Summer Jones
Lithia Springs,Ga.
Summary
Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.
Overview
14
14
years of professional experience
Work History
Healthcare Claims Representative
UnitedHealth Group
08.2023 - 01.2025
- Worked productively in fast-moving work environment to process large volumes of claims.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Generated, posted and attached information to claim files.
- Prepared insurance claim forms or related documents and reviewed for completeness.
Patient Advocate
Elevate Patient Financial Soliutions
10.2017 - 08.2023
- Assisted patients in understanding individual rights and responsibilities in regards to care, coverage, and payment.
- Maintained patient records and updated electronic health systems to safeguard data.
- Answered incoming calls, scheduled appointments and filed medical records.
- Greeted and assisted patients with check-in procedures.
- Followed document protocols to safeguard confidentiality of patient records.
Customer Service/Data Entry Clerk
Tempered Glass, Inc.
04.2011 - 07.2017
- Receive inbound calls from vendors requesting to place glass orders for commercial projects while in a call center environment
- Maintain accurate records of order status changes in the database
- Respond to emails and phone calls from customers regarding order inquiries
- Generated invoices and processed payments
Education
Business Administration
Capps College
Mobile, Al01.1999
Skills
- File management
- Insurance claims review
- Microsoft office
- Claims investigation
- Coverage determination
Timeline
Healthcare Claims Representative
UnitedHealth Group
08.2023 - 01.2025
Patient Advocate
Elevate Patient Financial Soliutions
10.2017 - 08.2023
Customer Service/Data Entry Clerk
Tempered Glass, Inc.
04.2011 - 07.2017
Business Administration
Capps College
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