O'Brian Jones

Invoice and build medical claims for home health agency services.

• Managed billing processes to ensure accurate invoicing for client services.
• Reconciled accounts and addressed discrepancies to maintain financial integrity.
• Coordinated with healthcare providers to verify service details and billing accuracy.
• Developed training materials for new staff on billing procedures and software usage.
  Manage collections and ensure timely payments.
• Perform data entry for claims processing.
  Conduct follow-up on outstanding claims to ensure resolution.
  Implemented new software solutions to improve billing operations and reporting capabilities.

Established and manage a successful art business specializing in original contemporary works, custom commissions, and curated exhibitions.

Oversee all aspects of business operations including branding, marketing, client relations, and sales strategy. Cultivated a loyal client base through personalized service and consistent artistic excellence.

Featured in local galleries and online platforms, with growing recognition in the regional art community.

• Analyzes health care benefit data, verifies accuracy of policy information and determines conclusions/ action
• Performs tests utilizing company tools to analyze the data prepared spreadsheet
• Knowledge and experience with Client Operations in a Pharmacy
  Benefit Manager (PBM) environment
  Hands-on experience with Visio and Microsoft Project
  Experience with SQL and Queries
• Strong analytical skills and detail oriented
  Educated employees on benefits options and enrollment processes.
• Managed inquiries regarding health insurance, retirement plans, and wellness programs.
• Developed training materials for new hires on benefits administration procedures.
• Streamlined claims processing workflows to enhance operational efficiency.
• Collaborated with cross-functional teams to optimize benefits communication strategies.
  Analyzed employee feedback to recommend improvements in benefits offerings.
• Led initiatives to increase employee engagement in health and wellness programs.

• Managed patient inquiries regarding benefit plans (co-payments, deductibles, quantity and day supply limitations, etc.) and other calls from clinics, insurance companies, pharmacies and physicians
• Delivered exceptional customer service, resolving inquiries and enhancing overall shopping experience.
• Managed checkout operations efficiently, ensuring accurate transactions and minimizing wait times.
• Assisted in training new associates on best practices for customer engagement and operational procedures.

• - Responded professionally to patient inquiries regarding benefit plans.
• - Maintained current knowledge of policies and ensured compliance.
• Contacted patients as necessary to provide education and to obtain information concerning medication adherence
• Assisted in orientation, training, and mentoring of other Symphony teammates or other DaVita Rx teammates
• Punctual attendance, worked overtime as required
• Monitored, recorded and communicated on calls as appropriate using computerized documentation systems
• Exceeded departmental teammate performance standards
• Assisted pharmacists in preparing and dispensing medications accurately.
• Maintained inventory levels by tracking stock and placing orders for pharmaceuticals.
• Operated pharmacy software to manage patient records anc prescription processing efficiently.
• Provided customer service by answering inquiries regarding medications and health-related products.