Administration
Resume:
TARNICE D. JONES
**** ******* ***, **********, ** 15235
*************@*****.***
Professional Summary
Experienced administrative and client support professional with a strong background in healthcare, insurance, and customer service. Skilled in building relationships, coordinating services, and supporting job placement efforts. Adept at assessing client needs, verifying information, and providing high-quality service to both individuals and employers. Committed to helping participants achieve long-term employment success through strong communication, organization, and follow-up.
Professional Experience
Surgical Secretary Services
UPMC Shadyside – Pittsburgh, PA
April 2023 – January 2025
Verified patient charts against reference lists and matched blue cards
Contacted doctor’s offices to obtain authorizations, outside records, and testing results
Entered orders for medications, bloodwork, and other procedures into patient charts
Maintained daily tracking of all testing orders in preoperative system
Cross-referenced nurse sheets with reference lists for accuracy
Monitored patient arrival times starting at 4:30 AM
Verified blood bank schedules for required testing (e.g., type and screen, second sample)
Ensured RN initials and room numbers matched preoperative tracking records
Completed all charge entries by end of day
Benefits Verifier
CVS Caremark – Pittsburgh, PA
February 2019 – April 2023
Verified insurance coverage for new and existing patients to ensure timely prescription processing
Provided excellent customer service to patients, healthcare providers, and insurance carriers
Gained extensive experience with medical billing, prior authorizations, Medicare, Medicaid, and third-party vendors
Demonstrated strong attention to detail and problem-solving skills
Intake Coordinator (Appeals & Grievances)
Gateway Health Plan – Pittsburgh, PA
April 2016 – February 2019
Performed clerical support including data entry, document retrieval, and image scanning
Managed and reviewed inquiries to determine classification as appeals or grievances
Ensured compliance with internal policies and healthcare regulations
Communicated with internal departments and external clients to resolve discrepancies
Administrative Assistant
Gateway Drug & Alcohol – Pittsburgh, PA
December 2014 – December 2015
Processed payments, admissions, evaluations, and discharges
Delegated clerical tasks and coordinated inpatient drug screens
Managed petty cash and weekly bank deposits
Ordered office supplies and ensured operational functionality
Trained new staff and maintained office documentation
Oriented new patients, handled insurance verification, and managed appointment scheduling
Clerical Assistant
Gateway Rehab Center – Pittsburgh, PA
October 2013 – December 2014
Processed admissions, evaluations, discharges, and drug screenings
Handled phone communication, scheduled appointments, and completed filing tasks
Benefits Research Representative
CVS Caremark – Pittsburgh, PA
April 2011 – January 2013
Verified prescription drug coverage and insurance details for patients with chronic illnesses
Resolved electronic claim rejections and secured payment methods
Communicated with healthcare professionals to gather documentation
Provided patients with updates regarding medication and insurance status
Administrative Assistant / Clinical Support / Clerical Roles (Various Temporary Assignments)
UPMC – Pittsburgh, PA
December 2004 – November 2011
Administrative Assistant Associate – UPMC Shadyside
Managed correspondence, reports, and data entry using MS Word and Excel
Coordinated meetings and provided support to physicians and management
Handled heavy phone volume and maintained organized records
Health Unit Coordinator – UPMC Presbyterian
Maintained accurate unit communication and facilitated paging system
Utilized hospital systems including electronic records and bed board tracking
Served as resource for staff; trained new hires
Clinical Support Representative – UPMC Children’s Pediatric and Adolescent Clinic
Prepared and registered patient charts for 25 doctors
Processed copays and performed ICD-9 coding
Clerical I – UPMC Corporate Nurse Unit
Entered demographic information into Access database for flu vaccine program
Education, Training, and Certifications
Certificate, Phlebotomy Training Center – Pittsburgh PA Aug 2019 – Oct – 2019
Diploma, Claims Billing & Coding, North Hills Health & Occupation 1999-2000
Diploma, Nursing Aid, CCAC – Pittsburgh PA 1997
Diploma, Peabody High School – Pittsburgh, PA Sept 1983 – June 1987
Relevant Skills
Benefits & Claims Intake Coordination Medical Billing & Coding
Medicare/Medicaid CPT Coding Phlebotomy Administrative Support
Technical Skills
Microsoft Office Suite (Word, Excel, Access) Epic E-Record MedHOK OnBase
Power Chart Med Pac Mars Cener Tele-Tracking Tier Xitec Unity Client
Surginet Eagle Citrix Dentrix GateNet PowerQue Kronos Opex Scanning
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