Kerry Jones
Murfreesboro,TN
Summary
Experienced Provider Data Specialist focused on data management and strengthening provider relationships in the healthcare industry. Possesses strong analytical and communication abilities that drive efficient problem-solving and compliance adherence. Achievements include improved patient care coordination and heightened overall service satisfaction.
Overview
12
12
years of professional experience
Work History
Provider Data Specialist
Optum
10.2024 - Current
- Analyzed data accuracy of providers to ensure adherence to regulatory standards.
- Updated provider records to ensure accurate contact information and qualifications, supporting compliance efforts.
- Managed updates to provider databases and documentation systems to maintain data integrity.
- Resolved provider-related inquiries by collaborating with healthcare teams to enhance service delivery.
- Utilized various databases and tools to validate provider information such as licenses, certifications.
- Collaborated with other departments to ensure accurate representation of provider data in the system.
- Reviewed provider data submissions to ensure accuracy and completeness of information.
Associate Clinical Administrative Coordinator
Optum
Brentwood, TN
01.2021 - Current
- Work closely with clinical teams to optimize administrative workflows, resulting in more effective patient care coordination.
- Coordinated clinical administrative tasks to enhance operations and elevate patient satisfaction through effective support.
- Collaborated with clinical colleagues to build authorizations for patient stays at skilled nursing facilities, inpatient rehabilitation facilities, and nursing homes.
- Determined member eligibility for admission to facilitate timely access to care.
Customer Service Representative
Electronic Express
Nashville
07.2019 - 01.2021
- Achieved high customer satisfaction ratings through effective communication and problem-solving skills.
- Handled customer inquiries via phone, email, and chat, resolving issues promptly and efficiently.
- Supported customers on online shopping platforms, enhancing shopping experience.
- Collaborated with team members to streamline customer service processes, resulting in improved service delivery.
- Utilized analytical skills to identify common customer issues, minimizing repeat inquiries.
Dispatcher/Customer Service Representative
ADS Security
Nashville
06.2018 - 07.2019
- Dispatched emergency services for burglary, fire, and medical alarms, ensuring rapid response times.
- Collaborated with team to manage high-stress situations, ensuring accurate and timely responses to emergencies.
- Exercised discretion in dispatching police, prioritizing subscriber safety during alarm incidents.
- Responded swiftly to alarm triggers, addressing customer concerns and fostering trust in service.
Assistant Store Manager
Sprint
Nashville
06.2016 - 07.2017
- Assisted store manager in sales and customer service, contributing to improved team performance and increased customer satisfaction.
- Managed daily cash counts and POS system closings, ensuring financial accuracy and accountability.
- Facilitated employee growth initiatives, resulting in measurable improvements in Voice of the Customer metric.
- Managed building operations, promoting safety and efficiency in store environment.
- Handled nightly shipping of returned devices, maintaining inventory accuracy.
Customer Resolution Team Representative
Verizon
Franklin
01.2015 - 06.2016
- Resolved escalated calls, enhancing customer satisfaction through effective negotiation.
- Deescalated customer issues using empathy and soft skills, contributing to improved retention rates.
- Handled complex inquiries, resulting in measurable improvements in first-call resolution rates.
- Met all performance goals, supporting operational efficiency and service quality.
Education
General Education Diploma -
Tennessee State University
Nashville05-2007
Skills
- Data analysis and management
- Data validation and governance
- Technical communication
- Critical thinking
- Time management and organization
- Adaptability and teamwork
- Leadership and negotiation
- Customer conflict resolution
- Database management
- Regulatory adherence
- Provider validation and relations
- Member eligibility verification
- Customer relationship management
- Effective communication skills
- Problem solving and attention to detail
- Team collaboration and conflict resolution
- Healthcare industry knowledge
- HIPAA compliance
- Microsoft SQL Server expertise
- Organizational skills and multitasking
Timeline
Provider Data Specialist
Optum
10.2024 - Current
Associate Clinical Administrative Coordinator
Optum
01.2021 - Current
Customer Service Representative
Electronic Express
07.2019 - 01.2021
Dispatcher/Customer Service Representative
ADS Security
06.2018 - 07.2019
Assistant Store Manager
Sprint
06.2016 - 07.2017
Customer Resolution Team Representative
Verizon
01.2015 - 06.2016
General Education Diploma -
Tennessee State University