Summary
Overview
Work History
Education
Skills
Timeline
BusinessAnalyst

Sonja Jones

Dental Claims Analyst
Brooklyn Park,Mn.

Summary

Seeking a positive that utilizes my skills and offers challenges for a reliable person with a strong work ethic.

Overview

24
24
years of professional experience

Work History

Dental Claims Analyst/Long-Term & Short-Term Disability Analyst

Sunlife Financial
05.2024 - 07.2024
  • Knowledge of problem-solving and accurately paying claims
  • Analyzing and investigating dental claims in accordance with dental plan provisions and state & federal regulations
  • Accurately making decisions in a timely and effective manner
  • Interpreting dental X-rays, anatomy, clinical narratives, office notes, contract provisions, and claim procedures
  • Applying analytical skills to navigate through multiple online resources
  • Working independently with good time management skills as well as in a team environment
  • Analyzing medical records, employment information, and disability claim forms to determine eligibility for short-term and long-term disability benefits based on policy criteria
  • Consult with medical professionals to understand the severity of a claimant's condition and its impact on their ability to work
  • Assessing a claimant's physical and cognitive abilities to perform their job duties
  • Approving or denying disability claims based on policy guidelines, medical documentation, and relevant laws
  • Maintaining contact with claimants, employers, and healthcare providers to gather information, update on claim status, and address inquiries
  • Collaborating with claimants and employers to develop a plan for a safe and gradual return to work when appropriate
  • Manage a caseload of disability claims, track deadlines, and ensure timely claims processing

Office Manager

Miracle-Ear Hearing Aid Clinic
06.2009 - 05.2014
  • Provide the first customer contact for patients who call or come in to schedule an appointment or inquire about our services
  • Screen calls, recognize opportunities, and facilitate excellent service by providing the information necessary to ensure an appointment, sell a product or answer questions
  • Schedule and confirm the appointment
  • Schedule and register patients according to company guidelines
  • Coordinate provider’s schedule and ensure smooth and efficient flow of patient care while in the office
  • Check patients in and out, collect and record payments, track revenue and accounting activities to include: petty cash reconciliation, end-of-day close, bank deposits, posting of charges, entering invoices, payments, and insurance contract information
  • Balance account daily and monthly with reporting to corporate
  • Conduct outbound telemarketing calls to patients & track marketing calls and inquiries from initial contact through the point of sale
  • Demonstrate and sell ALDS, batteries, and other special products as designated by the company
  • Perform minor hearing aid repairs as allowed by state law such as battery door or receiver checks
  • Cleans tips, specula, etc
  • Verify patient information, and billing/insurance data, request third-party prior authorization as needed, and complete appropriate documentation and maintain patient charts including the filing of all patient records
  • Participate in grassroots marketing efforts to include phone marketing campaigns, compiling physician packets, coordinating community lectures, recall letters, distribution of patient comment cards, etc
  • Work with insurance and workman’s compensation agencies to facilitate authorizations and benefit verification
  • Maintain all daily, weekly, and monthly reports and tracking documents as directed
  • Respond to company requests for billing, patient, and accounting information
  • Responsible for a variety of administrative tasks including typing, filing, inventory, mail, and verifying the status of and checking in hearing aids and repairs
  • Responsible for opening and closing the office daily and ensuring the reception and waiting area is well maintained

Home Mortgage Consultant

Office Team/Wells Fargo Home Mortgage
02.2008 - 06.2009
  • Responsible for originating residential mortgage loans
  • Finding the program that works best for the customer
  • Provide customers with clear advice, taking into account their short and long-term financial objectives, such as monthly payments
  • Down payment implication and debt ratio analysis, possible tax benefits
  • Refinance on an existing mortgage, help the customers look into lower rates, lower payments, and a better product
  • Cash-out refinance
  • Customer follow-up

Behavioral Specialist/Building Manager/After School Leadership Teacher

Andersen School & Community Education
01.2005 - 01.2007
  • Oversee behavioral program with over 500 youth grades K-8
  • Creating templates and charts around a behavioral program
  • Collecting and tracking tickets from teachers
  • Communicating with staff and students on behavior, helping to recognize students with exceptional behavioral
  • Parent contact and conference
  • After-school mentoring and girl's leadership teacher
  • Develop a new curriculum for activities and classes
  • Lock up and secure the school after all evening programs

Language Arts Teacher/Computer Education Teacher

The City Inc.
01.2003 - 01.2005
  • Lesson Plans for students/Weekly
  • Staff Development for better student education
  • ILP’s (Individual Learning Plan)
  • Personal Student Goals
  • Life Skills
  • Student Council
  • School Store
  • Life Plans/College Registration

Home Mortgage Process/Administrative Assistant

ProStaff
01.2001 - 01.2003
  • Process all aspects of home mortgage accounts
  • Verified buyer information, homeowners insurance, interest, and mortgage payments
  • File mortgage notes with the county clerk’s office
  • Deposit escrow and closing checks up to $60,000 daily
  • Assisted the VP in scheduling and record keeping as requested
  • Formed customized spreadsheet for the office and company vendors
  • Performed bookkeeping duties, including accounts receivable and budgetary invoices
  • Responsible for office organization and implementation of workflow
  • Performed general office duties, including receptionist responsibilities
  • Scheduling and coordinating meetings and travel arrangements
  • Established and maintained calendars, e-mails, and reservations for the company VP
  • Internet search for corporate clients

Education

High School -

South High School
01.1984

United Way First Call for Help Training

Anderson Family Resource Center Peer Parent Advocate Training

The Family Futures Commission /The Resign

Community College -

Minneapolis Community College
01.1993

Skills

  • Claims processing
  • Regulatory compliance
  • Medical documentation
  • Claims analysis
  • Disability evaluation
  • X-ray interpretation
  • Case management
  • Customer service
  • Data analysis
  • Critical thinking
  • Effective communication
  • Time management
  • Problem solving
  • Claims

Timeline

Dental Claims Analyst/Long-Term & Short-Term Disability Analyst

Sunlife Financial
05.2024 - 07.2024

Office Manager

Miracle-Ear Hearing Aid Clinic
06.2009 - 05.2014

Home Mortgage Consultant

Office Team/Wells Fargo Home Mortgage
02.2008 - 06.2009

Behavioral Specialist/Building Manager/After School Leadership Teacher

Andersen School & Community Education
01.2005 - 01.2007

Language Arts Teacher/Computer Education Teacher

The City Inc.
01.2003 - 01.2005

Home Mortgage Process/Administrative Assistant

ProStaff
01.2001 - 01.2003

United Way First Call for Help Training

Anderson Family Resource Center Peer Parent Advocate Training

The Family Futures Commission /The Resign

Community College -

Minneapolis Community College

High School -

South High School

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Sonja JonesDental Claims Analyst