Summary
Overview
Work History
Education
Skills
Work Availability
Timeline
Generic

Annette Jones

Las Vegas,Nevada

Summary

EXCEL- 90% WORD-80% OUTLOOK-80% SUMMARY: Resourceful Travel Consultant passionate about providing dream experiences in leisure travel. Strong research background and love of all things travel. Extensive career in hospitality working with clients pursuing unique vacation adventures.

Competent Accounts Receivable Specialist bringing 10 years of experience handling accounts receivable functions. Exemplary skill in resolving billing disputes, providing excellent customer service and applying payments. Recognized for effective leadership with consistent achievement of objectives.

Overview

20
20
years of professional experience

Work History

Travel Agent

DJAJ Travel
08.2018 - Current
  • Handled travel arrangements for groups, couples, executives and special needs clients
  • Responded immediately to clients' questions, issues, and complaints and found effective solutions when required
  • Took payments via credit and debit cards and handled sensitive information with professionalism and discreteness
  • Addressed client inquiries and resolved issues and complaints regarding various travel arrangements
  • Sustained operational efficiencies, coordinating domestic/international customer travel accommodations while managing airfare, hotel bookings and rental car reservations
  • Asked open-ended questions to best understand client needs and determine best travel offerings
  • Enhanced customer satisfaction ratings, researching travel options, negotiating rates, presenting best deals and resolving issues efficiently
  • Established base of loyal clientele due to excellent listening and research skills and keen understanding of travel budgets.
  • Recommended travel insurance plans to customers to reduce uncertainty and risk of financial loss.
  • Researched and kept abreast of new travel destinations, attractions, hotels and restaurants to increase services offered.
  • Collaborated with colleagues to create and promote special travel packages.
  • Organized memorable and exquisite travel itineraries and vacations for high-level clients, celebrities, politicians and business executives.
  • Maintained operational proficiency in coordinating both international and domestic travel accommodations for customers, arranging for airfare as well as hotel and rental car reservations.
  • Communicated benefits and information regarding international travel insurance with clients and obtained best rates.
  • Advised customers on necessary travel documents and visa requirements to successfully reach planned destination.
  • Managed over 50 calls day
  • Increased sales by 10%

Credit Specalist

ADECCO STAFFING/BREAKTHROUGH BEVERAGES
08.2015 - 06.2018
  • Evaluated customer creditworthiness and financial statements to determine credit limits.
  • Investigated and resolved customer disputes related to credit decisions.
  • Researched and resolved customer complaints and disputes related to credit card accounts.
  • Made decisions and recommendations about extending lines of credit.
  • Negotiated payment plans and loan terms with delinquent customers.
  • Coordinated with other departments to verify timely and accurate processing of credit card applications and payments.
  • Worked in tandem with sales team and customers to negotiate payments and verify account reconciliations.
  • Built strong relationships with customers to increase retention and loyalty.
  • Place order on hold until payment is received, once payment received released order
  • Under stand Nevada Liquor Law.
  • Managed over 40 call day
  • Reduce sales by 10%

Sr Medical Collector

CONNOLLY HEALTHCARE
01.2015 - 06.2015
  • Oversaw daily collections and accounts receivable activities, developing robust strategies to maximize collections and reduce aged accounts
  • Protected medical office operations and integrity by keeping patient information confidential
  • Processed claims and forwarded information to Medicare, Medicaid and commercial insurance companies
  • Sent incomplete or incorrect claims to supervisors for proper adjudication
  • Processed refund requests and reconciled deposit and patient collections
  • Identified discrepancies and carrier issues regarding billing and reimbursements
  • Took billing calls, questions and concerns from patients and third party carriers
  • Notified customers of delinquent accounts with attempt to collect outstanding amounts
  • Updated account status records and collection efforts.
  • Utilize A/R reports and identify accounts that are past payments.
  • Reduce A/R from 120 days past due to 30-60 days past due
  • Did appeals, and denials

Medical Billing Coordinator

Methodist Healthcare
12.2007 - 11.2014
  • Received payments and post amounts paid to customer accounts
  • Answered customer questions regarding problems with their accounts
  • Contacted insurance companies to check on status of claims payments and write appeal letters for denial on claims
  • Performed various administrative functions for assigned accounts, such as recording addresses
  • Collect on bills that are due about medical services that have been rendered
  • Efficiently performed insurance verification and pre-certification and pre-authorization
  • Functions
  • Demonstrated knowledge of HIPAA Privacy and Security regulations by appropriately, with patients Medicaid, Medicare, Managed Care, Third Party and POS
  • Experience with CMS guideline
  • Made 50-60 calls day to insurance companies
  • Maintain 30-90, but decrease to 60 days past due not allowing over 90 days past due.

