Jona Jallow

614-***-****

ad3yj8@r.postjobfree.com

Columbus, OH 43232

Summary

Personable, analytical Data Entry Specialist with 12 years of experience in customer service and various database platforms. Self-directed, skilled in multi-tasking, and constantly exploring ways to exceed expectations of customers and managers.

Work independently to accurately input work order data in the company database, identify missing details and follow up with clients to ensure records are complete and accurate.

Responsibilities will include collecting and entering data and maintaining accurate records for the company. She has accurate typing skills and knowledge of spreadsheets, databases and online forms.

Highly Proficient in MS Word, Excel, PowerPoint, CRM, Salesforce and she has 2 monitors with good internet speed.

Education

diploma in medical office administration

MCED Career College Fresno, CA

May 2008

diploma in Medical Assisting

Technology Education College

Columbus, OH

April 2002

High School Diploma

Fort Hayes Arts and Academic High School

Columbus, OH

June 1993

Skills

Scheduling Operations

Patient Registration

Patient Authorizations

Appeals and Grievances

Microsoft Office (10+ years)

Customer Service (10+ years)

Data Entry (10+ years)

Claims Processing (3 years) • Claim Appeal (3 years)

Claim Adjudication, UB04, EOB, HCFA 1500 form knowledge

Microsoft Word (10+ years)

Teams

Zoom

Google meet

Customer Service training (call center)

Inventory

Payroll

Team Building

retail sales

Microsoft Outlook (10+ years)

Excel (5 years)

CPT Coding

ICD-9

ICD-10

Medical Billing

Medical Coding

Medical Records

Customer service

Typing

Venipuncture

Medical Office Experience

Help Desk

Insurance Verification

Software Troubleshooting

Anatomy Knowledge

Hospital Experience

Microsoft Excel

Data entry

Microsoft Office

Laboratory

Medical Terminology

Patient Care

10 key calculator

Avality, Centricity, Cerner, PeopleSoft, Facets, Rumba, EMR systems, Workday, Avaya, SharePoint, DocuPhase, DocuShare, Oracle, QuickBooks, Quicken.

Remote connection experience

Work at home experience

Work Experience

Adecco for Epic Global

Dublin, OH Nov 2021 - Nov 2022

Claims Analyst II

Data entry and verification of information.

Utilized software tools to access and review claim documents, enter claim decisions, and create escalations when needed.

Meet and exceed departmental standards for accuracy and productivity.

Verified data and processing requirements and make corrections as necessary.

Engage Healthcare Business Services Columbus, OH May 2021 - July 2021

Medical Billing Specialist

Collected, posted, and managed patient account payments, and prepared and submitted claims forms to insurance companies and other third-party payers.

Reviewed and validated accuracy of charges, including dates of service, provided, location, patient identification, and provider signature.

Follow up on past due invoices and delinquent accounts to reduce number of unpaid and outstanding balances. Data entry and verification of patient demographic information.

Amazon.com

Obetz, OH

Apr 2020- Jun 2020

Package Handler/Sorter

Sort packages for processing.

Pack packages for merchandise processing.

Teleperformance

Columbus, OH Feb 2020 - Mar 2020

Client Service Representative

Schedule, modify, and create train reservation in Amtrak system.

Adhere to policies and procedures.

Provide superior customer service by de-escalating tense procedural situations.

Data entry of consumer profile information.

Tailored Management for CareWorks

Columbus, OH Jul 2017 - Oct 2017

Absence Management Specialist

Serve as primary contact for client by managing leave of absence administration (FMLA,STD, LTD) as determined by client contract managing a case load between 275 and 315 cases.

Analyzing FMLA claims to determine eligibility and certification in compliance with state and federal regulations Communicating absence and return to work information to client.

Staffing claims with clinician, as appropriate.

Coordinating certain types of leaves with client Human Resources Department.

Communicating decisions and on-going expectations with claimants and clients.

Tracking FMLA absences, per client calendar.

Troubleshoot disability and absence issues.

Verifying return to work status.

Data entry of employee information.

Ohio Public Employees Retirement System

Columbus, OH Apr 2012 – Dec 2016

Health Care Vendor Coordinator

Provide support for vendor project management, requests for information (RFI), requests for proposals (RFI), implementations, and strategic program initiatives.

Conduct assigned industry research in support of the health care department's initiatives.

Assist with processes and activities required for implementation or termination of programs and/or health care vendors.

Monitor health care vendor contracts, analyze service performance, and track program deliverables including reports, file transmissions, program status updates, action logs and member related items.

Prepare and distribute materials for internal and external meetings involving vendor oversight and strategic direction.

Track resulting staff accountabilities to ensure timely completion of action items.

