Keyarrow Jones
Jacksonville,FL
Overview
7
7
years of professional experience
Work History
Account Install Specialist
Prime Therapeutics
2022.05 - Current
- Deploy benefit plan submission support to clients and resolve client submission questions or issues in timely manner.
- Engineer and analyze benefit summaries to properly code benefits to achieve optimum adjudication levels while adhering to turn around time parameters.
- Execute testing and quality assurance of product development with 97% accuracy while adhering to production metrics.
- Present subject matter expert that researches discrepancies in the adjudication of claims.
- Monitor and report trainee progress, introducing new learning tools to address individual needs.
- Mentor new hires, resulting in stronger staff development and increased productivity.
Retention Member Service Representative
Go Health
2021.09 - 2022.04
- Retained 97% of Medicare member accounts daily, leading to being in top 3 performers for quarter.
- Effective liaison between members and internal departments while utilizing multiple software systems simultaneously.
- Delivered excellent customer service, resulting in consistent 99% member satisfaction rating.
- Learned internal systems and related service role duties to provide skilled team backup in handling member demands.
Radiologic Technologist
Akumin
2018.04 - 2020.02
- Reviewed physicians' orders to determine medical imaging needs and operated radiologic equipment to capture, develop and produce diagnostic images.
- Provided direct supervision and instruction to X-ray students during clinical training.
- Complied with HIPAA and company regulations to maintain confidentiality regarding patient health data and medical records.
- Facilitated positive care experience for patients by establishing rapport and applying interpersonal skills to reduce anxiety and promote cooperation.
Education
A.S - Radiology
Keiser University
Fort Lauderdale, FLSkills
- Pharmacy Benefit Management
- Communication
- Quality Assurance
- Analytical Problem Solving
- Research
- Data Analysis
- Training
- Zendesk
- CMS
- Microsoft Excel
Timeline
Account Install Specialist
Prime Therapeutics
2022.05 - Current
Retention Member Service Representative
Go Health
2021.09 - 2022.04
Radiologic Technologist
Akumin
2018.04 - 2020.02
A.S - Radiology
Keiser University