Summary
Overview
Work History
Education
Skills
Certification
Work Availability
Quote
Timeline
Volunteer

Jacqueline F. Jones

Arlington,TX

Summary

Enthusiastic and motivated to work with patients, families and care teams efficiently . Offering 10+ years of medical experience and passion for helping patients improve health and wellness and devoted to providing compassionate care. Well-trained and always eager to learning new skills.

Overview

17
17
years of professional experience
1
1
Certificate

Work History

Charge Entry Specialist, Behavioral Health, TMS

Caduceus Healthcare (Remote)
Montgomery, NJ
11.2021 - Current
  • Manages over 50+ behavioral health claims for TMS as received daily in claims work inbox.
  • Perform reviews and coordinate with other department teams for resolving claim issues on missing information such as eligibility, authorizations, referrals, provider's credentialing issues, and denial reasons.
  • Responsible for reviewing codes and completing charge corrections to ensure accuracy of ICD-10 diagnosis codes and CPT procedure codes per insurance payor requirements
  • Reviews clinical reports to confirm accuracy of CPT codes and diagnosis codes.
  • Ensure that claims are clear prior to submitting to payors.
  • Update patient's file to document actions taken on claims.
  • Perform other duties assigned as relates to claims.

Referral Coordinator

Family Healthcare Associates, Family Medicine
Arlington, TX
03.2018 - 11.2021
  • Managed and expedited high priority outpatient referral request, as ordered by doctor, for hospital admissions for outpatient services such as radiology, diagnostic testing, and therapy.
  • Managed and handled incoming phone calls from patients and doctor offices requesting referrals.
  • Called and interacted with insurance companies to get precertification and other benefits information on behalf of patients.
  • Scheduled appointments with specialists on behalf of patients.
  • Submitted medical records to obtain precertification to insurance companies to approve benefits.
  • Coordinated with doctors and patients to find and determine cost-effective options for medical services in case of patient self pay alternative.
  • Followed up with patients and referring doctor's office to inquire about experience and obtained progress reports and medical records.
  • Worked with patients to schedule tests procedures and specialist visits.
  • Maintained confidentiality of patient health records and condition to safeguard their health information.

Certified Medical Assistant - PRN

All Medical Personnel Healthcare Staffing Agency
Dallas, TX
05.2014 - 03.2018
  • Worked temporary at various medical practices; rooming patients; taking vitals, reasons for visit; health history, medications, and allergies
  • Performed lab testing, blood draws, injections EKGs, visions screenings, and school physicals.
  • Assisted with exams and other clinical support.

Lead Certified Medical Assistant

Southwest Women′s Healthcare Associates- OB/GYN
Olympia Fields, IL
02.2006 - 07.2014
  • Worked as team lead to support both front and back office work flows; handled triage phone calls and informed doctors for advise to instruct patients or medications.
  • Supervised 4 Medical Assistants; managed schedules daily for accurate flow of scheduled visits and cancellations.
  • Assisted office manager with daily clinic operations and workflows; adequate staffing and office needs.
  • Checked billing encounter slips to ensure all pertinent patient's visit information, such as updated demographics, diagnosis/CPT codes, and charges are entered by providers before submitting to billing.
  • Assisted with new hires; helped to conduct onboarding training.
  • Communicated with pharmacists daily in regards to medications; submitted requests via electronic submissions.
  • Advised and instructed patients on medication regimens, procedures, lab results, visits per provider.
  • Processed family medical leave of absence for short term disability.

Education

Associate of Applied Science - Medical Billing/ Coding

Ultimate Medical Academy - Clearwater
Clearwater, FL
01.2018

Associate of Science - Healthcare Management

Ultimate Medical Academy - Clearwater
Clearwater, FL
02.2017

Skills

  • Healthcare Education
  • Professional Development
  • Electronic Health Records Systems
  • Team Leadership
  • Office Organization
  • Patient Relations/Clinical Support
  • Medical Coding/Billing
  • CPT Codes/ICD-10
  • Charge Entry
  • Medical Terminology
  • Referral Processing
  • Insurance Verification/Authorization
  • Effective Multitasking
  • Attention to Detail
  • Excellent communication and Interpersonal Skills
  • HIPPA Compliance
  • Patient Privacy
  • EMR Systems: Athena, Nextgen, Greenway, Epic, ECW

Certification

American Medical Technologist Certification Agency, Rosemont, Illinois - Registered Medical Assistant

Nationally Registered Certified Medical Asst #108764 2/2022 through 2/2025


BLS/AED Certified


Illinois School Of Health Careers for Medical Assisting- 8/1999


Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote

Success is not the key to happiness. Happiness is the key to success. If you love what you are doing, you will be successful.
Albert Schweitzer

Timeline

Charge Entry Specialist, Behavioral Health, TMS

Caduceus Healthcare (Remote)
11.2021 - Current

Referral Coordinator

Family Healthcare Associates, Family Medicine
03.2018 - 11.2021

Certified Medical Assistant - PRN

All Medical Personnel Healthcare Staffing Agency
05.2014 - 03.2018

Lead Certified Medical Assistant

Southwest Women′s Healthcare Associates- OB/GYN
02.2006 - 07.2014

Associate of Applied Science - Medical Billing/ Coding

Ultimate Medical Academy - Clearwater

Associate of Science - Healthcare Management

Ultimate Medical Academy - Clearwater

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Jacqueline F. Jones