PETRONNIA JONES
Albany,GA
Summary
Dedicated professional with a proven track record of aligning organizational goals with efficient and methodical practices. Expertise in thriving under pressure while embracing new challenges, ensuring adaptability and resilience in dynamic environments. Committed to enhancing brand reputation through strategic contributions and collaborative efforts. Strong focus on delivering results that meet and exceed company expectations.
Overview
9
9
years of professional experience
Work History
Precertification Specialist
Phoebe Putney Memorial Hospital
Albany, GA
11.2021 - 03.2024
- Reviewed and confirmed insurance coverage levels and benefit details prior to processing precertification requests.
- Clarified preauthorization requirements and processes through effective assistance with provider inquiries.
- Managed precertification processes to ensure compliance with insurance requirements.
- Coordinated with organizational teams to troubleshoot problems and secure additional data for informed decision-making.
- Organized and submitted precertification requests for payer review, adhering to strict timelines to support operational efficiency.
- Coordinated efforts with healthcare providers to obtain necessary documentation, streamlining patient approval workflows.
Front Desk Receptionist
Dixon Eye Care
Albany, GA
06.2015 - 08.2021
- Managed patient scheduling and appointment confirmations to enhance operational efficiency.
- Provided exceptional customer service by addressing patient inquiries and concerns promptly.
- Implemented electronic health record systems to streamline patient information management.
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Ensured HIPAA compliance by maintaining strict confidentiality with all patient records and information.
- Managed a high volume of incoming calls, addressing inquiries, and providing exceptional customer service to patients.
- Handled financial transactions related to copayments or self-pay fees while adhering to company policies regarding payment collection.
- Managed multi-line phone system and pleasantly greeted patients.
- Assisted with insurance verification tasks, expediting the billing process for both patients and providers.
- Assisted with medical coding and billing tasks.
- Processed medical insurance claims and payments.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Prepared and processed patient referrals and transfer requests.
Education
Associate's in Healthcare Management - Health Management And Clinical Assistance
Ultimate Medical Academy
Tampa, FLHigh School Diploma - High School Courses
WESTOVER HIGH SCHOOL
Albany, GA05-2013
Associate of Science -
Albany Technical College
Albany, GA05-2015
Skills
- Electronic Health Records Management
- Medical Terminology Proficiency
- Conflict Resolution Techniques
- Applicant Support and Service
- Telephone Etiquette
- Recordkeeping and Data Input
- Documentation and Paperwork
- Effective Communication Skills
- Microsoft Office
- Data Entry
- Income Verification
- Medicaid Knowledge
- Verbal Communication
- Documentation and Reporting
- Confidentiality
- Appointment Scheduling
Timeline
Precertification Specialist
Phoebe Putney Memorial Hospital
11.2021 - 03.2024
Front Desk Receptionist
Dixon Eye Care
06.2015 - 08.2021
Associate's in Healthcare Management - Health Management And Clinical Assistance
Ultimate Medical Academy
High School Diploma - High School Courses
WESTOVER HIGH SCHOOL
Associate of Science -
Albany Technical College