JONICA THOMAS
Lizella ,Georgia
Summary
Skilled Benefits Verification Specialist and Customer Service Representative with significant background in healthcare and insurance industries. Familiarity with analyzing employee benefits, interpreting insurance policy terms, and liaising between medical providers and patients for benefit clarifications. Strong communication skills coupled with adeptness at using software tools for record-keeping and reporting. Previous work shows tangible impact through improved patient experiences and streamlining of benefits verification processes.
Overview
5
5
years of post-secondary education
19
19
years of professional experience
Work History
BENEFITS VERIFICATION SPECIALIST- Work From Home
MCI Telecommunications
10.2020 - Current
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Verified patient benefits using internal systems and insurance databases.
- Verified client information by analyzing evidence on file to ensure accuracy and completeness.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Communicated with healthcare providers to gather essential information for timely verification.
- Reviewed insurance policies to ensure accurate benefit assessments.
- Resubmitted claims after edits or denials to meet financial targets and minimize outstanding debt.
- Documented verification processes to maintain compliance with industry standards.
- Utilized problem-solving skills to address discrepancies in patient information.
- Adhered to HIPAA regulations when handling confidential patient information.
WELLNESS NURSE
The Medical Group of Central Ga.
03.2015 - 10.2020
- Coordinated medical, dental, vision, hearing, and podiatry care for patients to support comprehensive wellness
- Maintained accurate reports and records to facilitate effective patient monitoring
- Recorded patient's medical information and monitored conditions
- Managed billing procedures for Medicare wellness visits
PHLEBOTOMIST
Urology Specialists of Georgia
12.2007 - 03.2015
- Facilitated blood draws for more than 50 patients each day, ensuring patient comfort. Working in Eclinical Works
- Collected blood specimens per lab guidelines, ensuring minimal discomfort to patients
- Collected blood specimens per lab guidelines, ensuring minimal discomfort to patients
- Followed infection control protocols and safety standards in all work areas
Education
SOUTHEAST HIGH SCHOOL
08.1995 - 05.2000
Skills
- Insurance Verification
- Patient Communication
- Customer service
- Medical Record Keeping
- CPT Coding
- ICD-10
- Multiple line phone system
- Inbound and Outbound Calling
- Medical Office Experience
- Medical Receptionist
- Charting
- Clinical Lab Settings
- Specimen preparation
- Data Management Systems
Timeline
BENEFITS VERIFICATION SPECIALIST- Work From Home
MCI Telecommunications
10.2020 - Current
WELLNESS NURSE
The Medical Group of Central Ga.
03.2015 - 10.2020
PHLEBOTOMIST
Urology Specialists of Georgia
12.2007 - 03.2015
SOUTHEAST HIGH SCHOOL
08.1995 - 05.2000