Kiara Jones
Gainesville,FL
Summary
Proven Benefits Verification Specialist with a track record of enhancing team productivity at Continuum Global Solutions by developing key training materials and streamlining data processes. Skilled in healthcare regulations and fostering employee relations, significantly improved customer satisfaction and compliance accuracy. Combines meticulous attention to detail with effective communication, driving operational excellence and team cohesion.
Results-driven benefits specialist with expertise in navigating complex verification processes. Strong analytical skills and in-depth knowledge of insurance protocols ensure accurate and timely benefit resolutions. Known for effective collaboration, adaptability, and steadfast commitment to achieving team goals. Highly reliable, with focus on precision and compliance in all tasks.
Overview
7
7
years of professional experience
Work History
Benefits Verification Specialist
Continuum Global Solutions
10.2021 - Current
- Maintained up-to-date knowledge on industry regulations, ensuring compliance throughout all benefit verification processes.
- Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
- Streamlined workflow for benefit verification team by implementing a comprehensive data tracking system.
- Developed training materials for newly hired Benefits Verification Specialists, enhancing team productivity levels to 84% efficiency.
- Safeguarded confidential client information by adhering to strict privacy guidelines and protocols.
- Assisted hundreds of clients with resolving complex benefits issues, improving overall customer satisfaction.
- Increased accuracy in verifying patient eligibility through diligent cross-checking of multiple databases before finalizing claim submissions.
- Assisted in the development of new benefits verification procedures, ensuring a smooth transition for team members during implementation stages.
Donor Scheduling Supervisor
Lifesouth Community Blood Centers
09.2019 - 10.2021
- Maintained accurate records of 24 employee attendance, leave requests, and other time-sensitive data for payroll processing purposes.
- Evaluated employee performance in relation to scheduling adherence, providing feedback as needed for continuous improvement efforts.
- Implemented proactive measures to address potential scheduling challenges related to vacations, sick days, or unexpected absences.
- Provided ongoing support and guidance to employees regarding schedule-related inquiries or concerns.
- Developed strong working relationships with management and executive team through effective scheduling and communication skills.
- Proactively identified scheduling issues and developed quick solutions to promote efficiency and profitability.
- Enhanced communication between departments with regular updates on schedule changes and adjustments.
- Optimized scheduling efficiency by implementing new software and streamlining processes.
- Coordinated cross-training initiatives to increase team flexibility and overall scheduling effectiveness.
Donor Scheduling Team Leader
Lifesouth Community Blood Centers
06.2018 - 09.2019
- Managed conflict resolution among team members, fostering a positive and collaborative work environment.
- Coordinated resources effectively to meet project deadlines and achieve desired results.
- Empowered team members by delegating responsibilities according to individual strengths and areas of expertise.
- Set performance expectations for the team, monitoring progress towards goals and providing constructive feedback as needed.
- Assisted in recruitment to build team of 5 top performers.
- Increased customer satisfaction ratings by closely monitoring service quality standards and addressing any issues promptly.
- Developed team members'' skills through targeted coaching sessions, resulting in improved individual performance.
- Established open and professional relationships with team members to achieve quick resolutions for various issues.
Donor Scheduling Representative
Lifesouth Community Blood Centers
05.2017 - 06.2018
- Improved customer satisfaction with timely appointment confirmations, reminders, and rescheduling as needed.
- Provided exceptional customer service while addressing inquiries related to appointments, rescheduling requests, or general information on services offered.
- Consistently met or exceeded performance metrics related to appointment bookings, cancellations, and rescheduling rates for 2 consecutive years.
- Reduced scheduling conflicts by proactively identifying potential issues and implementing appropriate solutions.
- Enhanced appointment scheduling efficiency by streamlining processes and utilizing advanced scheduling software.
- Streamlined interdepartmental communication regarding scheduling needs, fostering a more efficient working environment.
- Managed high-volume scheduling demands by prioritizing tasks according to urgency and resource availability.
Education
Associate of Science - Health And Human Services
Ultimate Medical Academy
Clearwater, FL07-2016
Skills
- Accuracy and Precision
- Healthcare regulations
- Policy Interpretation
- Insurance knowledge
- Verbal and written communication
- New employee enrollment
- Relationship Building
- Benefits Explanation
- Documentation And Reporting
- Employee Relations
- Termination Procedures
- FMLA comprehension
- Payroll coordination
Timeline
Benefits Verification Specialist
Continuum Global Solutions
10.2021 - Current
Donor Scheduling Supervisor
Lifesouth Community Blood Centers
09.2019 - 10.2021
Donor Scheduling Team Leader
Lifesouth Community Blood Centers
06.2018 - 09.2019
Donor Scheduling Representative
Lifesouth Community Blood Centers
05.2017 - 06.2018
Associate of Science - Health And Human Services
Ultimate Medical Academy
Similar Profiles
Chelsea WashingtonChelsea Washington
Temporary Healthcare Auditor at Continuum Global SolutionsTemporary Healthcare Auditor at Continuum Global Solutions
Geancarlos Sosa OrtizGeancarlos Sosa Ortiz
Senior Systems Administrator at Continuum Global SolutionsSenior Systems Administrator at Continuum Global Solutions
Shevaugn A. StewartShevaugn A. Stewart
Customer Service Representative/Benefits Verification Specialist at Continuum Global SolutionsCustomer Service Representative/Benefits Verification Specialist at Continuum Global Solutions