Samantha Jones
Bellingham,WA
Overview
16
16
years of professional experience
Work History
Claims Production Professional I
Cambia Health Solutions
09.2021 - Current
- Identified incorrectly processed claims and completed adjustments to reprocess claims.
- Paid or denied medical claims based upon established claims processing criteria.
- Researched and resolved complex medical claims issues to support timely processing.
- Evaluated medical claims for accuracy and completeness and researched missing data.
Credentials Evaluator I
University Of Washington/UTemp Staffing
11.2020 - 02.2021
- Worked remotely with Office of Admissions staff on processing freshman applications
- Review applications for minimum requirements and calculate GPAs
- Perform extensive data entry for application information
- Verify that files are complete for admission review
Unit Secretary/Health Unit Coordinator
Pullman Regional Hospital
09.2013 - 06.2019
- Provided office support to all unit staff, including physicians, nurses and other healthcare personnel
- Input quick admissions and discharges into hospital computer system
- Completed and filed outpatient/observation billing for Medical-Surgical/Intensive Care Units
- Organized paperwork such as charts and reports for office and patient needs
- Scheduled appointments for all discharging patients
- Answering multi-line phones including patient call lights, routing telephone calls or messages to appropriate staff and greeting visitors
- Transcribed doctors’ medication orders, lab test requests and care plans
- Managed office inventory by restocking supplies and placing purchase orders to maintain adequate stock levels
Customer Service Specialist
Sterling Bank
01.2011 - 09.2013
- Exceeded in provided excellent customer service to all customers
- Processed bank transactions in timely manner
- Balanced and maintained teller cash drawer
- Vault teller duties such as balancing and maintaining branch cash, ordering and shipping branch cash, opening and closing branch
- Balanced and maintained branch ATM
- Assisted customers with setting up or closing accounts, completing loan applications and signing up for new services
- Completed special procedures for customers such as ordering new checks, stopping payments or investigating identity theft
- Provided customer records on demand, including account statements and copies of checks
- Provided bank product information to new and existing customers
- Answered customer telephone calls promptly and in appropriate manner
Customer Service Specialist
Regence Blue Cross Blue Shield
03.2010 - 12.2010
- Answered member and provider calls
- Communicated effectively with staff, including members of operations, finance and clinical departments
- Provided eligibility and benefits verification to members and providers
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt
Customer Service Representative
Sterling Savings Bank
09.2007 - 11.2009
- Processed bank transactions in timely manner
- Balanced and maintained teller cash drawer
- Assisted customers with setting up or closing accounts, completing loan applications and signing up for new services
- Provided bank product information to new and existing customers
- Provided customer records on demand, including account statements and copies of checks
- Accessed computerized financial information to answer questions related to specific accounts
- Answered customer calls promptly and in appropriate manner
Education
Bachelor of Science - Human Resources Management
Western Governors University
Salt Lake City, UT06.2024
Medical Office
Lewis-Clark State College
Lewiston, ID2007
High School Diploma - undefined
Deary High School
Deary, ID2005
Skills
- Excellent time management skills
- Rapid data entry skills
- MS Office proficiency
- Quick learner
- Excellent customer service skills
- Multi-line phone talent
- Medical billing and coding experience
- Appointment scheduling
- Patient data confidentiality
- Medical terminology knowledge
- Cash handling experience
- Rapid 10-key data entry
Timeline
Claims Production Professional I
Cambia Health Solutions
09.2021 - Current
Credentials Evaluator I
University Of Washington/UTemp Staffing
11.2020 - 02.2021
Unit Secretary/Health Unit Coordinator
Pullman Regional Hospital
09.2013 - 06.2019
Customer Service Specialist
Sterling Bank
01.2011 - 09.2013
Customer Service Specialist
Regence Blue Cross Blue Shield
03.2010 - 12.2010
Customer Service Representative
Sterling Savings Bank
09.2007 - 11.2009
Bachelor of Science - Human Resources Management
Western Governors University
Medical Office
Lewis-Clark State College
High School Diploma - undefined
Deary High School
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