Coordinate meetings and conference rooms for meetings.

Compose letters, memos and additional correspondences.

Compile agendas, reports and PowerPoint presentations for meetings.

Schedule appointments and make travel arrangements.

Submit expense reports, schedule travel and copy materials.

Responsible for ordering supplies as needed.

Assist with quality control and audit initiatives to ensure vendors are meeting their service agreement and statements of work.

Maintain the Health Care documentation library by updating vendor

ol)contracts, agreements, amendments, business associate agreements, non-disclosure agreements, and project logs.

Data entry of retiree benefit applications.

WellPoint Anthem Blue Cross

Columbus, OH Oct 2010 – Apr 2012

Enrolment and Billing Rep I

Process electronic and manually submitted health care membership eligibility updates.

Respond to incoming calls and initiate outgoing calls, providing support to providers, and employer groups by answering enrolment questions, resolving issues and educating callers.

Verify enrolment status, verify and update demographics and insurance information, make changes to records, research and resolve enrolment file rejections.

Data entry member demographic information. Add and or correct member eligibility Status Kelly Services/Palmetto GBA.

Palmetto GBA

Columbus, OH Oct 2008 - Oct 2010

Appeals Specialist

Process and review Medicare provider claim appeals and reconsiderations by reviewing corporate medical policies, contract provisions, and legislative requirements.

Research Medicare claim history for deferrals, rejects, denials and benefit issues.

Prepare communication to Medicare providers acknowledging receipt of the request and final appeal determinations.

Maintain accurate online tracking of cases and meet standards in a timely fashion.

Perform other duties as assigned. Completed 90day contract with temporary agency March 06, 2009and was permanently hired on March 9, 2009.

Aetna

New Albany, OH Jan 2005 – Aug 2008

Customer Service Consultant

Claim processing of Preferred Provider Organization (PPO), Indemnity, Health

Reimbursement Account (HRA) and Health Savings Accounts plan types according to plan sponsor contracts.

Answer questions and resolves issues based on phone calls from members, providers and plan sponsors.

Process claims referrals, new claim handoffs, nurse reviews, complaints, grievance and appeals.

Perform review of member claim history to ensure accurate claim tracking of benefit maximums and coinsurance/deductibles.

Perform financial data maintenance.

Data entry of claim information for submission for adjudication.

Physicians House Call

Columbus, OH Jun 2004 - Jan 2005

Medical Assistant

Assist physician with patient care, provided quality customer service to patients, specimen collection and processing.

Ensure encounter forms were completed to obtain appropriate claim reimbursement.

Patient registration functions-Verify, and update demographics and insurance information, collect co-pays.

Schedule, cancel, re-schedule patient's appointments and enter no-show information into scheduling system.

Perform basic eligibility, co-pays and preauthorization requirements for specific coverage.

Establish and maintain medical charts as well as administrative records.

Process claims- medical billing, complete HCFA 1500, and ensure billing information complete,ICD-9, CPT codes.

Laboratory Corporations of America Columbus, OH Jul 2003 - Jun 2004

Patient Service Technician

Patient registration/Data Entry functions- Verify, and update demographics and insurance information, collect copays.

Perform test requisition entry, verify ICD-9 codes, greet and direct patients through the lab and gathered complete patient information necessary to complete the registration and accessioning of all procedures done in the area.

Ensured accuracy of results and Quality Control by maintaining equipment and instruments.

Follow policy for chain of custody record keeping for pre-employment/chain of custody urine collections.

Mount Carmel Health Systems

Columbus, OH Jun 2002 - Apr 2003

Phlebotomist

Patient registration/Data Entry functions- verify and update demographics and insurance verification.

Place patient orders, verify correct CPT code and ICD-9 code on lab order form, and collect and label specimens utilizing positive patient identification.

Process and prepare specimens for transport as needed.

Produced report for faxing and delivery as needed and communicated appropriate information to the health team.

Police and Fire Pension Fund

Columbus, OH Mar 2001 - Sep 2001

Data Entry Specialist

Checked data from completed payroll spreadsheets for accuracy and completeness and entered into PeopleSoft database for benefit calculations.

Reviewed audit reports and resolved error to ensure integrity of data.

Perform numeric and alphanumeric data entry functions.

Vision Service Plan (VSP)

Columbus, OH Sep 2000 - Mar 2001

Customer Service Representative

Effectively and efficiently responded to telephone inquiries ranging from routine to

complex situations from members, doctors, and clients regarding employer vision plan.

provided provider authorizations for vision services.

Maintained quality customer care, and performance-based productivity.

GAPS IN EMPLOYMENT

Jun 2020- December 2023

Disability

Mar 2017- Apr 2020

Waiting for disability approval

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