Nieshia Jones
Hallsville,USA
Summary
Seasoned professional with 6 years of experience in healthcare administration, including claims processing and coordination of benefits. Skilled in medical terminology, multi-tasking, and customer service, with a proven track record of maintaining high accuracy in data entry and claims management. Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success. Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Patient Access Representative
Christus Health
Longview, TX
09.2025 - Current
- Assisted patients with registration and insurance verification processes.
- Scheduled appointments while ensuring minimal wait times for patients.
- Communicated effectively with medical staff to facilitate patient care transitions.
- Maintained accurate patient records in electronic health record systems.
- Resolved patient inquiries and concerns promptly, enhancing overall satisfaction.
- Educated patients on available resources and financial assistance programs.
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
- Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
- Contributed to a positive work environment by fostering strong relationships among colleagues, promoting teamwork, and sharing best practices.
- Managed challenging situations effectively by remaining calm under pressure while resolving conflicts or addressing dissatisfied patients professionally.
- Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
- Maintained accurate patient records, contributing to a well-organized database for seamless information access across departments.
- Improved operational efficiency, organizing patient documentation and streamlining access to information.
- Increased patient trust and satisfaction, delivering empathetic support and guidance throughout their visit.
- Maintained high standards of confidentiality and privacy, strictly adhering to HIPAA regulations.
- Reduced patient anxiety, providing clear explanations of procedures and addressing concerns compassionately.
- Enhanced patient experience, ensuring welcoming environment from first point of contact.
- Achieved high levels of accuracy in patient data entry, minimizing errors and enhancing record reliability.
Health Unit Coordinator (HUC)
Hospitality Health ER
Longview, TX
02.2025 - 11.2025
- 1. Creating and maintaining a patient centered focus by engaging in a positive working relationship with all patients, visitors, and staff of the facility.
- 2. Exhibiting caring, service-oriented behaviors toward all people encountered in the facility and the ability to defuse emotionally charged situations.
- 3. Assisting with the flow of the unit by checking status of orders and assuring chart placements are correct; building charts after Registration provides necessary paperwork; flagging charges per provider orders and prepare for triage; organizing charts prior to discharge.
- 4. Scheduling MRIs for outpatients.
- 5. Assisting in sending labs and lab requisition forms; assisting with lab reports and specimens to and from various areas.
- 6. Preparing patients for CT scans by verifying radiation count from PACS and communicating with Radiology either by walkie or delivering the order.
- 7. Coordinating with Radiologist and Patient Facilitators as applicable.
- 8. Logging patient orders and time sent to radiology in the logbook, including delays, organizing new radiology orders, and copying radiology orders for department retention requirements.
- 9. Overseeing all critical patient transfers to another facility for higher level care and preparing memo of transfer documentation (MOT).
- 10. Preparing radiology and lab pre-orders and orders; documenting final radiology reports and ensuring that reports are in correct charts and correct ordering physician has final report.
- 11. Notifying EVS of patient discharge so they can prepare room.
- 12. Answering phones in RN department.
- 13. Assisting nursing staff with patient transcribing data with the overall objective for documentation legibility and thoroughness.
- 14. Showing initiative and self-direction in providing physician support as needed, assisting in carrying out orders by provider accurately and efficiently.
Night Assistant Manager
QuikTrip
Marshall, TX
11.2023 - 02.2025
- Maintain high-quality customer service by adhering to company standards, ensuring a positive customer experience.
- Conduct comprehensive training and supervision of team members to foster a competent and efficient workforce.
- Oversee shift operations and provide employee support in compliance with organizational policies and procedures.
- Supported inventory management by restocking shelves and monitoring stock levels.
- Assisted in maintaining cleanliness and organization of store environment.
- Engaged with customers to provide information and resolve inquiries effectively.
- Operated cash register accurately during high-volume transactions.
- Collaborated with team to ensure efficient overnight operations and task completion.
- Implemented safety protocols to minimize risks and enhance workplace safety standards.
- Conducted routine equipment checks to ensure operational readiness for daily activities.
- Adapted quickly to changing priorities, demonstrating flexibility in fast-paced environment.
