Alicia Jones
New Orleans,LA
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
30
30
years of professional experience
1
1
Certification
Work History
Follow-Up Specialist
Healthcare Express
06.2021 - 02.2023
- Submission of claims with correct HCPS and modifiers on 1500 claim forms to insurance companies from wide variety of medical providers and facilities.
- Monitoring and ensuring payments for medical services are received in a timely manner.
- Work aging claims and make necessary actions to resolve balances owed for services rendered.
- Review denials or partially paid claims and work with the involved parties to resolve the discrepancy.
- Communicate with health care providers, patients, insurance representatives and other parties to clarify billing issues.
- My main insurance assignment was Medicare, but I also helped with Blue Cross Blue Shield, Aetna, United Healthcare, Medicaid, Cigna, and other commercial insurance companies.
- Used ECW software and Waystar clearinghouse.
Count Room Supervisor
Barry B. Telford Unit
09.2019 - 06.2021
- Daily, weekly, and monthly reports of offenders and offender movements to unit wardens and other management within state prison.
- Assignment of offender housing according to age, height, and weight protocols.
- Unit counts every 3 hours by unit, building, and pods.
- Track all offender arrivals and departures to unit.
- Increased employee performance through effective supervision and training.
Group Leader for Medicare
Patient Support Services
05.2016 - 03.2018
- Billed DME invoices for Urology, Ostomy, Tracheostomy, and Enteral for Medicare per CMS guidelines in a timely manner.
- Group Leader of over 20 billers within 6 months of employment.
- Trained new employees on software.
- Delegated tasks strategically and monitored progress for timely completion.
- Met production targets and tight deadlines by collaborating closely with team members.
- Involved with hiring potential team members by sitting in on interviews.
- Used high level of communication skills between supervisors and billers.
- Used CPR+ software.
Billing Specialist
Red River Pharmacy
09.2011 - 05.2016
- LTC Insurance billing for over 1,000 patients and 15 facilities.
- Researched and resolved billing discrepancies to enable accurate billing.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Monitored customer accounts to identify and rectify billing issues.
- Provided excellent customer service, developing and maintaining client relationships.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Posted payments for patients, insurances, and facilities.
- Prepared and submitted monthly billing reports to management for financial overview.
- Used IPS software.
Lead Receptionist
Dr. Betty Feir And Associates
08.2010 - 09.2011
- Greeted incoming patients professionally and provided friendly, knowledgeable assistance.
- Kept reception area clean and neat to give patients positive first impression.
- Acted as first point of contact and set appointments for prospective patients.
- Answered high-volume of calls and pleasantly transferred callers to appropriate personnel.
- Assisted with onboarding new patients and securing paperwork completion.
- Handled cash co-pays and maintained payment records accurately.
Assistant Coordinator
Federal Census Bureau
05.2010 - 08.2010
- Assisted project manager in keeping employee records and daily time sheets.
- Delegated tasks to team members.
- Utilized proactive communication abilities to resolve employment-related disputes.
- Managed team schedules to effectively gather census information.
Fleet Manager
Southern Refrigerated Transport Inc.
09.2007 - 08.2008
- Dispatched 40+ over the road drivers coast to coast.
- Maintained accurate driver information for delivery scheduling.
- Positively interacted with drivers, upper management and shop department, which helped improve overall communication.
- Effectively communicated drivers needs, such as directions, pick up and delivery times, pick up numbers, reefer temps, fuel routing, and available hour issues in accordance with DOT standards.
- Communicated with load planners of any schedule delays and driver ability issues.
Manager
Mo Money, Inc.
10.2006 - 05.2007
- Processed Pay Day advance loans.
- Participated in loan decision making.
- Managed and motivated employees to be productive and engaged in work.
- Accomplished multiple tasks within established timeframes.
- Maintained professional, organized, and safe environment for employees and patrons.
- Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
- Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
- Successfully managed budgets and allocated resources to maximize productivity and profitability for 3 locations.
Tester
Valor Telecommunications
07.2000 - 10.2006
- Monitored trouble reports through Operations dispatch system for POTS lines for testing, trouble shooting, and determining the path of dispatch.
