Sasha Jones
Greenwood,SC
Summary
Detail-oriented remote Sr. Advisor II with extensive experience supporting high call volume environments, handling provider and member inquiries, and auditing calls. Skilled in training and mentoring new representatives, verifying insurance eligibility, and delivering exceptional customer service. Demonstrates strong problem-solving abilities and consistently exceeds expectations in remote roles. Authorized to work in the US for any employer.
Overview
7
7
years of professional experience
Work History
Remote Sr. Advisor II
Concentrix
Greenville, SC
01.2022 - Current
- Accessed member information using CMT software to ensure accurate data retrieval
- Handled high call volume remotely, resolving provider and member inquiries about claims and benefits to improve customer satisfaction
- Provided providers with detailed member benefit plans and verified coverage dates to support accurate service delivery
- Checked for approved medical or pharmacy authorizations, ensuring compliance with policy requirements
- Reviewed standard CPT codes to determine authorization requirements, reducing claim processing errors
- Delivered floor support by guiding reps to resolve call issues, conducting one-on-one sessions to enhance team knowledge and efficiency
- Reviewed and audited calls to maintain quality standards and identify training opportunities
- Trained new hires on advanced call handling skills, enabling progression within the department queue
Remote Enrollment Coordinator
Concentrix
Greenville, SC
11.2021 - 01.2025
- Verified member eligibility to ensure accurate approval of health insurance coverage
- Processed member applications during enrollment periods, supporting timely and efficient onboarding
- Updated member’s phone number, address, PCP, and email addresses
Office Assistant
Palmetto Home Care
Greenville, SC
05.2021 - 10.2021
- Coordinated scheduling to optimize staff coverage and patient care
- Performed general office work to support daily administrative operations
- Managed private pay billing, ensuring timely and accurate invoicing
- Assisted with human resource tasks to support recruitment and employee records
Patient Sitter
Self Regional Healthcare
Greenwood, SC
07.2019 - 05.2021
- Worked full time (30+ hours/week) to provide continuous patient monitoring
- Monitored patients in the Emergency Room who were suicidal, homicidal, or had overdosed, ensuring patient safety and rapid response
Education
Associate's Degree - Business Management
Piedmont Technical College
Greenwood, SC05.2023
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Piedmont Technical College
Greenwood, SC08.2022
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Piedmont Technical College
Greenwood, SC05.2008
Skills
- Verification Microsoft Excel (10 years) (10 years) Call center experience CPT Coding Hospital
- Windows Vital Signs (1 year) (2 years) (5 years) Time management Remote Work Tools Caregiving
- (5 years) (10 years) Medication Microsoft Powerpoint (10 years) Typing (10 years) Microsoft Office (10 years) (10 years)
- (5 years) Healthcare Claims Processing Microsoft Outlook (2 years) Administrative experience (10 years) Patient Care (5 years) (10 years) Medical Terminology
- Customer service Filing Verification Manufacturing (3 years) Microsoft Outlook Transcription (1 year) Insurance (2 years) Phone etiquette HIPAA Phone etiquette (5 years) Call Auditing Customer support
- Staff Training Caregiving (10 years) Customer service (5 years) Home Care (5 years) HIPAA Experience (3 years) (3 years) English Data entry Windows (10 years) Data Entry (3 years) (1 year)
- Customer support Document review (4 years) Management (1 year) Microsoft Word administration (3 years) Medical office experience Microsoft Excel Medicare Eligibility
Timeline
Remote Sr. Advisor II
Concentrix
01.2022 - Current
Remote Enrollment Coordinator
Concentrix
11.2021 - 01.2025
Office Assistant
Palmetto Home Care
05.2021 - 10.2021
Patient Sitter
Self Regional Healthcare
07.2019 - 05.2021
Associate's Degree - Business Management
Piedmont Technical College
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Piedmont Technical College
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Piedmont Technical College