Shonte Jones
Regional One Health Medical Center
Memphis,USA
20
years of professional experience
Experienced professional specializing in communication and administrative functions to enhance operational efficiency and productivity.
Work History
Medical Billing Specialist
11 Months- Processed insurance claims using advanced billing software, ensuring accurate submissions and timely reimbursements.
- Reviewed patient accounts for discrepancies, resolving issues to maintain billing integrity and accuracy.
- Cross trained on front office procedures to support team operations.
Insurance Verification Specialist
10 Months- Verified insurance coverage and corrected claims for processing to ensure accurate billing.
- Communicated with insurance companies to clarify denied claims and submit appeals.
Reimbursement Specialist
1 Year 2 Months- Analyzed unpaid claims and submitted corrected claims for processing and payment.
- Processed and posted payments received via fax or phone.
Sr. Billing/Reimbursement Specialist
1 Year 1 Month- Assisted patients with billing questions and resolved issues regarding their accounts.
- Posted payments and researched misapplied payments to maintain accurate records.
Data Entry Clerk
2 Years 4 Months- Entered information regarding patients' prescriptions and researched insurance information.
- Assisted team members with various inquiries to ensure operational efficiency.
Validation Representative
5 Months- Contacted employers and insurers to verify information and ensure proper claim processing.
- Compiled billing packets and filed insurance claims efficiently.
Eligibility Specialist
4 Years 11 Months- Maintained accurate documentation using various internal systems.
- Served as the first point of contact for internal clients and members, resolving critical issues.
Data Entry Clerk
2 Years 1 Month- Compiled, verified, and sorted information for accurate data management.
- Generated reports and stored data in designated computer databases.
Billing/Customer Service Agent
1 Year 11 Months- Answered customer questions regarding billing, products, and features, ensuring satisfaction.
- Maintained effective relationships with customers and corrected discrepancies with their accounts.
Collector
1 Year 4 Months- Followed state and federal laws concerning debt collection.
- Utilized computer systems to track customer delinquency and collect payments.
Data Entry Clerk
9 Months- Entered customer personal details and updated records for accuracy.
- Posted deposits and balanced accounts, ensuring compliance with banking standards.
Education
Medical Billing And Coding
- General Studies
- Registered Medical Assistant
High School Diploma
Skills
Insurance verification
Payment posting
Data entry accuracy
Problem resolution
Attention to detail
Claim submission
HIPAA compliance
Effective communication
Team collaboration
Customer service
Timeline
Medical Billing Specialist
Regional One Health Medical Center
09.2025 - CurrentRead More
Insurance Verification Specialist
Baptist Memorial Hospital
11.2024 - 09.2025Read More
Reimbursement Specialist
Baptist Home Medical
02.2023 - 04.2024Read More
Sr. Billing/Reimbursement Specialist
Express-Scripts
10.2021 - 11.2022Read More
Data Entry Clerk
Express-Scripts
06.2019 - 10.2021Read More
Validation Representative
Enable Comp
12.2018 - 05.2019Read More
Eligibility Specialist
Express Scripts
12.2013 - 11.2018Read More
Data Entry Clerk
Performance Dynamics
10.2011 - 11.2013Read More
Billing/Customer Service Agent
Comcast
11.2009 - 10.2011Read More
Collector
OSI
03.2008 - 07.2009Read More
Data Entry Clerk
First Tennessee Bank
12.2006 - 09.2007Read More
Watkins Overton High School
High School Diploma
Read More
Remington College
from Registered Medical Assistant
Read More
Northwest Mississippi Community College
from General Studies
Read More
Penn Foster College
Medical Billing And Coding
Read More