Shelby Jones
Pearland,TX
Summary
Detail-oriented Treatment Coordinator and Patient Service Representative with outstanding treatment knowledge and stellar communication skills. Successful at coordinating between patients and professionals and offering comprehensive patient education. Committed to organization and time management. Well-versed in performing diverse administrative functions for patient care with high degree of diplomacy and problem-solving acumen. Demonstrates extreme attention to detail with accuracy of medical records.
Overview
9
9
years of professional experience
Work History
Patient Service Representative
Made Ya Smile Dental
Friendswood, TX
09.2023 - Current
- Greeted patients upon arrival and directed them to the appropriate area.
- Verified insurance information, collected payments, and scheduled appointments.
- Provided customer service by answering patient questions and addressing concerns.
- Maintained a clean and organized reception area.
- Processed referrals from primary care physicians to specialists for further treatment or evaluation.
- Provided support to clinical staff with insurance verification and authorization processes.
- Created customized treatment plans for patients based on individual needs.
- Provided guidance to patients about their financial responsibility for services rendered.
- Informed patients about payment options, billing policies, and procedures related to their visit or procedure.
- Ensured all necessary paperwork was completed prior to patient visits.
- Scanned documents into electronic health record system as needed.
- Performed administrative duties such as filing, faxing, photocopying.
Patient Care Coordinator
Fowler and Tidwell PLLC
Houston, TX
06.2023 - 09.2023
- Provided ongoing communication with patients, families, and other healthcare providers regarding treatment plans and progress.
- Scheduled appointments for patients and coordinated follow-up visits as needed.
- Maintained accurate records of all patient care activities using electronic health record systems.
- Ensured that all necessary documentation was completed accurately and submitted in a timely manner.
- Participated in weekly case conferences with members of the healthcare team for each assigned patient.
- Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
Front Desk Receptionist and Insurance Verification
A to Z Dental
Sugar Land, TX
11.2022 - 02.2023
- Welcomed patrons to front desk and engaged in friendly conversations while conducting check-in process.
- Answered multi-line phone system and managed calls by routing to proper extensions or taking messages.
- Explained policies and procedures to visitors.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Updated patient and insurance data and input changes into company computer system.
- Entered data in EMR database to record payer, authorization requirements and coverage limitations.
- Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
- Retained strong medical terminology understanding in effort to better comprehend procedures.
- Checked documentation for appropriate coding, catching errors and making revisions.
- Adhered to HIPAA requirements to safeguard patient confidentiality.
Apprentice Hairdresser
Escape Salon & Retreat
League City, TX
04.2022 - 09.2022
- Worked front desk, sold haircare products and processed payments whenever receptionist was unavailable.
- Worked with senior stylists to create showcase hairpieces to gain professional salon experience and techniques.
- Responded to customer inquiries by phone, email and in person.
Management & Training
Hospitality, Food & Beverage Service
Houston, TX
01.2017 - 03.2022
- Learned and implemented processes, procedures and employee role functions.
- Resolved customer issues efficiently to build loyalty.
- Trained new bartenders on drink preparation and upselling techniques.
- Introduced bar staff to precision pouring and waste reduction tactics to lower liquor costs.
- Operated POS terminals to input orders, split bills and calculate totals.
- Developed understanding of quality assurance processes and requirements.
- Helped plan and prepare employee work schedules.
Office Manager/Registered Dental Assistant
Gee Family Dentistry
Pearland, TX
06.2015 - 01.2017
- Oversaw receiving and organizing correspondence, answering and forwarding calls and creating business letters and records.
- Performed verification of Medicare coverage.
- Sanitized equipment, cleaned treatment rooms and restocked supplies after each patient's treatment to maintain cleanliness and prepare for next patient.
- Gathered and reviewed patient records, data and health history to share with dentists for quick and accurate patient assessments, diagnoses and treatment.
Education
Phlebotomy
Ashley’s Phlebotomy School
Pearland, TX05.2023
Cosmetology
Paul Mitchell The School - Houston
Houston, TX09.2022
Dental Assisting
Texas School of Business
Houston, TX06.2015
High School Diploma -
Pearland High School
Pearland, TX06.2010
Skills
- BLS certified through American Heart Association including Adult and Infant CPR
- Data entry
- Data Analysis
- Patient Relations
- Medical Records Management
- Scheduling Software
- Written and Verbal Communication
- Documentation and Recordkeeping
- Insurance Verification
- Medical terminology knowledge
- Specimen Collection
- Sharps Disposal
- Biohazard Waste Disposal
- Proper Storage Procedures
- Tracking Specimens
- Decision Making
- Problem-Solving
- Drawing Blood
- Butterfly Venipuncture
- Tray Organization
- Sanitation and Sterilization
- Stress Management
- Task Prioritization
- Direct Patient Care
- Adaptability
- Problem-solving aptitude
- Professionalism
Timeline
Patient Service Representative
Made Ya Smile Dental
09.2023 - Current
Patient Care Coordinator
Fowler and Tidwell PLLC
06.2023 - 09.2023
Front Desk Receptionist and Insurance Verification
A to Z Dental
11.2022 - 02.2023
Apprentice Hairdresser
Escape Salon & Retreat
04.2022 - 09.2022
Management & Training
Hospitality, Food & Beverage Service
01.2017 - 03.2022
Office Manager/Registered Dental Assistant
Gee Family Dentistry
06.2015 - 01.2017
Phlebotomy
Ashley’s Phlebotomy School
Cosmetology
Paul Mitchell The School - Houston
Dental Assisting
Texas School of Business
High School Diploma -
Pearland High School
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