Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Additional Information
Personal Information
Awards
Timeline
Generic

Angelica Jones

Tallahassee,FL

Summary

I am always willing to work especially to the applied positions. If needed I will provide my diploma and degree contacts.

When it comes to employment I am dedicated to always put myself in a position to go further from immediate start. There is a saying that the top of one mountain is the bottom of the next and in that time of you climbing there was a point that you doubted yourself. We are better than what we even can comprehend.You are everything you need!

Overview

7
7
years of professional experience
1
1
Certification

Work History

Clinical Support Specialist

Blue Cross Blue Sheild
05.2024 - Current
  • Performed routine office tasks necessary for office operation and presentation.
  • Communicated medical need for patient visits to scheduling department.
  • Managed on-site coordination of home health documentation.
  • Noted physician orders in chart and completed directed actions.
  • Streamlined workflow efficiencies within the clinical environment through continual process improvements and updates on best practices in patient care management.
  • Served as a reliable resource to both healthcare providers and patients alike, addressing questions or concerns promptly and knowledgeably.
  • Optimized data collection methods during patient consultations for more accurate diagnoses and tailored interventions.
  • Provided comprehensive training to new healthcare staff members, contributing to a highly skilled and competent team.
  • Enhanced patient care by providing clinical support to healthcare professionals, ensuring efficient and effective treatment.
  • Mediated communications between healthcare providers and patients'' families, ensuring accurate information exchange for informed decision-making processes.
  • Collaborated with interdisciplinary teams to develop holistic treatment approaches tailored to individual patient needs.
  • Facilitated open lines of communication among healthcare team members, promoting collaboration towards common goals in patient wellness.
  • Monitored patient progress meticulously, making necessary adjustments for optimal recovery rates and minimal complications.
  • Developed strong relationships with patients through empathetic communication and active listening skills, fostering trust and rapport.
  • Implemented innovative solutions to complex medical cases, resulting in successful treatment plans and positive patient experiences.
  • Partnered with other specialists in coordinating multidisciplinary care plans that addressed all aspects of a patient''s health condition.
  • Delivered high-quality clinical support services by adhering strictly to guidelines, policies, and procedures set forth by the organization.
  • Maintained up-to-date knowledge on industry advancements, continually improving the level of care provided to patients.
  • Completed necessary reports and documentation on time and to specifications.
  • Supported patients and family members, actively listening to concerns and offering compassionate care.
  • Answered patient inquiries and provided information about healthcare services.
  • Coordinated with other healthcare professionals to provide patients with comprehensive care.
  • Obtained patient or family member authorizations for tests and procedures.
  • Mentored junior clinical support staff members on best practices for providing exceptional service while maintaining professionalism under pressure.
  • Conducted thorough assessments of clinical environments, identifying areas for improvement and implementing changes accordingly.
  • Participated actively in quality assurance initiatives, identifying areas for improvement and implementing corrective actions as needed.
  • Assisted in the development of clinical protocols for improved patient outcomes and satisfaction.
  • Evaluated emerging trends in the field of medicine and updated clinical support practices accordingly to ensure continuous improvement in patient care.
  • Collaborated with physician to verify capture of care coordination billable minutes.

Client Service Associate

UHG/Change Healthcare/Total Med Staffing/Optum
01.2024 - 03.2024
  • Medical Chart retrieval, data Entry, HIPAA, HEDIS, PIA, Customer Service, Medical Terminology, Health Insurance Outbound/Inbound calls, Microsoft functions Excel, Word, PowerPoint, Outlook, and Teams, Cisco Finesse, Gen 3, Phone Handling, Telecommunications, Document Handling, Medical Chart Retrieval, Multi-tasking, Troubleshooting, Account analyst, record keeping
  • Let Go due to global Cyber Security attack (Change Healthcare)

Account Management/Client Outreach Specialist SR

UHC/TTEC
05.2023 - 01.2024
  • HIPAA, Health information outreach, advocating, transferring, scheduling appointments, Microsoft functions, IT, Health Insurance including vision, Dental, medical
  • Medical terminology, call back, provider outreach, Citrix, sales, BSL duties, customer satisfaction
  • Was offered a higher position of pay from Changehealthcare

Account Specialist

Empower Retirement
11.2021 - 04.2023
  • Account management, quality assurance, Onbase, PRISM, status reporting, Form Fulfillment, Call handling, status reporting, Microsoft, Death claims, claim handling, security analyst, scheduling, telework, trouble shooting, EVIR, PeopleSoft, Document handling, soft phone, AWS, loan processing, 401k inquiries, Plan to Plan transfers, Rollovers, Withdrawals, Document handling, sales

QACustomer Service Specialist

LifeWorks
01.2020 - 11.2021
  • Specialist duties, mental health support, data entry, Microsoft functioning, recruiter responsibilities, trainer, notations, administrative duties, multitasking, benefit explanations, plans, enrollment, Teams, system tasking, troubleshooting, knowledge base, outside company relations, data analysis, Employer resolution specialist, payroll and telework

