Jonathann B Hughes
Glendale,CA
Summary
Motivated, educated, experienced and personable professional looking for a solid company with a mission to help people. Diplomatic and tactful with professionals and non-professionals at all levels. Accustomed to handling sensitive, confidential records. Demonstrated history of producing accurate, timely reports meeting stringent government and executive standards. Flexible and versatile - able to maintain a sense of humor under pressure. Poised and competent with demonstrated ability to easily transcend cultural differences in any environment.
Overview
19
19
years of professional experience
Work History
Appeals Coordinator
R&O Billing And Consulting
01.2018 - 01.2022
- Prepared insurance appeal forms and related documents and reviewed for completeness.
- Developed appeals functions, policies and procedures and documentation.
- Maintained confidentiality of patient finances, records, and health statuses.
- Created, composed and maintained appeal templates.
- Followed up on claims with insurance carriers as needed.
Claims Follow Up, Billing Associate
R & O Billing And Consulting
11.2015 - 12.2017
- Worked with multiple departments to check proper billing information.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Identified payment trends and adjusted billing processes accordingly to retain customers.
- Worked effectively with commercial insurances to obtain timely and accurate payments.
- Researched portals issues related to non-payment within e-billing vendor portals.
Buyer
Seashore West
07.2013 - 11.2015
- Developed cost-effective purchasing strategies to maintain inventory levels and improve operational procedures.
- Analyzed current vendors and products to stay abreast of market trends and evaluate new suppliers.
- Oversaw purchasing process from initiating requests to finalizing contracts to deliver smooth transaction.
- Built long-term supplier relationships with vendors to establish quality and competitive pricing.
- Interacted with vendors, store managers and other stakeholders to maintain on-time deliveries.
- Collaborated with sales team to identify and fulfill customer needs.
Claims Follow Up Supervisor
A-Fordable Billing Solution
08.2012 - 07.2013
- Monitored team performance, enforcing compliance with corporate claims processes and procedures.
- Built talented teams of 4-6 claims follow up personnel dedicated to timely and compliant resolutions.
- Established and checked coding procedures, monitored reports and updated internal files.
- Documented and communicated timely claims information while supporting accurate outcomes.
- Analyzed business processes to identify cost savings and operational efficiencies.
Porter / Assistant Maintenance
The Eberly Companies
12.2011 - 06.2012
- Maintained detailed logs and accurate records of maintenance and repairs performed.
- Completed troubleshooting and diagnosis on facility systems to identify and resolve issues.
- Executed tasks within time and budget constraints.
- Performed preventive maintenance and repairs on various types of equipment.
- Organized storage areas and tool rooms to keep areas safe and fully stocked.
- Utilized variety of power and hand tools to perform maintenance and repairs in accordance with safety requirements.
Security Operations Analyst / Security Field Supervisor
California Institute Of Technology
02.2003 - 04.2009
- Oversaw team of security officers and managed scheduling and performance evaluations.
- Collaborated with management to develop security policies and procedures.
- Trained security workers on site-specified procedures.
- Recorded incident reports with detailed accounts of occurrences.
- Coordinated with security personnel or other departments to establish safety of visitors and staff.
- Completed shift handover reports and debriefed next shift upon arrival.
- Analyzed and investigated incidents alongside functional management and security supervisors.
Education
Bachelor's of Science Degree - Criminal Justice
CALIFORNIA STATE UNIVERSITY
Long Beach, CAAssociate's in Science Degree - Applied and Liberal Studies
PASADENA COMMUNITY COLLEGE
PasadenaAssociate of Arts - Associate in Arts
Pasadena City College
Pasadena, CAHigh School Diploma -
Arcadia High School
Arcadia, CASkills
- Managerial/Supervision
- File Management
- Report Preparation
- Written Correspondence
- Verbal Communication
- Computer Savvy
- Customer Service
- Scheduling
- Payroll Calculation
- MS Office
- Staff Development
- Google Docs
- Policy Writing
Timeline
Appeals Coordinator
R&O Billing And Consulting
01.2018 - 01.2022
Claims Follow Up, Billing Associate
R & O Billing And Consulting
11.2015 - 12.2017
Buyer
Seashore West
07.2013 - 11.2015
Claims Follow Up Supervisor
A-Fordable Billing Solution
08.2012 - 07.2013
Porter / Assistant Maintenance
The Eberly Companies
12.2011 - 06.2012
Security Operations Analyst / Security Field Supervisor
California Institute Of Technology
02.2003 - 04.2009
Bachelor's of Science Degree - Criminal Justice
CALIFORNIA STATE UNIVERSITY
Associate's in Science Degree - Applied and Liberal Studies
PASADENA COMMUNITY COLLEGE
Associate of Arts - Associate in Arts
Pasadena City College
High School Diploma -
Arcadia High School