Overview
Work History
Timeline
Hi, I’m

Keyona Jones

Sherwood,Arkansas

Overview

5
years of professional experience

Work History

Prime Therapeutics

Member Services Associate
08.2021 - 06.2025

Job overview

  • Answering inbound and occasional making outbound calls in call center environment
  • Handling member questions about pharmacy benefits for Medicare Medicaid and commercial accounts
  • Maintain records and accurate documentation of call notes
  • Creating cases, setting up prior authorization and coverage determinations Clinical review support
  • Cross trained in PHD Pharmacy help desk, GP government programs (Medicare and Medicaid) GPRT Government research program.
  • Trained to handle all LOBs, assisted pharmacies with claim adjustments and benefit structure questions.
  • Assisted Providers submit coverage determinations and provided benefit information and medication costs

Concentrix United Healthcare

Customer Service Specialist
10.2020 - 07.2021

Job overview

  • Answered calls from members assisting with questions about benefits and medication
  • Accurately documented call notes and managed member accounts.
  • Assisted member with claims by advocating with the pharmacy staff
  • Acted as a liaison for members with clinical staff resolving issues with Coverage requests.

Rebsamen Memorial Hospital
Jacksonville, AR

Medical Records Clerk

Job overview

  • Answered phones, filed patient files, and checked for Prescribers signatures.
  • Completed data entry tasks to enter patient information into computer system.
  • Filed front desk medical records, transported records to different departments
  • Mailroom clerk

Premier Staffing
Little Rock, AR

Line Leader / Machine Operator

Job overview

  • Assembled parts on a wheel loader and received certification to operate overhead crane.
  • Worked in a warehouse environment. Assemble products in accordance with SOP guidelines and procedures
  • Inspected products to ensure quality and adherence to procedures.

Staffmark Remington
Lonoke, AR

Quality Assurance Inspector

Job overview

  • Worked on a weight machine and input the bullets one by one.
  • Submitted item weight, completed inventory, and did assembly line work.
  • Completed packing and shipping tasks, received products, and ensured quality of products.

Timeline

Member Services Associate
Prime Therapeutics
08.2021 - 06.2025
Customer Service Specialist
Concentrix United Healthcare
10.2020 - 07.2021
Medical Records Clerk
Rebsamen Memorial Hospital
Line Leader / Machine Operator
Premier Staffing
Quality Assurance Inspector
Staffmark Remington
Keyona Jones