- Extensive work in various digital switches for the purpose of programming calling features, and placing phone traces for local law enforcement agencies.
- Accessed service order systems for customer account information.
- Prepared outage reports for the network operations center.
- Dispatched Special Circuit and NOC alarms to the Installation/Repair technicians to prevent any major outages.
- Ran daily macros for supervisors and senior executives to provide workload status.
- Supported, implemented and helped shape test approach by identifying solutions to recurring issues.
- Communicated status updates to stakeholders to widen impact of testing and demonstrate value of optimization program.
- Investigated customer complaints to take necessary corrective actions.
Accounts Payable Specialist
BWI Companies, Inc.
07.1997 - 01.2000
- Accounts payable to over 75 vendors.
- Reached out to vendors and customers to verify information and follow up on client issues.
- Produced month-end closing reports and provided actionable suggestions on remittance for quick resolution.
- Streamlined productivity by decreasing time-wasting tasks and helping supervisors.
- Maintained good working relationships with vendors and resolved disputes.
- Prepared vendor invoices.
- Analyzed purchase orders and bill of ladings for overages and shortages.
- Used AS400 software.
Transportation/Office Manager
Rockin'n B's Transportation
04.1996 - 05.1997
- Set up and arranged on time pick up and deliveries for products using hopper bottom trucks.
- Maintained computer and physical filing systems.
- Updated reports, managed accounts, and generated reports for company database.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Developed and maintained successful relationships with vendors, suppliers and contractors.
- Controlled finances to lower costs and keep business operating within budget.
- Managed compliance to keep organization operating within legal and regulatory guidelines.
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
- Assisted with maintenance issues, such as arranging Com checks, wrecker services, etc.
- Carried out all office duties, including accounts payable, accounts receivable, and payroll using Quick Books.
Computer Room Operator/Switchboard Operator
BWI Of Texarkana
03.1993 - 04.1996
- Inspected and maintained printers and copiers.
- Printed purchase orders, receipts for customers, and invoices to warehouse and drivers.
- Assisted walk in customers and outside salesman with product information.
- Ran daily reports for supervisors and executives.
- Ran daily back up computer saves for 8 different branches.
- Ensured communication between all branches were up at all times. If communication failed, systems were rebooted to restore.
- Assisted as back up in the transportation department with driver logs and weight regulations for loading trucks per DOT standards.
- Directed incoming calls to internal personnel and departments, routing to best-qualified department.
- Answered calls on 2nd ring and engaged customers with friendly, professional demeanor.
- Used AS400 software.
Education
No Degree - Applied Science And Criminal Justice
Texarkana College
Texarkana, TXHigh School Diploma -
Hooks High School
Hooks, TX05.1991
Skills
- 10 years in Billing
- Microsoft Office
- Denial Appeals Process
- ICD-9
- Excellent Customer Service Skills
- Effective Communication
- Training and Teaching
- Negotiation and Resolution
- Organizational Skills
- Aging reports analysis
Certification
- Certified ICD-9 (lapsed)
- Certified Dental Assistant (lapsed)
Timeline
Follow-Up Specialist
Healthcare Express
06.2021 - 02.2023
Count Room Supervisor
Barry B. Telford Unit
09.2019 - 06.2021
Group Leader for Medicare
Patient Support Services
05.2016 - 03.2018
Billing Specialist
Red River Pharmacy
09.2011 - 05.2016
Lead Receptionist
Dr. Betty Feir And Associates
08.2010 - 09.2011
Assistant Coordinator
Federal Census Bureau
05.2010 - 08.2010
Fleet Manager
Southern Refrigerated Transport Inc.
09.2007 - 08.2008
Manager
Mo Money, Inc.
10.2006 - 05.2007
Tester
Valor Telecommunications
07.2000 - 10.2006
Accounts Payable Specialist
BWI Companies, Inc.
07.1997 - 01.2000
Transportation/Office Manager
Rockin'n B's Transportation
04.1996 - 05.1997
Computer Room Operator/Switchboard Operator
BWI Of Texarkana
03.1993 - 04.1996
No Degree - Applied Science And Criminal Justice
Texarkana College
High School Diploma -
Hooks High School