Summary
Overview
Work History
Education
Skills
College and Household Management
Timeline
Generic

Connie Jones

Chicago,IL

Summary

Dedicated and business-focused Account Management Specialist responsible for the front-end billing steps necessary for accurately completing DME product orders and involves timely and precise data entry, pre-certification and authorizations and professional communication with carriers, TPAs, claim adjusters and vendors.

Overview

28
28
years of professional experience

Work History

Account Management Specialist

HIS
Park Ridge, IL
08.2020 - 11.2024
  • Responsible for entering data according to the procedures documented and provided
  • Accurately obtain and/or complete all necessary documents need for successful billing and add to patient’s account within the inventory system
  • Be able to determine if any documents for an order are missing which would prevent timely and accurate billing
  • Responsible for complete daily self-audits to ensure accuracy of work
  • Ability to simultaneously enter data and complete benefit verifications and authorizations
  • Alert management of any issues or abnormalities encountered throughout the workday
  • Tallied transactions, verified pricing and rectified errors in system.
  • Obtain benefit information for all commercial insurance and request pre-certification as needed within 48 hours of order entry
  • Verification of claims addresses with payers to ensure the claim is sent to the appropriate office
  • The ability to properly handle any denials for authorization and appeals..
  • Contacted insurance providers to verify insurance information and obtain billing authorization.
  • Performed data import, scanning or manual keying processes to verify invoice accuracy.
  • Investigated and resolved issues to maintain billing accuracy.
  • Worked with team members and leadership to identify and develop process improvements.
  • Reviewed vendor documentation to comply with payment guidelines.
  • Call patients if any insurance or patient information is missing and needed for appropriate billing
  • Ability to remain patient and calm when dealing with agitated or upset patients and representatives.
  • Awareness of when to escalate upset patients or representatives to management.
  • Return all calls within 24 hours of receipt.
  • Analyzed customer data to identify trends, anticipate needs and develop solutions.
  • Managed multiple accounts simultaneously, ensuring all deadlines were met.

Health Information Management Clerk 1

ADVOCATE HEART INSTITUTE
Oak Lawn, IL
07.2016 - 03.2020
  • Obtained information by contacting appropriate personnel or patients.
  • Scanned incoming documentation
  • Pulled patient charts for upcoming appointments.
  • Disseminated information to correct department, individual or outside location.
  • Consolidated diverse medical records.
  • Maintained complete confidentiality in accordance with organization and legal requirements.
  • Updated daily logs to track information movements.
  • Trained personnel per management request.
  • Experienced in Epic, IDX and Allscripts.
  • Had access to all Advocate hospitals, including Little Company of Mary, St. Franciscan and St. Margret for retrieval of patient's medical records for upcoming appointments.

Sales Associate and Watch and Jewelry Repair

Watch and Jewelry Repair
Chicago, IL
09.2008 - 01.2009
  • Inspected jewelry for blemishes and defects.
  • Professionally resized items per customer needs.
  • Took customer orders and wrote tickets.
  • Displayed pieces in avisually appealing manner.
  • Organized accessories, including watches and specialty items.
  • Accepted sizing and polishing requests from customers.
  • Replaced broken clasps and mounts.
  • Excel in promoting the companies pronominal package deal to customers that included watch cleaning inside and out, sizing, and any repairs needed for a set price.

Shipping Supervisor and Clerk

Macys shipping department
Chicago, IL
09.2007 - 09.2008
  • Addressed any problems that the shipping employees had and forwarded to the manager.
  • Data entry of customers addresses into the database to generate labels to put on shipment.
  • Monitored shipments to guarantee on-time delivery.
  • Coordinated rush orders and order changes.
  • Acted as a liaison between logistics, carriers, and customers.
  • Conducted monthly, quarterly, and yearly inventories of warehouse stock.
  • Resolved problems for customers, warehouses, and carriers.
  • Forwarded client-related quality and service issues to the appropriate manager for resolution.
  • Resolved service issues in a timely manner.
  • Worked at a rapid pace to meet tight deadlines.
  • Investigated and analyzed client complaints to identify and resolve issues.

Sale Associate

Macys
Chicago, IL
10.2005 - 09.2007
  • Met incoming customers and provided immediate assistance. 
  • Completed purchases with cash, credit and debit payment methods.
  • Increased purchase totals by recommending additional items.
  • Answered incoming telephone calls with professional and knowledgeable responses.
  • Received and processed cash and credit payments for in-store purchases.
  • Demonstrated that customers come first by serving them with a sense of urgency.
  • Worked as a team member to provide the highest level of service to customers.
  • Maintained friendly and professional customer interactions.
  • Opened and closed the store, including counting cash, opening and closing cash registers. 
  • Cleaned and straightened work area.
  • Operated cash register with proficiency.
  • Provided professional and courteous service at all times.
  • Worked overtime shifts during busy periods.
  • Built and maintained effective relationships with peers and upper management.
  • Was one of the top sellers of Macys credit card.
  • Received a merit raise for strong attention to detail, exemplary customer service and team-player attitude.
  • Recipient of the Outstanding Service Achievement Award in March, 2006 and April 2007.

Veterinarian Assistant and Managed Front Desk

Western Animal Hospital
Chicago, IL
11.1996 - 10.2002
  • Restrained and stabilized animals during examination and treatment to safeguard against accidental injuries.
  • Performed routine laboratory procedures such as hematology, microbiology, parasitology, exfoliative cytology, blood chemistry, coprology, urinalysis and serology.
  • Reviewed vaccination records, and prepare and administer vaccinations according to clinic protocols.
  • Monitored patient vital signs during surgical procedures, and notified veterinarian of changes in stability.
  • Performed dental procedures, including smoothing, filing, polishing, and removal of calculus, soft deposits, plaque and stains.
  • Administered and applied treatments, drugs, oxygen therapy, medications and immunological agents.
  • Prepared animals for surgery, including clipping, scrubbing, and disinfecting operative site.
  • Completed admission records, including statements made by client concerning patient's problems and history.
  • Prepared and labeled medications sent home with patient and informed client of administration techniques.
  • Strategically scheduled patient appointments to maintain workflows.

Education

Coding Specialist

Moraine Valley Community College

Skills

  • Professional and mature
  • Deadline-oriented
  • Results-oriented
  • Claims processing
  • Auditing proficiency
  • Payment transactions
  • Quality control
  • Check processing
  • Customer relations
  • Account updating
  • Vendor account monitoring
  • Invoice review
  • Patient information management
  • Dedicated team player
  • Data entry
  • Critical thinking skills
  • Meticulous attention to detail
  • Self-directed
  • Time management
  • Resourceful
  • Work well independently
  • Audit procedures

College and Household Management

During the years from 01/2009 and 07/2016 I relocated to my new house. I was doing reconstruction of the new house and going to college part time.

Timeline

Account Management Specialist

HIS
08.2020 - 11.2024

Health Information Management Clerk 1

ADVOCATE HEART INSTITUTE
07.2016 - 03.2020

Sales Associate and Watch and Jewelry Repair

Watch and Jewelry Repair
09.2008 - 01.2009

Shipping Supervisor and Clerk

Macys shipping department
09.2007 - 09.2008

Sale Associate

Macys
10.2005 - 09.2007

Veterinarian Assistant and Managed Front Desk

Western Animal Hospital
11.1996 - 10.2002

Coding Specialist

Moraine Valley Community College

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Connie Jones