Rhonda Jones
Ankeny,IA
Summary
Seasoned healthcare expert with a 26-year track record in enhancing provider performance through quality metric evaluations and issue resolution.
Overview
27
27
years of professional experience
Work History
Provider Engagement Account Manager
Iowa Total Care
01.2020 - 07.2025
- Dynamic Provider Engagement Account Manager with over 5 years of experience in the healthcare industry.
- Proven track record in building and maintaining strong relationships with healthcare providers to drive engagement and satisfaction.
- Expert in analyzing provider needs and aligning services to enhance patient care and operational efficiency.
Lab Billing Specialist
Mercyone Medical Center
03.2016 - 01.2020
- Skilled in coding lab tests and procedures to optimize reimbursement and reduce claim denials.
- Strong analytical abilities to identify billing discrepancies and implement corrective measures.
- Expert in managing billing processes for lab services, ensuring accuracy and compliance with industry regulations.
- Excellent communication skills for effectively collaborating with healthcare providers and insurance companies.
- Committed to remaining updated on changes in billing practices and laboratory regulations.
Medical Billing Specialist
Des Moines Orthopaedic Surgeons
11.2009 - 12.2015
- Experienced medical billing specialist with a focus on orthopaedic surgery practices.
- Proficient in coding and billing procedures specific to orthopedic surgeries and treatments.
- Skilled in managing claims submissions to ensure timely and accurate reimbursements.
- Thorough knowledge of insurance policies and orthopedic-specific billing guidelines.
- Adept at resolving billing discrepancies and patient inquiries efficiently.
Specialty Pharmacy Billing Specialist
Amber Pharmacy
09.2005 - 05.2008
- Proficient in navigating insurance reimbursement protocols to ensure timely payments and minimize claim denials.
- Expert in coordinating with healthcare providers and insurance companies to resolve billing discrepancies effectively.
- Committed to maintaining compliance with federal and state regulations related to pharmacy billing practices.
- Exceptional communication abilities, enabling successful collaboration with patients, pharmacists, and healthcare teams.
- Passionate about delivering high-quality service and improving patient access to specialty medications through efficient billing solutions.
Patient Account billing specialist
Braddock Finnegan Dermatology
11.1998 - 03.2003
- Detail-oriented Patient Account billing specialist with extensive knowledge of dermatology billing protocols.
- Proficient in managing patient accounts and resolving billing discrepancies in a timely manner.
- Experienced in verifying insurance eligibility and benefits specifically for dermatology services.
- Adept at reviewing and submitting claims to insurance companies to ensure prompt reimbursements.
- Committed to continuous professional development to stay updated on billing practices and industry changes.
- Skilled in utilizing electronic health records (EHR) for efficient patient billing and data management.
Education
Certificate - undefined
DMACC
Des Moines, Iowa09.2025
Certificate - undefined
Bellevue University
Bellevue, Nebraska11.2002
Bank Operations - undefined
Business and Banking Institute
Omaha, Nebraska01.1995
High School Diploma -
Sumner High School
Sumner05.1987
Skills
- Critical thinking and research
- Communication expertise
- Collaborative efforts
- Presentation delivery
Timeline
Provider Engagement Account Manager
Iowa Total Care
01.2020 - 07.2025
Lab Billing Specialist
Mercyone Medical Center
03.2016 - 01.2020
Medical Billing Specialist
Des Moines Orthopaedic Surgeons
11.2009 - 12.2015
Specialty Pharmacy Billing Specialist
Amber Pharmacy
09.2005 - 05.2008
Patient Account billing specialist
Braddock Finnegan Dermatology
11.1998 - 03.2003
Certificate - undefined
DMACC
Certificate - undefined
Bellevue University
Bank Operations - undefined
Business and Banking Institute
High School Diploma -
Sumner High School
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