Derresha Jones
Chicago,IL
Summary
Detail-oriented administrative professional with over 4 years of experience in document management, vendor communication, regulatory compliance, and customer service across healthcare and international service sectors. Proven ability to support data-driven processes, ensure regulatory adherence, and maintain confidentiality in fast-paced environments. Reliable and committed to consistent attendance and performance, with a strong understanding of how accountability and presence contribute to team success and professional growth. Seeking to contribute organizational, analytical, and outreach skills in a compliance-focused role within a public service environment.
Overview
8
8
years of professional experience
Work History
Accounts Receivable and Billing Clerk
Prime Care Health Care
Chicago, IL
01.2023 - Current
- Reconciled account discrepancies and resolved billing issues efficiently.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Checked claims coding for accuracy with ICD-10 standards.
- Processed appeals on rejected or partially paid claims, including filing additional paperwork as needed.
- Tracked differences between plans to correctly determine eligibility and assess claims against benefits and data entry requirements.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
Administrative & Compliance Officer
BLS International Services
Chicago, IL
10.2021 - 12.2023
- Processed regulatory applications in accordance with foreign government standards, ensuring accuracy, eligibility, and compliance.
- Coordinated team tasks, conducted document audits, and ensured data integrity in electronic databases.
- Interfaced with clients and partners, clarifying program requirements and promoting compliance with visa documentation policies.
Customer service/Salesperson
Let’s talk mobile
DeKalb, Illinois
01.2018 - 01.2021
- Delivered client-focused service while maintaining compliance with company procedures and privacy guidelines.
- Trained and mentored new hires in adherence to corporate policies and customer handling standards.
- Maintained accurate records of transactions and supported promotional campaigns.
Education
Medical Coding And Billing - Medical Coding
Triton College
River Grove, ILSkills
- Proficient in Microsoft Office applications, including Excel, PowerPoint, Outlook, SharePoint, and Word at an intermediate level, Athena Health, Epic
- ICD-10 coding
- Aging reports analysis
- Account reconciliation
- Eligibility verification
- Adjustment posting
Timeline
Accounts Receivable and Billing Clerk
Prime Care Health Care
01.2023 - Current
Administrative & Compliance Officer
BLS International Services
10.2021 - 12.2023
Customer service/Salesperson
Let’s talk mobile
01.2018 - 01.2021
Medical Coding And Billing - Medical Coding
Triton College