LaQuawn Jones
McDonough,GA
Summary
Motivated and resourceful professional with a reputation for quality, proficiency, and reliability in service-oriented positions seeking to use medical education and practical experience to healthcare industry. Seeking to combine skills and dynamic medical education into opportunities to enter the healthcare field with an innovative organization. Accommodating Customer Support Specialist with documented history of exceeding customer and patron expectations. Calm and composed in stressful situations with successful record of reducing customer dissatisfaction through acknowledgment, decisive communication and focused solutions. Expert at finding win-win solutions.
Overview
13
13
years of professional experience
Work History
Inbound Contact Representative 1
Humana- Remote
06.2022 - Current
- First point of contact for members and providers
- Assist with claims questions/concerns
- Assist with benefits questions/concerns
- Meet monthly goals.
- Adhered to all applicable laws, regulations, and company standards while processing claims.
Remote ROI Specialist
Ciox Health/Mayo Clinic-Remote
03.2020 - 06.2022
- Process Request for medical records
- QA records for any discrepancies
- Meet Daily Goals.
- Adhered to established policies and procedures while providing exceptional customer service.
ROI Specialist
Ciox Health/ Navicent Health- Macon, Ga
Macon
06.2019 - 03.2020
- Answer Phones
- Receive Request for Medical records that are hipaa compliant
- QA and ensure that the records are correct
- Fax records to the respective requestor
- Complete Zoll Request.
Medical Receptionist/Medical Billing & Coding
Dr. Kavuri MD Pediatrics- Dublin, Ga.
Dublin
10.2018 - 06.2019
- Greet Patients, answer phone calls, schedule appointments, check eligibility and update GRITS with recent immunizations
- Bill Medicaid, Wellcare, Peachstate, Caresource and all private insurance for the office
- Take patients to the back, take notes on any illnesses that the patients have going on, prepare for any immunizations they will be receiving, give handouts on the shots that they will be receiving.
Payment Recovery Unit Technician
Geico - Macon, GA
Macon
05.2014 - 10.2018
- Receives payment recovery referrals from claims associates
- Analyzes, pursues and recovers monies, to include physical damage and rental coverage's
- Maintains communication with providers and policyholders throughout the subrogation process.
Certified Nursing Assistant
Oaks Nursing Home - Marshallville, GA
Marshallville
03.2014 - 05.2014
- Attended to the individual needs of patients including assistance with grooming, bathing, oral hygiene, feeding, incontinent care, toileting, colostomy care, prosthetic appliances, transferring, ambulation, range of motion or other needs in keeping with the individuals' care requirements
- Communicated and interacted effectively and tactfully with patients, visitors, families, peers and supervisory staff
- Completed various tasks assigned by supervisory staff, including checking vital signs, weighing residents, applying creams/ointments and collecting specimens.
Corrections Officer
Dooly State Prison - Unadilla, GA
Unadilla
07.2011 - 02.2014
- Supervised inmates in housing units and those segregated for administrative or punitive measures
- Checked inmate mail for possible contraband; maintained a periodic patrol either inside or outside the institution to ensure the security and integrity of the institution
- Instructed inmates and maintain control in areas such as the inmate food service area, auditorium, etc
- Maintained a record of equipment, supplies and other items
- Maintained master inmate location counts; setup and received inmate counts and remained familiar with the entire operation of the Control Room
- Maintained proper security of inmates being transported.
Education
Associates of Science Degree - Pre Nursing -
Georgia Military College
01.2023
Associate of Science Degree - Healthcare Management -
Ultimate Medical Academy
01.2018
Skills
- Written and verbal communication
- Proofreading and editing
- Decision-making skills
- Problem solving skills
- Critical thinking skills
- Assertiveness
- Strong interpersonal skills
- Call documentation skills
- Technical Support
- Customer Relationship Management
Timeline
Inbound Contact Representative 1
Humana- Remote
06.2022 - Current
Remote ROI Specialist
Ciox Health/Mayo Clinic-Remote
03.2020 - 06.2022
ROI Specialist
Ciox Health/ Navicent Health- Macon, Ga
06.2019 - 03.2020
Medical Receptionist/Medical Billing & Coding
Dr. Kavuri MD Pediatrics- Dublin, Ga.
10.2018 - 06.2019
Payment Recovery Unit Technician
Geico - Macon, GA
05.2014 - 10.2018
Certified Nursing Assistant
Oaks Nursing Home - Marshallville, GA
03.2014 - 05.2014
Corrections Officer
Dooly State Prison - Unadilla, GA
07.2011 - 02.2014
Associates of Science Degree - Pre Nursing -
Georgia Military College
Associate of Science Degree - Healthcare Management -
Ultimate Medical Academy
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