Dawnesha Jones
Mansfield,TX
Summary
Excellent written and verbal communication skills with profound willingness to work until job demands are met. Reliable and resourceful medical professional with many years resolving provider and member conflict resolution. Highly organized, and motivated professional with a proven record of delivering accurate reports.
Overview
12
12
years of professional experience
Work History
Certified Medical Assistant
JPS
09.2016 - 02.2022
- Perform clinical duties in a fast-paced environment
- Assist with new clinical employee training
- Maintain accurate records
- Ensuring that patient information is up to date for insurance benefit verification
- Room patients and obtain accurate vital signs and medical history
- Verify patient medications and patient chief complaints and document into the EMR system
- Perform quality patient care including EKG, blood draws and point of care testing such as UA’s, glucose testing, INR, flu and strep test
- Perform all clinical duties according to OSHA and HIPPA requirements and company guidelines
Provider Service Representative
Aetna
11.2012 - 04.2015
- Handled high-volume inbound calls from providers efficiently in a complex, fast paced and challenging call center environment
- Verify members plan, benefits, and eligibility
- Effectively resolved claim issues in regard to processed or denied claims that were in question forwarding multiple denied claims for appeal process
- Accurately documented nature of call, research, and resolution
- Met or exceeded service and quality standards every review period
Certified Nursing Assistant
Medical Center of Arlington
01.2012 - 11.2012
- Provide high-standard customer service for infants and parents keeping the parents updated on status of newborn procedures
- Work front desk answering multi phone lines forwarding calls accordingly
- Prepare newborn charts for admission to nursery and check in and discharge infants according to hospital policy and guidelines
- Assist registered nurse with newborn vital signs, feedings, baths, and blood draws
Certified Medical Assistant
Grace Women’s Center
07.2010 - 11.2011
- Room patients to prepare for evaluation, check vital signs, document history, administer injections, vaccinations, blood draw and assist with procedures
- Clean and sterilize patient rooms and medical instruments
- Other responsibilities include scheduling patient appointments and surgery, completing FMLA paperwork, verifying eligibility and benefits and obtaining authorization or pre-cert if needed
Education
Certified Medical Assistant -
Concorde Career Institute
Arlington,TX2009
Skills
- Microsoft Office Suite
- Strong knowledge with EPIC
- Excellent communication skills with focus on team building and customer relations
- Outstanding organizational, multitasking, and problem-solving abilities
- Phlebotomy and injection administration
- Procedure scheduling and obtaining authorizations
- Excellent time management
- Strong verbal and written communication skills
Timeline
Certified Medical Assistant
JPS
09.2016 - 02.2022
Provider Service Representative
Aetna
11.2012 - 04.2015
Certified Nursing Assistant
Medical Center of Arlington
01.2012 - 11.2012
Certified Medical Assistant
Grace Women’s Center
07.2010 - 11.2011
Certified Medical Assistant -
Concorde Career Institute
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