Cob Processor
Firstsource Advantage LLC
Rockford, IL
12.2021 - 05.2023
- Analyzed and verified insurance coverage, coordinating benefits with Blue Cross Blue Shield of Michigan to maintain accurate data for claims processing.
- Conducted thorough research and evaluation of payer statuses to determine the proper coordination of benefits.
- Maintained and updated insurance data to support the accuracy and efficiency of professional claims processing operations.
Claim Technician
Health Care Service Corporation (BCBSTX)
Marshall, TX
07.2020 - 10.2021
- Completed extensive training on Blue Chip claims processing, acquiring proficiency in medical terminology and insurance coding, including CPT, HCPCS, and ICD-9.
- Processed and verified insurance claims, ensuring thoroughness and accuracy while maintaining a high productivity rate.
- Managed multiple tasks effectively, conducting claim research and responding to inquiries, which contributed to the streamlining of the claims handling process.
Claim Technician
Kelly Services
Marshall, TX
11.2019 - 07.2020
- Completed comprehensive training in Blue Chip claims processing, acquiring expertise in medical terminology and proficiency in CPT, HCPCS, and ICD9 coding.
- Efficiently processed claims, ensuring completeness and validity by coordinating with internal and external sources, and maintained high accuracy and production rates.
- Skilfully managed multitasking and prioritization, responding to inquiries and utilizing specialized software for claim sorting and pricing entry within designated timeframes.
Office Assistant
Kelly Services (General Cable)
Scottsville, TX
04.2018 - 05.2019
- Managed a high-volume communication hub by efficiently processing shipping documentation and coordinating appointments for truck loading, ensuring timely and accurate logistical operations.
- Streamlined cost-efficiency by diligently comparing and selecting the most economical brokers or carriers for freight transport.
General Manager
Long John Silvers
Marshall, TX
07.2017 - 02.2018
- Managed daily operations, including inventory control and supply chain logistics, ensuring product availability and cost-efficiency.
- Oversaw hiring, training, and performance management of staff to enforce compliance with company standards and procedures.
Education
Certification - Certified Clinical Medical Assistant
Stepful online medical assistant program
Remote03-2026
College - Business Administration
Wiley College
Marshall, TX12-2010
High School Diploma - High School
Marshall High School
Marshall, TX06-2007
Skills
- Medical Coding
- Billing
- Microsoft Office
- Experience Administering Injections
- CPT Coding
- Microsoft Word
- Front Desk
- Patient Care
- Healthcare
- Inventory
- Phone Etiquette
- Scheduling
- Receptionist
- Time Management
- Hipaa
- Typing
- Customer Service
- Performance Management
- Medical Terminology
- Clerical Experience
- Icd-9
- Shipping
- Medical Office Experience
- Training
- Auditing
- Computer Skills
- Medical Receptionist
- Documentation Review
- Medical Billing
- Medical Assistance
- Data Management
- Data Entry
- Word
- Quality Assurance
- Icd-10
- Outlook
- Inventory Control
- Microsoft Excel
- Insurance Verification
- Medical Scheduling
- ICD Coding
- Laboratory Experience
- Quickbooks
- Analysis Skills
- Strong multitasking
- Quick learner
- Team player mentality
- Customer service expertise
- Sales experience
- Cash handling proficiency
- Customer service
- People management
- Guest assistance
- Time management expertise
- Conflict resolution
- Property maintenance
- Guest relations
- Complaint handling
Certification
- TABC Certification
- Food Handler Certification
- Driver's License
Timeline
Patient Access Representative
Christus Health
09.2025 - Current
Health Unit Coordinator (HUC)
Hospitality Health ER
02.2025 - 11.2025
Night Assistant Manager
QuikTrip
11.2023 - 02.2025
Cob Processor
Firstsource Advantage LLC
12.2021 - 05.2023
Claim Technician
Health Care Service Corporation (BCBSTX)
07.2020 - 10.2021
Claim Technician
Kelly Services
11.2019 - 07.2020
Office Assistant
Kelly Services (General Cable)
04.2018 - 05.2019
General Manager
Long John Silvers
07.2017 - 02.2018
College - Business Administration
Wiley College
High School Diploma - High School
Marshall High School
Certification - Certified Clinical Medical Assistant
Stepful online medical assistant program