Tilaunda Jones
********.*****@*****.***
Professional Summary
●Medical office professional with experience in a variety of high-volume roles and settings
●Maintained positive public image to patients, hospital, and medical staff
●Completed supplemental medical records and directed records to responsible part
●Retrieved charts from electronic medical record systems and compile medical records to send to other parties
Professional Experience
St.Vincent Ascension
06/2024-01/2025
Medical Records
Worked with Sorian software system transferring physical patient charts, preparing charts to be merged to the new software during “downtime”. Face sheets, MRNs, Encounter numbers, Authorization forms, Images, physician notes. ETC. Multiple stacks of more than 10 inches in paper charts to be converted, for scanning and indexing. Coordinated with registration department regarding registration dates and codes to be processed for payment.
John Boner Neighbor Center
09/2023- 05/2024
Eligibility Specialist
Residents submit their applications both online and on paper, and responsible for scanning, inputting data, evaluating completeness, and determining eligibility. Your duties include issuing letters and emails to applicants with further instructions or updates. While most of your communication with applicants and utility providers will be via phone or email, you'll play a crucial behind-the-scenes role in ensuring that applications are processed efficiently and accurately.
JWM Neurology
04/2022 – 06/2023
Charge Entry
Responsible for accurate entry of physician charges, balancing charges daily and knowledge of all procedural and diagnostic codes which includes identifying proper codes and informing staff when services are coded incorrectly.
Post each batch in a timely fashion confirming patient’s demographics to ensure payment is being applied to correct account. Apply all proper adjustments to patient accounts to include deductible, copays, coinsurance, and contractual adjustments. Direct denials to the proper department. Verify batch totals, edit and reconcile all posted payment batches from the software daily to ensure accounts have been balanced and batches are closed.
Managed Health Care Services
02/2020 – 01/2022
Risk Adjustment Coordinator
Retrieved charts from electronic medical record systems and compile medical records to send to other parties. Requested medical records by making outbound calls to provider groups. Completed supplemental medical records and directed records to responsible part. Resolved outstanding vendor pends by updating member and provider demographics
St. Vincent Hospital
03/2019 – 01/2020
ER Patient Access Rep
Responsible for documenting information that is accurate and complete. Obtained reservations, prepared registration forms, and obtained signatures as required. Answered patient questions on admission policies as well as provide financial counseling to patients. Informed patients of hospital and patient rights information while also maintaining confidentiality of patient admission information
Eskenazi Hospital
10/2015 – 01/2019
Emergency Dispatcher, Patient Access ER
Registered patients by confirming demographic information, identification of proper payer sources, executing general consent form authorizing treatment and securing and imaging appropriate documents (photo ID, insurance cards, etc.) into OnBase Front Office Scanning. Coordinated communications and dispatch for building emergency response, including engineering, building management, security operations, and 911 Public Assistance. Functioned as the communications hub for routine security operations and services. Respond to emergency situations in a timely manner
Software Skills
Proficient in Window operating systems and MS Office Suites, Sunrise, Soarian, Sovera 10, EPIC, Kronos time reporting, OnBase, Cerner, CMS and Medicaid systems for insurance verification, and company-specific systems. Skilled typing more than 50 WPM
Education
IVY Tech Community College
Business Office Administration