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
8
8
years of post-secondary education
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
Bachelor - Health Administration
Purdue University
West Lafayette, IN 01.2018 - Current
Skills
- Critical thinking and research
- Communication expertise
- Collaborative efforts
- Presentation delivery
Timeline
Provider Engagement Account Manager
Iowa Total Care
01.2020 - 07.2025
Bachelor - Health Administration
Purdue University
01.2018 - Current
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