Annbriana Jones
Griffin,United States
Summary
Insurance billing professional with solid background in claims processing and financial reconciliation. Known for reliability and adaptability in dynamic environments, with strong focus on team collaboration and achieving results. Skilled in data entry, account management, and effective communication.
Overview
4
4
years of professional experience
Work History
Remote Insurance Billing Specialist
PruittHealth
11.2023 - Current
- Conducted regular follow-up calls with customers after resolving their issues.
- Resolved complex problems by working with other departments to provide solutions that meet customer needs.
- Tracked orders from start to finish to ensure timely delivery of goods or services.
- Answered customer inquiries via phone, email, and chat.
- Answered customer inquiries and provided accurate information regarding products and services.
- Maintained detailed records of customer interactions, transactions and comments for future reference.
- Provided exceptional customer service to ensure customer satisfaction.
- Minimized errors in claims submissions through regular cross-checking of CPT and ICD codes against medical documentation.
- Assisted colleagues during peak workload periods, demonstrating strong teamwork and commitment to overall departmental success.
- Streamlined billing processes for improved efficiency through the implementation of electronic payment systems.
- Ensured strict adherence to HIPAA guidelines while handling sensitive patient information during the billing process.
- Assisted patients in understanding their coverage benefits, providing clear explanations and addressing any concerns or questions.
- Reduced processing time with thorough pre-authorization requests, ensuring prompt approvals for patient procedures.
- Maintained strong working relationships with insurance providers, fostering open communication channels for claim resolution.
Claims Specialist
Randstad USA
Griffin, Ga
12.2020 - 11.2023
- Answered customer inquiries regarding billings, payments, account status.
- Performed data entry into accounting software programs such as QuickBooks.
- Maintained accurate records of collections, adjustments and denials in the system.
- Maintained detailed records of customer interactions, transactions and comments for future reference.
- Assisted customers with product selection, ordering, billing, returns, exchanges and technical support.
- Provided excellent customer service to resolve customer complaints in a timely manner.
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
- Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
- Handled high-pressure situations with professionalism and composure, consistently achieving positive outcomes for both clients and the organization.
- Collaborated with cross-functional teams to optimize claims handling procedures, resulting in improved productivity.
- Reduced claim processing errors by conducting thorough investigations and accurately interpreting policy details.
Education
Business Administration - undefined
Southern Crescent Technical College
05.2025
High School Diploma - undefined
Hampton High School
Hampton, GA05.2020
Skills
- Data Analysis
- Team Collaboration
- Time Management
- Conflict Resolution
- Problem Solving
- Customer Engagement
- Customer Satisfaction
- Record Keeping
- Multitasking
- Data Entry
- Leadership
- CRM system proficiency
- Phone Etiquette
- 60 WPM Typing
Timeline
Remote Insurance Billing Specialist
PruittHealth
11.2023 - Current
Claims Specialist
Randstad USA
12.2020 - 11.2023
Business Administration - undefined
Southern Crescent Technical College
High School Diploma - undefined
Hampton High School