Customer Service Representative

Idaho Unemployment - Athena Staffing
07.2020 - 10.2021
  • Selection for advancement, telework, communication via Email, chat, and phone
  • Call center duties, leadership advanced, Microsoft Teams Lead outbound/inbound calling
  • Multi-tasking, visual aid, promotion, customer satisfaction, unemployment knowledge, phone-handling, high call volume tasking, team building, problem solving, data entry, claim handling, resolution specialist, AWS, Genesis, multisystem tasking

Client Service Representative

Athena Consulting LLC
06.2020 - 10.2021
  • Telework, Benefit administration, Outbound Calling, Data Entry, Advocation, Virtual Assistance, reporting, multi-tasking with multiple systems, customer guidance, explaining new company policies, maintaining customer satisfaction, and all other member/claimant/customer inquiries

Health Insurance Representative

Continuum Global
08.2018 - 02.2020
  • Medical Terminology, HIPAA, Organizational duties, call handling duties, data entry duties, supervisor training, and health insurance terminology
  • Personal assistant duties

Team Member

Tractor Supply Company
08.2017 - 06.2018
  • The job considered me doing janitorial related work before closing, running the cash register, freight, preparing for freight, assisting customers (in-person, online and through phone), promoting company and company's products/events via online, in-person, and phone, and keeping the store's merchandise properly displayed in each department

Education

Bachelor's - Psychology

Keiser University
Fort Lauderdale, FL

Bainbridge High School -

Bainbridge
05.2015

Skills

  • Client Services
  • Disaster Recovery
  • Strategic Planning
  • Claims Processing
  • Clinical review
  • Consulting
  • VMWare
  • Freight Experience
  • Customer Service
  • Fraud Claims
  • Leadership
  • Workstation
  • Insurance Verification
  • Training
  • Azure
  • General Office Skills
  • Customer Relationship Management
  • Multi-line Phone Systems
  • General Research
  • Administrative and Business operations
  • Volunteer Counseling
  • Fashion retail
  • Telecommunications
  • Microsoft Windows Server
  • Supervising Experience
  • Customer support
  • AWS
  • Microsoft Powerpoint
  • Fraud preventionalist
  • Analysis skills
  • Help Desk
  • Data Entry
  • Health Insurance
  • Proofreading
  • Data analytics
  • Word
  • Event Planning
  • Intake Experience
  • Computer Networking
  • Live chat
  • Advertising
  • Active Directory
  • Recruiting
  • Security Essentials 2022
  • Guest Services
  • Information Security
  • ADP
  • Security analyst
  • Sales
  • Payroll
  • Citrix
  • Powerpoint
  • Software Troubleshooting
  • Medical Insurance
  • Microsoft Word
  • Kronos
  • Operating Systems
  • Volunteer Management
  • Microsoft Windows
  • Presentation Skills
  • Employee Orientation
  • HIPAA
  • Data Analysis Skills
  • Workday
  • Code of Conduct
  • Front Desk
  • Network Administration
  • Psychology study
  • English
  • Microsoft Excel
  • Google Docs
  • Insurance
  • Virtualization
  • Systems Analysis
  • Dispatching
  • Public Speaking
  • Management Consulting
  • Typing
  • Receptionist
  • Excel
  • Negotiation
  • System Administration
  • Management
  • Microsoft Office
  • Retail sales
  • Network Support
  • Benefits Administration
  • Team Building
  • Consultative Selling
  • Outlook
  • Common Sense Representative
  • Health Insurance Portability & Accountability Act
  • Email processing
  • Microsoft SharePoint
  • Remote Access Software
  • VPN
  • Technical Support
  • Linux
  • ServiceNow
  • Microsoft SQL Server

Accomplishments

    Public Speaking awards

Certification

  • Salesforce Certification
  • Certified Fraud Examiner
  • Certified Financial Services Auditor
  • Driver's License
  • Chartered Financial Analyst
  • Present
  • Certified Accounts Payable Associate
  • HIPAA
  • Public Speaking

Additional Information

When it comes to employment I am dedicated to always put myself in a position to go further from immediate start. There is a saying that the top of one mountain is the bottom of the next and in that time of your climbing conquer you doubted yourself. You are everything you need

Personal Information

  • Willing To Relocate: Anywhere
  • Authorized To Work: US for any employer

Awards

Public Speaking, 2009

Timeline

Clinical Support Specialist

Blue Cross Blue Sheild
05.2024 - Current

Client Service Associate

UHG/Change Healthcare/Total Med Staffing/Optum
01.2024 - 03.2024

Account Management/Client Outreach Specialist SR

UHC/TTEC
05.2023 - 01.2024

Account Specialist

Empower Retirement
11.2021 - 04.2023

Customer Service Representative

Idaho Unemployment - Athena Staffing
07.2020 - 10.2021

Client Service Representative

Athena Consulting LLC
06.2020 - 10.2021

QACustomer Service Specialist

LifeWorks
01.2020 - 11.2021

Health Insurance Representative

Continuum Global
08.2018 - 02.2020

Team Member

Tractor Supply Company
08.2017 - 06.2018

Bainbridge High School -

Bachelor's - Psychology

Keiser University

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Angelica Jones