MARGARET JONES
Houston,USA
Summary
Professional in healthcare administration with expertise in managing medical office operations. Strong skills in patient scheduling, records management, and insurance verification. Highly reliable team player known for adaptability and achieving results in fast-paced environments. Excellent communication and organizational abilities.
Medical Office Assistant with years of experience in administrative positions. Known for excellent interpersonal skills and deep knowledge of medical terminology.
Overview
12
12
years of professional experience
Work History
Medical Office Specialist
HCA Healthcare
11.2024 - Current
- Identified needs of customers promptly and efficiently.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Scheduled patient appointments, answered incoming calls, and assisted with inquiries.
- Managed medical records using an electronic health record system.
- Collected information, verified insurance and collected co-payments for patients as part of check-in process.
- Educated patients on required documentation for services received.
- Collected co-pays and other payments from patients at time of service.
- Implemented electronic health record (EHR) systems, improving data accuracy and accessibility.
Insurance Customer Service Representative
Community Health Choice
Houston, TX
05.2024 - 11.2024
- Resolved customer inquiries regarding insurance policies and claims efficiently.
- Educated clients on coverage options and benefits to enhance understanding.
- Processed policy renewals and adjustments to maintain accuracy in records.
- Collaborated with underwriting teams to streamline approval processes for claims.
- Answered incoming phone calls to articulate product value to prospective customers and support current policyholders.
- Managed high call volume while maintaining professionalism, empathy, and attention to detail in each interaction.
Patient Access/Customer Service Representative
UT Health
US
10.2023 - 05.2024
- Conducted regular audits of patient accounts to maintain accuracy, minimize errors, and prevent revenue loss due to incorrect billing practices.
- Negotiated payment plans for financially challenged patients, demonstrating compassion while ensuring fiscal responsibility for the organization.
- Coordinated pre-authorization requests with insurers, efficiently reducing medical claim denials.
- Assisted patients in understanding their financial responsibilities, promoting transparency and trust between the facility and its clientele.
- Maintained strict confidentiality of patient information in accordance with HIPAA regulations, protecting privacy rights at all times.
- Followed up with patients to reschedule missed appointments.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Patient Access Rep/Customer Service Rep
Harris Health System-LBJ Hospital
US
12.2022 - 10.2023
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patients' privacy.
- Received patient deductibles and co-pay amounts and discussed options to satisfy the remainder of patient financial obligations.
- Identified insurance payment sources and listed payers in proper sequence to establish a chain of payment.
- Obtained necessary signatures for privacy laws and consent for treatment.
- Coordinated referrals through insurance, other medical specialists, and documented details in patient charts.
- Managed patient registration processes to ensure accurate data collection and compliance with healthcare regulations.
Nutrition Services Assistant
Houston Independent School District
Houston, Texas
08.2014 - 12.2022
- Assisted in menu development, offering creative input on nutritious and appealing dishes for diverse student populations.
- Improved student's satisfaction by providing personalized nutrition advice and meal planning.
- Tracked student's progress with regular assessments and adjusted meal plans as needed based on their changing nutritional requirements or preferences.
- Provided exceptional customer service by addressing student's questions, concerns, and requests promptly and professionally.
- Maintained a clean and sanitary work environment, adhering to strict hygiene standards for food safety compliance.
- Reduced food waste with careful inventory management and meal preparation strategies.
- Collaborated with healthcare professionals to develop individualized meal plans for patients with special dietary needs or restrictions.
Education
No Degree -
Houston Community College
HoustonHigh School Diploma - undefined
Worthing High School
05-2014
Skills
- Fax, Print, Copy
- CPR certified
- BSL
- Typing 60 WPM
- Telephone Etiquette
- Microsoft Products (Power Point, Excel, Word)
- Epic & ECW system operations
- Clerical and Filing Support
- Insurance Verification
- Medical Billing
- Registration Processing
- Claims processing
Timeline
Medical Office Specialist
HCA Healthcare
11.2024 - Current
Insurance Customer Service Representative
Community Health Choice
05.2024 - 11.2024
Patient Access/Customer Service Representative
UT Health
10.2023 - 05.2024
Patient Access Rep/Customer Service Rep
Harris Health System-LBJ Hospital
12.2022 - 10.2023
Nutrition Services Assistant
Houston Independent School District
08.2014 - 12.2022
High School Diploma - undefined
Worthing High School
No Degree -
Houston Community College