Lynnda Jones
Elk Grove,CA
Summary
Highly motivated and professional Member Relations Specialist with 10+ years of experience providing high-level support to members and administrators. Skilled in schedule coordination, handling confidential documents, and maintaining exceptional communication and interpersonal skills. Proven ability to work independently and collaboratively as part of a team.
Overview
10
10
years of professional experience
Work History
Member Service Representative ||
One Community Health
01.2022 - Current
- Process payments and copays efficiently for accurate records of financial transactions ensuring end-of-day processes, and reports are complete with precision
- Complete field and transfer clinical inquiries to the Clinical team with appropriate detail and judgment
- Process prior authorizations
- Receive, send, and manage member referrals
- Handle confidential information and documents with discretion while maintaining their proper organization.
Referral Coordinator
Liberty Dental Plan Of Nevada
01.2020 - 01.2022
- Assigned members/providers, scheduled appointments, and verified insurance
- Prepared and distributed reports, referrals and other materials in a timely manner
- Handled confidential information ensuring all HIPPA and company regulations were followed
- Coordinated travel arrangements and accommodations for members
- Provided resources, including preparing and sending out member documents.
Customer Service Representative
Sears Holdings Corporation
01.2015 - 01.2020
- Assisted members with orders, refunds, payments, and route information
- Created routes in correlation with orders and postal codes
- Answered, routed, and handled high volume calls including incoming and outbound calls.
Education
Bachelor's Degree - Healthcare Administration
University Of Phoenix
High School Diploma -
Rosemont High School
06.2014
Skills
- Processing Financials (payments, refunds, managing drawer etc)
- Claims
- Grievances
- Referrals
- Knowledge Of Insurance Plans
- Zen Desk EMR
Timeline
Member Service Representative ||
One Community Health
01.2022 - Current
Referral Coordinator
Liberty Dental Plan Of Nevada
01.2020 - 01.2022
Customer Service Representative
Sears Holdings Corporation
01.2015 - 01.2020
Bachelor's Degree - Healthcare Administration
University Of Phoenix
High School Diploma -
Rosemont High School
Similar Profiles
McKenna WestMcKenna West
Certified Medical Assistant at One Community HealthCertified Medical Assistant at One Community Health
Tyonna KingTyonna King
Medical Assistant at One Community HealthMedical Assistant at One Community Health
Teresa VillalpandoTeresa Villalpando
Health Information Management Technician II at One Community HealthHealth Information Management Technician II at One Community Health