Ronita Jackson
Columbus,GA
Summary
Encouraging manager and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Medical Management Supervisor
Anthem
06.2016 - Current
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Input data into computer programs and filing systems.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Maintained accuracy, completeness, and security for medical records and health information.
- Verified accuracy of patient information in medical records.
- Scanned and uploaded medical records into electronic medical records system.
- Assisted in training new staff
- Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
- Opened and closed location and monitored shift changes to uphold successful operations strategies and maximize business success.
- Established performance goals for employees and provided feedback on methods for reaching those milestones.
- Assisted in organizing and overseeing assignments to drive operational excellence.
- Trained personnel in equipment maintenance and enforced participation in exercises focused on developing key skills.
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
- Established team priorities, maintained schedules and monitored performance.
Utilization Management Representative
Anthem
07.2015 - 06.2016
- Performed prior authorization review of services requiring notification.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Submitted cases for criteria failures and helped facilitate resolutions and approvals.
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Performed admission reviews based for medical necessity based upon account criteria specification.
- Supervised and maintained all utilization review documentation through ACMS.
- Served as subject matter resource, providing information related to pre authorization situations.
Accounting Clerk
Accountant One
07.2014 - 06.2015
- Applied proper codes to invoices, files, and receipts to keep records organized and easily searchable.
- Input high volume of monthly invoices with consistent accuracy.
- Maintained accurate and complete documentation to facilitate accounting and filing functions.
- Managed accounts payable and receivables and payroll.
- Monitored status of accounts receivable and payable to facilitate prompt processing.
- Collected and summarized expenses for profit and loss analysis.
- Tracked expenses to comply with budgets.
Accounts Receivable and Payable Specialist
St. Francis Hospital And Medical Center
04.2014 - 07.2014
- Reviewed vendor invoices for appropriate documentation and validity prior to payment.
- Prepared vendor invoices and processed incoming payments.
- Processed and recorded accounts receivable transactions to facilitate prompt collection of customer payments.
- Managed collections and follow-up on past-due accounts to speed up payments and minimize risk.
- Prepared monthly reports of accounts receivable and accounts payable for management review.
- Matched invoices to purchase orders for proper documentation and to facilitate payment.
- Reconciled customer accounts and resolved discrepancies to maintain accuracy and resolve issues.
- Performed daily bank reconciliations, detecting and resolving discrepancies between bank statements and company records.
Education
High School Diploma -
Vicksburg High School
Vicksburg, MS05.1996
Associate of Applied Science - Computer And Information Sciences
Chattahoochee Valley Community College
Phenix City, AL05.2004
Skills
- Cash Register Operations
- Quality Inspections
- Customer Retention
- Windows NT
- Customer Experience
- HIPAA Regulations
- Service Quality
- Strategic Goals
- Monthly Inventory
- Effective Customer Communication
- Quality Improvement Activities
- Microsoft Excel
- Maintaining Clean Work Areas
- Policy Changes
- Corrective Actions
- Thorough Knowledge of Product
Certification
State Certified Phlebotomist
- PT - Phlebotomy Technician
Timeline
Medical Management Supervisor
Anthem
06.2016 - Current
Utilization Management Representative
Anthem
07.2015 - 06.2016
Accounting Clerk
Accountant One
07.2014 - 06.2015
Accounts Receivable and Payable Specialist
St. Francis Hospital And Medical Center
04.2014 - 07.2014
High School Diploma -
Vicksburg High School
Associate of Applied Science - Computer And Information Sciences
Chattahoochee Valley Community College