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 HospitalJacksonville, 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 StaffingLittle 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 RemingtonLonoke, 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