JONATHAN RADNEY
Revenue Cycle Management
Columbus,GA
Summary
REPUTABLE CLAIMS AND CUSTOMER SERVICE REPRESENTATIVE
Enthusiastic professional with strong communication and interpersonal skills.
Known for establishing customer relationships and maintaining excellent customer satisfaction with demonstrated abilities. Adept at gaining trust and respect from customers and management through honorable work ethics. Motivated to contribute to company growth and success. Eagerly enjoys new challenges and learning opportunities.
Data and Research Analysis Mainframe- IBM Micro Reflection Software Proficient in Microsoft Office Leadership abilities Microsoft Power BI
Overview
14
14
years of professional experience
Work History
Ambulance Billing Operations Team Lead
ASPIRION HEALTH RESOURCES
Columbus, GA
01.2021 - Current
- Provide leadership and support to a team of individuals with multiple job functions
- Lead and participate in department meetings
- Provide training and support to new and existing team members.
Ambulance Billing Analyst
- Similar job duties as with previous MVA Claims Analyst position except now covering Ambulance matters.
MVA Claims Analyst
- Investigate and coordinate insurance benefits for motor vehicle claims across multiple service lines
- Resolve accounts as quickly and accurately as possible, obtaining maximum reimbursement, and perform investigative and follow up activities in a demanding environment
- Conduct research, contact patients, and the local affiliates to include Law Firms, Hospitals, and insurance carriers.
Claims Processor
ANTHEM
Columbus, GA
01.2018 - 01.2020
- Coded and processed claim forms for payment, ensuring all information were supplied before eligible payments were made
- Ensured member eligibility through benefits and authorizations before any payments were made or rejected
- Researched and analyzed member claim issues, adjusting as needed while following policies and procedures ensuring proper payment of claims.
Customer Care Representative
- Provided all legally accepted information to members regarding medical, pharmacy, and life policies
- Contacted providers as needed for specific member benefit inquiries
- Provided outstanding service by educating members about benefit details, explaining how claims are processed or denied, as well as answering any questions regarding member benefits.
Wireless (Technology)
SAM'S CLUB
Columbus, GA
01.2011 - 01.2018
- Provided sales assistance to members in areas such as wireless, television, computer, and photo centers while maintaining upmost customer service within a high energy retail company
- Increased sales by collaborating with three out of four National Telecommunication Networks
- Grew company membership base by assisting the Marketing Team in outreach events within community
- Awarded regional sales top performance awards in stores regional market for exceeding company sales goals in contracts, devices, and protection plans.
Education
HIGH SCHOOL DIPLOMA - undefined
SMITH STATION HIGH SCHOOL
Skills
- Operational Excellence
- Documentation
- Delegation
- Staff Supervision
- Performance monitoring
- Team Training
- Operations Management
- Employee Development
- Task Delegation
- Project Management
- Project Planning
- Production
- Warehouse Operations
- Inventory Coordination
- Technology
- Process Improvement
- Analytical Thinking
- Process Analysis
- Data Analysis
- Teamwork and Collaboration
- Problem-Solving
- Time Management
- Attention to Detail
- Problem-solving abilities
- Multitasking
- Multitasking Abilities
- Reliability
- Excellent Communication
- Organizational Skills
- Team Collaboration
- Team Leadership
- Active Listening
- Operational Excellence
- Adaptability and Flexibility
- Decision-Making
- Relationship Building
- Operational Efficiency
- Team building
- Task Prioritization
- Self Motivation
- Interpersonal Skills
- Conflict Resolution
- Goal Setting
- Professionalism
- Interpersonal Communication
- Time management abilities
- Continuous Improvement
- Inventory Management
- Written Communication
Work Preference
Work Type
Full TimeLocation Preference
RemoteOn-SiteImportant To Me
Career advancementWork-life balanceFlexible work hoursPersonal development programsWork from home optionPaid time offPaid sick leaveTimeline
Ambulance Billing Operations Team Lead
ASPIRION HEALTH RESOURCES
01.2021 - Current
Claims Processor
ANTHEM
01.2018 - 01.2020
Wireless (Technology)
SAM'S CLUB
01.2011 - 01.2018
Ambulance Billing Analyst
MVA Claims Analyst
Customer Care Representative
HIGH SCHOOL DIPLOMA - undefined
SMITH STATION HIGH SCHOOL