Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Crechelle Jones

Dallas

Summary

Diligent Release of Information Specialist with strong background in managing sensitive information and ensuring compliance with privacy regulations. Proven track record of optimizing processes to improve data accuracy and efficiency. Demonstrated expertise in data analysis and effective communication skills.

Overview

16
16
years of professional experience
1
1
Certification

Work History

ROI Specialist

Verisma
Dallas, TX
09.2023 - Current

Facilitated onsite processing of patient requests for medical records.

Executed procedures for the timely release of radiology records and CDs to enhance patient access.

Managed customer interactions for walk-in patients, ensuring a welcoming experience. Oversaw communication channels, including phone and email, to address patient needs. Garnered numerous commendations from clients and patients for exceptional service delivery.

Oversaw radiology legal requests, coordinating responses to subpoenas, deposition questions, and affidavits. Managed legal requests for medical records to ensure compliance and accuracy.

Managed legal billing requests and itemized billing inquiries for walk-in patients and families.

Coordinated efforts with various legal record release companies to ensure compliance and accuracy in document handling.

Implemented FedEx services for expedited delivery of radiology record CDs to medical facilities and doctor's offices.

Manage walk-in line, with daily worklists task, and consistently meeting and exceeding productivity goals, sometimes exceeding 100%.

Conducted regular training sessions on valid authorizations and HIPAA compliance.

Executed release processes for worker compensation claims, ensuring compliance with regulations.

Managed documentation and submission of social security disability applications to ensure compliance with regulations.

Medical terminology which helps in reading medical record charts.

HEDIS Medical Record Support Specialist

BCForward, Staffing Agency
Indianapolis, IN
01.2023 - 04.2023
  • Follow all procedures and practices to protect private health information of members.
  • Provide administrative, clerical, and scheduling support for HEDIS abstractors.
  • Coordinate with provider offices to verify information, transfer documents, schedule onsite visits if needed.
  • Provide telephonic support in order to meet deadlines and compliance associated within the project.
  • Assists with requests for information by contacting provider practices.
  • Verify member chart information and ensure it matches with correct provider.
  • Verify targeted HEDIS measures on medical records

Self-Employed

Self-Employed
01.2021 - 12.2022
  • Created two websites for personal working projects
  • Self-published a book
  • Self-manage online ecommerce store

Membership Management and Content Creator

Save and Prosper Non-Profit Organization
Dallas, TX
06.2019 - 10.2020
  • Educating underserved communities in financial literacy
  • Maintain professional website and a social media site
  • Create content for the program
  • Create syllabus for educational program
  • Contact and support client relations

License Professional Personal Lines Agent

Liberty Mutual
Plano, TX
04.2016 - 01.2019
  • Collected premiums on or before effective date of coverage.
  • Received Medicare certification for two consecutive years.
  • Determined financial needs by assessing existing coverage and aligning new products and services with long-term goals.
  • Remained impartial to advise clients based on circumstances.
  • Calculated premiums and established payment methods for sales.
  • Utilizes technical systems, effectively and efficiently, including desktop, call center specific phone systems and the internet.

Licensed Health and Life Insurance Agent

United Healthcare / Teleperformance
Dallas, TX
09.2013 - 04.2016
  • Exceeded corporate quotas for monthly policy sales.
  • Provided coverage option information to assist clients in protecting assets.
  • Obtained underwriting approval by completing application for coverage.
  • Maintained ambitious standards of customer service by building relationships with clients.
  • Sales and call center environment
  • Seasonal Contract

Reservations Supervisor/Group Housing Coordinator

The Adolphus Hotel
Dallas, TX
07.2010 - 07.2013
  • Manage a team of six agents
  • Update hotel statistics in STAR database
  • Provide hotel departments with weekly forecasting report
  • Provide memo for packages and corporate client amenities
  • Communicate with travel meeting planners, providing group pickup reports, forecasting paces, and updating planner or contract obligations pertaining to cut off dates, attrition, commissions, and concessions.

Education

Bachelor of Science - Biology

Oklahoma State University
Oklahoma City, OK

Skills

  • Microsoft 365
  • 10 Years of customer service and data entry
  • Compose documents and graphs within excel spreadsheets
  • Design and editing websites
  • Leadership experience and responsibilities
  • Professional sales and consistently meeting monthly quotas
  • Self-efficient, detailed oriented professional
  • Medical Records experience
  • Trained in enrollment of Medicare
  • Trained in enrollment of Medicare Part D prescription plans Able to convey understanding of how plans work
  • HIPAA compliance
  • Software knowledge
  • Document scanning
  • Information management

Certification

  • License: Health Insurance Agent and Medicare Expert - Licensed Health and Life Insurance Agent - State of Texas
  • Licensed: Personal Property Insurance
  • Licensed Personal Lines Agent - State of Texas

Timeline

ROI Specialist

Verisma
09.2023 - Current

HEDIS Medical Record Support Specialist

BCForward, Staffing Agency
01.2023 - 04.2023

Self-Employed

Self-Employed
01.2021 - 12.2022

Membership Management and Content Creator

Save and Prosper Non-Profit Organization
06.2019 - 10.2020

License Professional Personal Lines Agent

Liberty Mutual
04.2016 - 01.2019

Licensed Health and Life Insurance Agent

United Healthcare / Teleperformance
09.2013 - 04.2016

Reservations Supervisor/Group Housing Coordinator

The Adolphus Hotel
07.2010 - 07.2013

Bachelor of Science - Biology

Oklahoma State University