Stacey Jones
Dallas,TX
Summary
Dynamic professional seeking a position to leverage extensive management skills, quality assurance expertise, program development capabilities, and comprehensive training experience. Proven track record of driving operational excellence and fostering team growth through innovative strategies and effective leadership. Committed to enhancing organizational performance by implementing best practices and cultivating a culture of continuous improvement. Eager to contribute to a forward-thinking organization that values dedication and results-driven approaches.
Overview
25
25
years of professional experience
Work History
Navigator
United Healthcare Group
Irving, TX
04.2018 - Current
- Supported patients in managing their mental and emotional well-being through active listening, empathy, and appropriate referrals to specialized care providers.
- Assisted patients in overcoming barriers to care, such as transportation, language, and financial challenges.
- Streamlined communication between patients and healthcare providers for enhanced care coordination and timely treatment.
- Assisted patients in scheduling doctor and healthcare appointments.
- Participated in regular team meetings, huddles, staff meetings and quality improvement projects to improve patient care.
- Improved patient satisfaction by providing personalized guidance and resources throughout their healthcare journey.
- Monitored patient progress and addressed barriers to care, facilitating timely interventions and follow-up services.
Customer Service advocate
United Health Group
Richardson, Texas
08.2015 - 04.2018
- Assist members with claim inquiries.
- Explain and answer any questions members may have about their benefits.
- Assist members with website assistance on how to navigate through.
- Educate members on prior authorization statuses.
- Make sure members' needs are met, and issues are resolved.
- Meet performance goals in quality, compliance, use, and scheduling assistance.
- Processed expedited appeals for members and providers.
- Provided appeal status.
- Updated member address with the out-of-department (OOA).
- Sent letters advising members they may be OOA (out of area).
Branch Manager
Community Loans of America
Dallas, Texas
01.2008 - 01.2015
- Achieve branch objectives by developing business opportunities; meeting sales quotas; managing staff.
- Attract new business and expand current business through referrals and consumer relationships.
- Qualify loans by evaluating applicants.
- Ensure compliance with policies and government regulations; coordinating efforts with audit, loan review, and branch operations.
- Meet sales objectives by defining strategies for customer relationships and goal setting.
- Complete branch operational requirements by scheduling and assigning employees; following up on work results.
- Maintain staff by recruiting, selecting, orienting, and training employees.
- Maintain staff job results by counseling and disciplining employees; planning, monitoring, and recognizing job results.
- Achieves financial objectives by scheduling expenditures; initiating corrective actions and following company policies.
- Contributes to team effort by accomplishing related results as needed.
- Skills/Qualifications: Financial Skills, Financial Planning and Strategy, People Management, Staffing, Financial Diagnosis, Client Relationships, Legal Compliance, Meeting Sales Goals, Sales Planning, Managing Profitability, Internal Communications
Assistant Loan Manager
Cash Cow Payday Loans
Marksville, Louisiana
01.2004 - 01.2008
- Answer telephone and provide excellent customer service
- Explain the loan program to new and current customers
- Provide excellent customer service to every customer adhering to established company policies and procedures.
- Performs employment, checking account and bankruptcy verifications
- Make loans, receive collections and payments on accounts
- Verify account balances at banks, handwalk for collection
- Assist in organizing and posting bad debt
- Make collection calls to past due accounts
- Make Courtesy calls to customers before due date
- Assist Store Manager in counting cash and balancing drawers to Loan Program
- Verify information on all checks received by check cashers
- Verify daily check bundles to deposit reports
- Copy, number and file daily checks
- Cleans and organizes all work and common areas
- Refer customer complaints to Store Manager, if necessary
- Report problems and/or discrepancies with customers, RBS computers or banks to Store Manager
- Assist Store Manager with maintaining all loan records and data
- Perform and adhere to Managers responsibilities in their absence
- Other duties as assigned
Customer Service Representative
Target Stores
Alexandria, Louisiana
01.2001 - 01.2004
- Attracts potential customers by answering product and service questions; suggesting information about other products and services.
- Opens customer accounts by recording account information.
- Maintains customer records by updating account information.
- Resolves product or service problems by clarifying the customer's complaint; determining the cause of the problem; selecting and explaining the best solution to solve the problem; expediting correction or adjustment; following up to ensure resolution.
- Maintains financial accounts by processing customer adjustments.
- Recommends potential products or services to management by collecting customer information and analyzing customer needs.
- Prepares product or service reports by collecting and analyzing customer information.
Education
Nursing
Eastfield Community College
Dallas, TexasCertificate - Health Insurance Billing
Louisiana Technical College
Alexandria, La.01.2003
Skills
- Experienced with Microsoft Office applications
- Experienced in managing everyday office operations
- Detail-oriented professional
- Compliance Champion
- Comprehensive case coordination
- Insurance industry knowledge
- Analytical decision making
- Critical thinking and analysis
- Health care coordination
Timeline
Navigator
United Healthcare Group
04.2018 - Current
Customer Service advocate
United Health Group
08.2015 - 04.2018
Branch Manager
Community Loans of America
01.2008 - 01.2015
Assistant Loan Manager
Cash Cow Payday Loans
01.2004 - 01.2008
Customer Service Representative
Target Stores
01.2001 - 01.2004
Certificate - Health Insurance Billing
Louisiana Technical College
Nursing
Eastfield Community College