Chari L. Jones

P.O. Box **** Flint, MI *****

810-***-**** (mobile) adnzul@r.postjobfree.com

QUALIFICATIONS

A driven IT professional with an educational background in planning,, analyzing and implementing solutions in support of required objectives. The ability to provide comprehensive and secure network design, systems analysis and full life cycle project management. Hands on experience leading all stages of system development efforts, including requirements definition design, architecture, testing and support. Outstanding project and program leader; able to coordinate and direct all phases of project-based efforts while managing, and database administration to communicate and manage contents, motivating and guiding teams to a successful delivery.

ADDITIONAL PROFESSIONAL EXPERIENCE

Contract for State of Michigan - through

Robert Half Staffing – Remote – October, 2020 – June, 2021

Agent - worked remotely answering questions for claimant, processing unemployment claims, making sure documents were completed correctly in order for claimant to receive benefit payments, updating files to better serve the customers etc. etc….

TG Staffing – Flint, MI.

Administration March, 2020 – June 2020

Promote maintenance of apartment complexes, Contracts Monitoring for Quality and Compliance, Lead Meeting Agenda Meetings, Registration, Annual Quality Management Summary, Use QAPI Database, Use CMS Conference Call Worksheet for Incidents, Data Policy and Procedures, Participate in required quality assessments and continuous improvements such as; infection and safety control standards, Medical Records Management Policy and Procedures, Supporting technical systems, Complete appointment scheduling, utilization review medical terminology, patient registration, Complete projects of some sort relating / demonstrating system design, documents, work plans, test new, data collection, Answer incoming and outgoing calls – Call Center, Pull reports using different systems / codes, Provide administration support intake / claque and clerical responsibilities.

A LIL MORE HANDS - Flint, MI Accounts Receivable March, 2019 – February. 2020

Entech Staffing /Ascension Health, Flint, MI January, 2019 – February, 2019 Quality Data Analyst

Promote maintenance of participant health, Contracts Monitoring for Quality and Compliance, Lead Meeting Agenda Meetings, Registration, Annual Quality Management Summary, Use QAPI Database, Use CMS Conference Call Worksheet for Incidents, Data Policy and Procedures, Participate in required quality assessments and continuous improvements such as; infection and safety control standards, Medical Records Management Policy and Procedures, Supporting technical systems / medical records information for electronic (EMR), Complete appointment scheduling, utilization review medical terminology, patient registration, Complete projects of some sort relating / demonstrating system design, documents, work plans, test new, information technology, EMR (Epic), data collection, Answer incoming and outgoing calls – Call Center, Pull reports using different systems / codes, Provide administration support intake / claque and clerical responsibilities, Chart/ Auditing, Maintain medical records, Medical Billing / Coding (ICD), SQL (Structured Query Language)

ALTEGRA HEALTH / CHANGE HEALTH, Flint MI December, 2016 –August 2018

FIELD REVIEWER ADVOCATE

Registration, document management -scanning and saving patients documents, Reviewing information that has been scanned, Epic Certified, Attaching documents to EMR & LIDS, Uploading & managing charts

Electronic Medical Billing, Records (EMR) - Epic System, Coding / ICD9, Inventory, Distribute contract information status updates, Chart Acquisition Process and Coversheets, Traveling Field Reviewer

Project Base, Participate in quality assessments and improvements, Ability to identify and solve problems HIPPA CERTIFIED

UAW LOCAL 659, Flint MI April 2015 – August 2017

ADMINISTRATIVE RECEPTIONIST

Proving detailed information to Union Reps, Documenting and keeping track of all Legal Binding information, Modifying event flyers, Scheduling meetings for the President, Recording proceedings of all membership, Handle appeals and take care of union correspondence, Lead the meetings for the collective bargaining power to negotiate with employers, Create spreadsheets for financial contributions regarding fundraisers, Cobra payments and tracking past and existing collections.