Medical Insurance Coordinator

Hive
08.2007 - 12.2007
  • Analyzed managed care contractual issues
  • Receive payments and post amounts paid to customer accounts
  • Answer customer questions regarding problems with their account
  • Perform various administrative functions for assigned accounts, such as recording address changes and purging records of deceased customer
  • Completed a total of 50 calls/contacts or more per day to successfully meet and/or exceed quotas
  • Work Correspondence and zero pays daily,
  • Did appeals, adjustments and wrote account off to bad debt
  • Collect on all payers, locate and monitor overdue accounts, using computers and a variety of automated system
  • Examine claims forms and other records to determine insurance coverage
  • Review police reports, medical treatment records, medical bills
  • Complete insurance or other claim forms
  • Collect on Medicare, Medicaid, Manage Care, PO's, and Third-Party Payers,
  • Look up status using CMS and other internet search for claims status
  • Analyzed manage care contractual issues, provided feedback to the Credentialing department
  • Relentlessly submitted written appeals to payers, on denied claims for adjudication and resolution.

OFFICE, TEAM

TRINITY HOSPICE
02.2006 - 07.2007
  • Entered patient charges and payments into electronic health records
  • Oversaw daily collections and accounts receivable activities, developing robust strategies to maximize collections and reduce aged accounts
  • Sent incomplete or incorrect claims to supervisors for proper adjudication
  • Processed refund requests and reconciled deposit and patient collections
  • Attended provider meetings and workshops when appropriate
  • Protected medical office operations and integrity by keeping patient information confidential
  • Corrected, completed and processed claims for payer codes
  • Identified discrepancies and carrier issues regarding billing and reimbursements
  • Processed claims and forwarded information to Medicare, Medicaid and commercial insurance companies.

Claims Examiner

DIMONT AND ASSOCIATED
02.2005 - 01.2006
  • Paid and processed claims within designated authority level
  • Adhered to company and insurance client's guidelines in claims processes, estimate writing and claim closures
  • Reviewed, evaluated and adjusted claims to promote fair and prompt settlement
  • Entered claim transactions, payments, reserves, and other documentation
  • Reviewed claims to ensure accuracy, resulting in multiple claim reductions
  • Double-checked and reviewed documentation for denied and accepted insurance claims
  • Investigated questionable claims to determine payment authorization
  • Obtained necessary information to complete proper evaluation of injury claims.
  • Manage over 50 calls. reduce the A/R by 10%

Project Manager/Medical Insurance Collector

PEROT HEALTHCARE SYSTEM
02.2003 - 12.2004
  • Stayed current on HIPAA regulations, benefits claims processing, medical terminology, and other procedures
  • Accurately processed large volume of medical claims every shift
  • Evaluated pending claims to identify and resolve problems blocking auto-adjudication
  • Reviewed claims for accuracy before submitting for billing
  • Inputted data into system, maintaining accuracy of provider coding information and reported services
  • Tracked differences between plans to correctly determine eligibility and assess claims against benefits and data entry requirements
  • Based payment or denials of medical claims upon well-established criteria for claims processing
  • Sent clinical request and missing information letters to obtain incomplete information
  • Reviewed administrative guidelines whenever questions arose during processing of claims
  • Accepted and processed customer payments and applied toward account balances
  • Administered standard contract benefits to process pending claims for dental benefits
  • Used contract notes and processing manual to correctly apply group-specific classifications to claims.
  • Manage over 40 calls a day
  • increase sales by 10%

Education

High School Diploma -

Leon Godchaux High School
Reserve, LA

Skills

  • High-Volume Environments
  • Team Oversight
  • Credit Card Payments
  • Tour Preparation
  • Global Destinations
  • Corporate Travel
  • Leisure Travel
  • Relationship Management
  • Hotel Accommodations
  • Travel Arrangements
  • Airline Policy
  • Travel Knowledge
  • International and Domestic Travel
  • Overseas Tours
  • Travel Insurance
  • Ground Transportation Planning
  • Air Travel Coordination
  • Travel Bookings Processes
  • Itinerary Preparation
  • Filing Appeals
  • HIPAA Compliance
  • Medical Information Collection
  • Collections Procedures
  • Microsoft Office
  • Active Learning
  • Denial Appeals Process
  • AR Aging Reports
  • Regulatory Compliance
  • Cancellation Policies

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
swipe to browse

Timeline

Travel Agent

DJAJ Travel
08.2018 - Current

Credit Specalist

ADECCO STAFFING/BREAKTHROUGH BEVERAGES
08.2015 - 06.2018

Sr Medical Collector

CONNOLLY HEALTHCARE
01.2015 - 06.2015

Medical Billing Coordinator

Methodist Healthcare
12.2007 - 11.2014

Medical Insurance Coordinator

Hive
08.2007 - 12.2007

OFFICE, TEAM

TRINITY HOSPICE
02.2006 - 07.2007

Claims Examiner

DIMONT AND ASSOCIATED
02.2005 - 01.2006

Project Manager/Medical Insurance Collector

PEROT HEALTHCARE SYSTEM
02.2003 - 12.2004

High School Diploma -

Leon Godchaux High School

Similar Profiles

CREATE PROFILE
Annette Jones