Raven Jones
Houston,TX
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Eager to leverage expertise & educational background in a dynamic environment while contributing to the success of an organization. Open to remote work opportunities.
Overview
2
2
years of professional experience
Work History
Medical Billing and Denials Specialist
Central Virginia Healthcare Association
06.2022 - 08.2023
- Conducted detailed reviews of patient records to ensure accuracy and completeness before billing submission
- Verified patient co-pays and copays for accuracy before processing billing
- Prepared and submitted daily claims for patients, ensuring timely and accurate processing
- Responded to incoming patient calls, providing information and assistance regarding health insurance coverage
- Updated patient accounts and insurance information in the EMR system regularly
- Completed additional assigned tasks as directed by management.
Intake Coordinator/Communications Coordinator
RVA Transformation Services
06.2022 - 03.2023
- Managed social media accounts across all boards and website
- Assisted with client information by updating daily excel spreadsheet
- Communicated with potential clients to gather necessary data
- Updated website with new information as well as amending with Wordpress.
Quality Assurance Specialist
Central Virginia Healthcare Association
02.2022 - 06.2022
- Ensured programs and services operated at their best, with a focus on quality care
- Managed the planning and execution of thorough internal and external audits
- Regularly reviewed service quality using detailed case management reports
- Communicated outcomes effectively through comprehensive and easy-to-understand reports
- Played an active role in developing ongoing quality improvement processes, collaborating closely with leadership for impactful changes.
Administrative Assistant
Community Partners of Virginia
08.2021 - 12.2021
- Compiled data from multiple sources such as meetings, schedules for administrative requirements
- Preformed record keeping and general clerical functions
- Processed documentation and materials for the purpose of disseminating information to appropriate parties for action
- Responded to all inquiries through telephone from a wide variety of internal and external parties to provide information.
Summer Intern
Technology Integration Group
06.2021 - 08.2021
- Organized flies and made data ready for entry into digital system
- Re-image school issued computer systems for distribution with specialized software
- Managed and worked in group settings while updating ticket information through the tempest filing system
- Gained hands-on experience with SAP and SAP reporting, contributing to data analysis and reporting projects, and developing proficiency in this essential tool for business operations.
Education
B.S. in Interdisciplinary Studies - Media Relations & Business
Virginia Commonwealth University
Richmond, VA12.2021
A.A.S Degree -
Central Virginia Community College
Lynchburg, VA05.2019
Skills
- Advanced Microsoft Office Suite (Excel, Outlook, Word, OneNote, Teams)
- Lauris Online
- Star
- EPIC
- SAP
- Adobe Photoshop
- Complex Problem-Solving and Strong Decision-Making Abilities
- Analytical and Critical Thinking Skills
- High Attention to Detail
- Effective Communication and Collaborative Teamwork
- Exceptional Organizational Skills
- Proficient in CPT Coding and ICD-10
- In-depth Understanding of Medical and Insurance Terminology
- Data Analysis
Timeline
Medical Billing and Denials Specialist
Central Virginia Healthcare Association
06.2022 - 08.2023
Intake Coordinator/Communications Coordinator
RVA Transformation Services
06.2022 - 03.2023
Quality Assurance Specialist
Central Virginia Healthcare Association
02.2022 - 06.2022
Administrative Assistant
Community Partners of Virginia
08.2021 - 12.2021
Summer Intern
Technology Integration Group
06.2021 - 08.2021
B.S. in Interdisciplinary Studies - Media Relations & Business
Virginia Commonwealth University
A.A.S Degree -
Central Virginia Community College
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