MARI JONES
Lumberton,NC
Summary
Trustworthy professional offering a keen understanding of the latest insurance requirements for prior authorizations. Determined Prior Authorization Specialist boasting extensive claim researching and effective collaboration skills with other members of the office staff.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Centralized Scheduler
UNC Health Southeastern
05.2022 - Current
- Scheduled outpatient procedures using Epic Healthcare system completing prescreening for medical necessities via incoming and outcoming customer contact by phone
- Determined proper insurance coverage, completed verifications of coverage and benefits through appropriate means.
- Answered incoming calls, addressing any concerning issues patients and clinics called to report; including but not limited to scheduling outpatient imaging procedures, transcribing imaging orders, and addressing complaints appropriately
- Updated all data received into Epic and completed work queues as assigned
- Performed a variety of additional scheduling and call center functions, as necessary.
Patient Registrar
UNC Health Southeastern
09.2021 - 05.2022
- Completed registration via phone or in person gathering all appropriate demographics, financial, and clinical information required
- Determined proper insurance coverage, complete verifications of coverage through appropriate means
- Collected co-payment, deductibles, and deposits as required, as well as balancing cash drawers
- Updated all information received into Epic system, and complete work queues as assigned
- Performed a variety of additional registrations and call center functions as necessary.
Patient Access Representative
Cape Fear Valley Medical Center
10.2020 - 05.2021
- Obtained accurate and detailed demographic, financial, and clinical information in order to perform accurate and complete registration/admissions in hospital setting
- Verified insurance coverage details to access patient's financial responsibilities
- Collected financial payments as required by hospital's Emergency Department guidelines
- Maintained professional compassionate decorum in a hectic and extremely fast past medical environment
- Maintained high productivity, while addressing patient's concerns.
Education
BA of Arts Social Sciences -
Western Governor's University
Salt Lake City, UT02.2014
Skills
- Customer service
- Problem-solving
- Scheduling expertise
- Epic Systems
- Follow-up skills
- Insurance Verification
- Benefit Eligibility
- Data Entry
- HIPAA Compliance
- Medical Terminology
- Electronic Recordkeeping
- Medical Billing
- Scheduling Tests and Procedures
- Medical Records Verification
- Patient Referral
- Payment Plan Options
- Excellent Communication
- Medical Charting
Certification
Notary Public, North Carolina Department of State, 06/01/28
References
- Dr. Insaf Ally, iallymd@gmail.com, (718) 440-0529
- Mike Moldovan, mircea.moldovan@unchealth.unc.edu, (910) 608-5005
- Amy Jones, aljones@hcs.k12.us.nc, (910) 875-2470
- Timothy Guthrie, tguthrie@capefearvalley.com, (910) 615-5819
Timeline
Centralized Scheduler
UNC Health Southeastern
05.2022 - Current
Patient Registrar
UNC Health Southeastern
09.2021 - 05.2022
Patient Access Representative
Cape Fear Valley Medical Center
10.2020 - 05.2021
BA of Arts Social Sciences -
Western Governor's University