Various computer programs used such as; Outlook, PowerPoint, Excel, Microsoft, Overnight packages and sending email along with creating Flow charts,etc. etc.

ENTECH AGENCY HEALTHPLUS OF MICHIGAN, Flint MI Nov 2013 – Dec 2014

IT PROVIDER NETWORK ANALYST

Initiating, documenting, tracking and screening provider application request by:

Developing and maintaining accurate provider application materials and contract templates

Coordinate credentialing process with Quality Management Credentialing Department

Send out necessary documents for provider applications i.e. W-9, Intake, Contracts Forms, etc.

Monitor database on an ongoing basis to maintain integrity of data and identify and resolve data issues contained therein.

Responsible for organization and corporate reporting provider network data utilized in and reported through the Corporate Score Card and the Presidents Report.

Communicate with provider, internal and external customers, such as PHO Administrators to facilitate and track status of provider application requests, provider record change request to ensure HealthPlus provider database is accurately maintained for external publication.

Provide on-going status reports of e provider credentialing process to Provider Network Management, Legal and Physician Hospital Organizations and others, as applicable.

Maintain on-going communication with IS, Provider Network Management and Customer Service Departments to ensure provider data is consistently updated, accurately reflected in multiple system and current on he corporate website, at all times.

Produce customized provider directories for all product lines for external and website use by: employer groups, County Health Plans, Sales and Services, PHO and PO’s

Direct involvement in the analysis and recruitment of providers.

Other duties as assigned

Work on special projects for different departments

Complete the 020 Process Steps by closing out and implementing notes for PIM, LEGAL and Credentialing Department.

Mailing out contracts to providers and ensuring the addresses are correct.

Upgrading spreadsheets for P.N.M. Department

Report injuries to CMS FOR Medicare purposes

Access medical records using healthcare systems

Complete request from Law Firms, Hospitals, Insurance Companies and Doctor’s Offices

PITNEY BOWES, Flint, MI May 1996 – Feb 2009

Follow Up Team Leader

Processed Warranty claims from other vendors by handling incoming and outgoing documents that consisted of personal data for General Motors, Handle express packages: Fed-Ex, U.P.S. and DHL,

Place orders throughout the GM Facility for customers/employees using Boise.

Directed workflow by providing service to customers that consisted of sorting, processing and distributing mail, Proofread corporate material, made necessary modifications and communicated changes throughout organization, Examined work queues for requests in jeopardy of missing service agreements, Lead meetings concerning contracts, checks, accounts payable, inventory, stock market, benefits, discrepancies, incoming and outgoing process packages; etc. etc

EDUCATION

Associate of Applied Science, Computer Information Systems Sept, 2009 May, 2011

University of Davenport, Grand Rapids, Michigan

CERTIFICATIONS IN PROGRESS & COMPLETED TECHNICAL PROFICIENCIES

CISSP CERTIFIED Information System ISSA Information System Security Association

MOSC Microsoft Office Specialist Certification A + Certification, 2011

Platforms: UNIX, Windows 9x/NT/2000/XP/Vista, Linux, Mac OS, VM/370

Networking: TCP/IP, Novell, DECNET, SO/OSI, IPX/SPX, SMS /SQL, EHTERNET Secure ID, PGP, PKI, PAYMENT HSMS, HARDWARE & SOFTWARE SECURITY, MOBILE DEVICES, VPN

MANAGEMENT & AUTHENTICATIION

Tools/Applications: Lotus Notes Excel & Microsoft Office Suite Data Entry Visual Basic Fox Pro

COBOL dBase IV Microsoft Money Olympic System Drivers Analytical

CEO (Computer) Flowcharts Quality Control Professional File Problem solving

MICROSOFT DYNAMICS

RECOGNITION

Letters of outstanding service from parents, teachers and students

Received High Reviews

Awarded Certificate of Achievement in Customer Service Star

Employee of the Month

Contact this candidate