue and expense worksheets and schedules.

• Provide quality analysis of current policy and procedural techniques; addressing effectiveness, time management and cost

• Budget analysis; evaluate effectiveness of current budget

• Manage and update all departmental assets i.e., medical equipment, office and vendor contract Long Term Substitute Teacher

Riverside County Office of Education - Riverside, CA August 2007 to July 2008

Worked in multiple schools as lead teacher in mild to moderate special education classes. Special Education Teacher

Riverside Unified School District - Riverside, CA

August 2006 to June 2007

• Teacher of record for special education classroom, opportunity program.

• Small classrooms for children with behavior issues.

• Service to students included Behavior coaching, life lessons and pre-employment goals. Financial Analyst/ Auditor

North America Medical Management - Ontario, CA

February 2000 to August 2006

Analyze health plan, ancillary and provider contracts for accuracy and viability to current catastrophic losses protection contracts

• Audit shared and full risk pools

• Facilitate, orchestrate and manage the distribution of in-house assignments; documenting dead-lines, statuses and assignors

• Perform claims audits; verifying system configuration, contractual obligations (FFS Carveouts, Capitation, coding (CPT/HCPCS/ DME/ ANS, UB92 and HCFA 1500 claims), Utilization/authorization requirements, etc.)

• Review for updates, department training and distribution of Federal guidelines and regulation changes per federal register; (CMS; Medicare Fee Schedules, HIPAA, etc)

• Research contractual information for language, financial risk and recovery interventions Education

Bachelor of Arts in Liberal Arts

California Baptist University - Riverside, CA

February 2000 to May 2003

Skills

• Academic medical center experience.

• Proficient in the use of Microsoft Softwares. i.e., MSWord, MSExcel, MSPowerpoint, MSOutlook and Simple Queries in MSAccess

• High level knowledge of coding and compliance-related issues. AAPC Certified Professional Coder.

(CPC)

• Positive attitude and demonstrated flexibility in re-prioritizing projects.

• Able to navigate through ambiguity and provide a structured problem-solving approach.

• Strong leadership and management skills

• Able to initiative, be innovative, and collaborate with others. Excellent interpersonal, written, and verbal communication skills.

• Business Analysis

• Financial Analysis

• CPT Coding

• Requirements Gathering

• Quality Assurance

• Auditing

• Process Improvement

• Profit & Loss

• Business Requirements

• Microsoft Excel

• ICD-9

• Analysis skills

• Root cause analysis

• Databases

• Data modeling

• HCPCS

• CPT coding

• Contracts

• Quality assurance

• Financial analysis

• HIPAA

• Research

• Financial auditing

• Customer service

• Profit & loss

• Teaching

• Computer skills

• Training & development

• Medical billing

• Medical terminology

• Medical coding

• ICD-10

• Insurance verification

• Microsoft Powerpoint

• Behavioral health

• Organizational skills

• Communication skills

• Accounting

• Program development

• Writing skills

• Budgeting

• Time management

• Project management

• Microsoft Word

• Managed care

• Data entry

• Business analysis

• Administrative experience

• Microsoft Office

• Sourcing

• Clerical experience

• Leadership

• Requirements gathering

• Business requirements

Certifications and Licenses

First Aid Certification

Medical Coding Certification

Driver's License

September 2023 to August 2028

Special Education Certification

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