Summary
Overview
Work History
Education
Skills
Timeline
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Jerry Jones III

Dallas

Summary

Accomplished CSR/Medical Billing Specialist with a proven track record at IKS Health, enhancing customer satisfaction through exceptional service and empathy. Skilled in CRM software and problem-solving, significantly improving operational efficiency. Demonstrated expertise in HIPAA compliance and clinical documentation, ensuring meticulous data integrity and streamlined processes.

Overview

5
5
years of professional experience

Work History

CSR/Medical Billing Specialist

IKS Health
09.2023 - 03.2024
  • Managed high call volumes, maintaining a professional demeanor during peak hours and effectively multitasking in a fast-paced environment.
  • Demonstrated empathy and active listening skills, resulting in a higher rate of customer satisfaction and repeat business.
  • Answered customer telephone calls promptly to avoid on-hold wait times.
  • Upheld strict adherence to company policies and procedures while providing exceptional service experiences for each client interaction.
  • Delivered outstanding problem-solving skills in addressing recurring issues that resulted in improved operational efficiency.
  • Provided comprehensive training for new team members, resulting in faster onboarding and better overall performance.

Pre-Authorization Specialist

ResultsCX
08.2020 - 01.2023
  • Expedited decision-making processes by maintaining strong working relationships with insurance representatives and clinical staff members.
  • Upheld data integrity standards by meticulously entering pertinent information into electronic health records systems during the authorization process.
  • Increased patient satisfaction by effectively communicating with patients regarding their coverage, benefits, and anticipated out-of-pocket expenses.
  • Maintained up-to-date knowledge of insurance policies, guidelines, and regulations to ensure accurate pre-authorization approvals.
  • Enhanced workflow efficiency by streamlining the pre-authorization process for both inpatient and outpatient cases.
  • Conducted regular audits of pre-authorization documentation to ensure compliance with regulatory standards and mitigate potential risks.

Brand Ambassador

Hollister.Co
08.2019 - 01.2020
  • Ensured accurate representation of the brand by maintaining consistent messaging and visuals across all promotional materials and presentations.
  • Enhanced brand recognition by executing promotional events and engaging customers with product demonstrations.
  • Boosted sales through effective collaboration with store staff to promote products in high-traffic areas.
  • Helped customers complete purchases, locate items, and join reward programs.
  • Assisted in managing inventory levels, accurately processing shipments, and restocking merchandise as needed.
  • Consistently met personal sales goals through proactive engagement with customers and upselling techniques when appropriate.

Cashier Team Lead

Kroger
10.2018 - 05.2019
  • Performed store opening, closing, and shift-change actions and kept accurate shift-change logs.
  • Assisted customers by answering questions and fulfilling requests.
  • Communicated with customers and team members to solve problems.
  • Trained, mentored, and developed new cashiers with positive and encouraging techniques to maximize performance and team contributions.
  • Balanced cash drawers at the end of each shift, ensuring accuracy in financial reporting.
  • Ensured compliance with company policies regarding returns, exchanges, and check acceptance procedures.

Education

High School Diploma -

Martin High School
Arlington, TX
06.2020

Skills

  • Call center experience
  • Customer Focus
  • Complaint Handling
  • CRM Software
  • Customer Service
  • Problem-solving abilities
  • Microsoft Outlook
  • Data Entry
  • Microsoft Excel
  • Prior Authorization
  • HIPAA Compliance
  • Clinical Documentation

Timeline

CSR/Medical Billing Specialist

IKS Health
09.2023 - 03.2024

Pre-Authorization Specialist

ResultsCX
08.2020 - 01.2023

Brand Ambassador

Hollister.Co
08.2019 - 01.2020

Cashier Team Lead

Kroger
10.2018 - 05.2019

High School Diploma -

Martin High School
Jerry Jones III