Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
Generic

Karlee B Jones

275 East Michigan ,FL

Summary

Highly motivated Front Office Administration Associate with extensive customer service and excellent multitasking, time management and customer service skills. Responsible and professional; willing to go the extra mile to assist any and all patients with their medical needs. I am very ambitious with a total of 10 years with medical office/customer service background.

Overview

13
13
years of professional experience

Work History

Patient Access Coordinator

Women's Care
06.2022 - 08.2025
  • Patient Access Rep - billing/insurance specialists
  • Scheduling patients for each of our providers with multiple office locations
  • Clearing schedules and add ons
  • Verifying insurance as well as working with diagnoses and cpt codes
  • Working hand in hand with insurance companies for approvals as well as verifying pre authorizations if needed.
  • Contributed to a positive work environment by providing support and assistance to colleagues during peak periods or staff shortages.
  • Maintained strict adherence to HIPAA regulations while managing confidential patient information throughout various stages of care.
  • Managed high volumes of inbound calls while addressing scheduling requests, appointment confirmations, prescription refills, and general inquiries professionally.
  • Increased efficiency of daily operations by implementing electronic health record system for accurate data management.

Front Office Lead / Rx Prior Authorization Spec

Shrink Savannah
12.2019 - 06.2022
  • Adhered to strict HIPAA guidelines to protect patient privacy.
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Reached out to insurance carriers to obtain prior authorization for all office prescribed medications.
  • Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
  • Tracked referral submission during facilitation of prior authorization issuance.
  • Scheduled appointments with specialists on behalf of patients
  • Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
  • Called insurance companies to get precertification and other benefits information on behalf of patients.
  • Checked patient insurance, demographic and health history to keep information current.
  • Maintained current and accurate medical records for patients.
  • Organized paperwork such as charts and reports for office and patient needs.
  • Transcribed phone messages and relayed to appropriate personnel.
  • Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Answered customer telephone calls promptly to avoid on-hold wait times.
  • Maintained patient records in compliance with security regulations.
  • Processed medical records requests from outside providers according to facility, state and federal law.
  • Maintained patient charts and accurately recorded new information.
  • Executed billing tasks and recorded information in company databases.

Patient Coordinator /Front Office Specialist

North Florida OBGYN / Women's Care Of Florida
11.2017 - 12.2019
  • Determined amounts due and accepted payments.
  • Scheduled appointments, sent reminders and updated master calendar.
  • Provided forms to fill out or update and added latest information computer system.
  • Greeted, registered and checked in patients.
  • Processed payments and informed individuals of further financial responsibility to facilitate timely payments.
  • Completed patient check-in processes by verifying insurance and submitting forms to nursing team.
  • Coordinated master schedule by booking and rescheduling appointments and balancing workloads.
  • Scheduled in office ultrasounds and non stress tests
  • Provided complete patient assessments and communicated with patients to understand medical histories.
  • Aided in development and betterment of patient management and workflow processes.
  • Answered patient assistance calls, assessed needs and offered qualified support.
  • Took care of all family medical leave paperwork.
  • Scheduled BPP/NST's

Account Manager

State Farm
07.2016 - 04.2017
  • Addressed problems with accounting, billing and service delivery to maintain and enhance client satisfaction.
  • Built and strengthened long-lasting client relationships based on accurate price quotes and customer-centric terms.
  • Oversaw new business development and customer servicing.
  • Liaised between account holders and various departments.
  • Took payments for all incoming calls for all clients.
  • Assisted with car insurance quotes.
  • Scheduled meetings for Managers.

Front Office Receptionist

Landa And Landa Eye Care
12.2015 - 06.2016
  • Answered multi-line phone system and greeted callers enthusiastically.
  • Greeted visitors and customers upon arrival, offered assistance and answered questions to build rapport and retention.
  • Interacted with customers by phone, email or in-person to provide information.
  • Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
  • Provided clerical support to company employees by copying, faxing and filing documents.
  • Directed incoming calls to internal personnel and departments, routing to best-qualified department.
  • Maintained clean reception area to promote positive, professional environment for clients.
  • Verified insurance claims
  • Scheduled patients for consults regarding surgical procedures.
  • Collected/balanced all payments in office.
  • Scheduling and dispersed incoming and out going referrals.
  • Scheduled for consults regarding surgical procedures.
  • Scheduled new patients/follow ups.

Patient Account Representative

North Florida OBGYN / Women's Care Of Florida
07.2012 - 12.2015
  • Responded to patient, family and external payer inquiries.
  • Posted payments and processed refunds.
  • Worked with outside entities to resolve issues with billing, claims and payments.
  • Electronically submitted bills according to compliance guidelines.
  • Reconciled statements with patient records.
  • Prepared reports detailing billing actions, flags and other key information.
  • Monitored flags and resolved urgent items with accuracy and efficiency.
  • Documented all incoming collections for office.
  • Followed up and called on all patient accounts.
  • Calculated all incoming payments and postings.
  • Listened to customers and negotiated solutions that met creditor and debtor needs.
  • Advised customers of alternative actions and strategies for debt repayment and attempted to avoid adversarial communications.

Education

High School Diploma -

Baldwin Middle Senior High School/Excel Highschool
Jacksonville, FL
01.2012

Skills

  • Payment Processing
  • Microsoft Office Suite
  • Research and Data Analysis
  • Prioritization and Time Management
  • Customer Service-Oriented
  • Records Management
  • EHR Systems
  • Allscripts
  • Practice Fusion
  • Collaborate MD
  • Data Entry and Database Software
  • Multitasking and Prioritization
  • Positive Attitude and Energetic
  • Scheduling and Calendar Management
  • Multi-Line Phone Systems
  • Spreadsheet Tracking
  • Billing and Invoicing
  • Word Processing
  • Attention to Detail
  • Computer Proficiency
  • Customer Complaint Resolution
  • Courteous and Professional
  • Accounting and Billing Software

Additional Information

During my 10 years in the medical field I have worked in quite a few different medical systems.


1. Allscripts

2. EHR

3 Collaborate MD

4. Practice Fusion

5. Kareo

6. eCW

7. Revspring

8. Phreesia


Timeline

Patient Access Coordinator

Women's Care
06.2022 - 08.2025

Front Office Lead / Rx Prior Authorization Spec

Shrink Savannah
12.2019 - 06.2022

Patient Coordinator /Front Office Specialist

North Florida OBGYN / Women's Care Of Florida
11.2017 - 12.2019

Account Manager

State Farm
07.2016 - 04.2017

Front Office Receptionist

Landa And Landa Eye Care
12.2015 - 06.2016

Patient Account Representative

North Florida OBGYN / Women's Care Of Florida
07.2012 - 12.2015

High School Diploma -

Baldwin Middle Senior High School/Excel Highschool

Similar Profiles

CREATE PROFILE