LARTRANETTE JONES
Brandon,FL
Summary
Self-directed with strong problem-solving skills; thrives in challenging situations. Strong written and verbal communication skills. Demonstrates top-notch organizational skills with the ability to prioritize and multi-task. Effective communicator, building positive relationships with management and peers. Authorized to work in the US for any employer.
Overview
9
9
years of professional experience
Work History
Provider Service Advocate
UnitedHealth Group
10.2022 - Current
- Greet providers in a courteous, friendly, and professional manner using agreed upon procedures
- Prepare complete and accurate work including appropriately notating accounts as required
- Claim reviews and route backs for any corrections
- Create prior authorizations for services and procedures needed for members
- Maintained customer satisfaction with forward-thinking strategies focused on addressing provider needs and resolving concerns
- Benefits and eligibility checks for members
- Assist providers with referrals and payment information
- Usage of click to chat for providers who rather use chat function than call in
- Delivered friendly service and offered expert support in every interaction.
Customer Service Representative
General Dynamics
09.2017 - 05.2021
- Managed enrollment, transportation, and paperwork for individuals to take advantage of community resources.
- Assisted beneficiaries with their enrollment of health insurance plans(Medicare)
- Enrolled beneficiaries in Prescription drug plans and/or find DME companies for equipment
- Verified patient referrals and EOB(explanation of benefits)
- Prepare complete and accurate work including appropriately notating accounts
- Provided appropriate resolution for customer
- Collected customer feedback and made process changes to exceed customer satisfaction goals
- Responded to customer requests for products, services and company information
- Handled a average of 60 calls during the day at a fast pace.
Patient Care Technician
Manatee Memorial Hospital
07.2019 - 02.2020
- Monitored vital signs and reported changes to nursing staff, ensuring timely medical interventions when necessary.
- Assisted nurses with essential tasks, streamlining workflow and increasing efficiency in the healthcare setting.
- Enhanced patient satisfaction by providing compassionate and attentive care.
- Assisted in training new Patient Care Technicians, sharing knowledge and best practices to ensure consistency in care delivery.
- Provided high-quality personal care to patients, promoting comfort and dignity during their hospital stay.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Reported any abnormal findings.
- Maintained clean and safe environment to promote patient safety and comfort.
- Ensured prompt response to call lights, addressing patient needs in a timely manner.
- Promoted infection control practices within the facility by adhering to strict hand hygiene procedures and utilizing personal protective equipment when necessary.
Travel CNA
Gale Nurse Staffing
01.2016 - 06.2019
- Maintained accurate and detailed documentation of patient information, ensuring compliance with facility policies and regulations.
- Responded quickly and calmly in emergency situations.
- Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
- Participated in fun group activities with patients to boost mood, improve overall memory, and provide light entertainment.
- Cared for residents in assisted living facility and delivered high-quality support to meet needs.
- Assisted with one on one care for clients with more need of care.
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
- Educated patients and families on proper care techniques, empowering them to take an active role in their health maintenance.
Education
High School Diploma -
Chamberlain High School
Tampa, FL06.2007
Skills
- Insurance Verification
- Patient Care
- Customer service
- CPR Certified
- Basic Life Support
- Authorizations
- CNA Certified
- ACHA Trained
- HIPAA guidelines
Timeline
Provider Service Advocate
UnitedHealth Group
10.2022 - Current
Patient Care Technician
Manatee Memorial Hospital
07.2019 - 02.2020
Customer Service Representative
General Dynamics
09.2017 - 05.2021
Travel CNA
Gale Nurse Staffing
01.2016 - 06.2019
High School Diploma -
Chamberlain High School
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