Tamara Jones
Orange Park,FL
Summary
I am a results-driven healthcare administration professional with over 20 years of industry experience and a strong background in clinical support and operations. I hold a Bachelor's degree in Healthcare Administration and an Associate's degree in Business Management, along with a CPC-A certification through AAPC and two years of oncology coding experience focused on prior authorizations. My expertise spans medical coding, clinical research, insurance authorizations, patient scheduling, billing, collections, and regulatory compliance. I am BLS certified and proficient in using various EMR systems, with a proven ability to audit medical records and support efficient healthcare delivery. Known for my communication, problem-solving, and organizational skills, I am passionate about enhancing patient care and optimizing healthcare workflows.
Overview
8
8
years of professional experience
Work History
Authorization Specialist
Cancer Specialist of North Florida
11.2018 - 02.2020
- Secured timely prior-authorizations by reviewing clinical data against medical diagnoses and procedure codes to prevent delays in patient services.
- Ensured service eligibility by verifying insurance benefits and payer requirements to avoid claim denials and billing issues.
- Accelerated authorization turnaround by proactively communicating with payers via electronic, phone, and fax channels to minimize scheduling disruptions.
- Identified pending authorization needs by running location-specific service reports to streamline workflow and reduce missed approvals.
- Reduced coding errors by applying knowledge of oncology coding, anatomy, and medical terminology to accurately interpret clinical documentation.
Medical Records Technician
Advantmed LLC
02.2017 - 06.2018
- Maintained accurate patient record systems by collecting and organizing documentation through electronic health record platforms to ensure quick retrieval and compliance.
- Improved data accessibility by creating digital copies of physical paperwork and storing records electronically to support streamlined provider access.
- Ensured legal and ethical standards by adhering to HIPAA guidelines while managing confidential patient information across departments.
- Increased processing efficiency by filing medical reports and paperwork promptly and accurately to reduce backlogs and administrative delays.
- Facilitated seamless care coordination by regularly communicating with medical staff and personnel across multiple offices to verify and update patient records.
Management Support Representative
Yuma Regional Medical Center
06.2015 - 11.2016
- Supported clinical trial operations by managing patient involvement and obtaining informed consent to ensure compliance with study protocols.
- Maintained regulatory readiness by creating and organizing trial binders for each study to meet audit and sponsor requirements.
- Streamlined financial workflow by managing accounts receivable/payable in QuickBooks and submitting payroll and deposits to the accounting department for timely processing.
- Ensured accurate trial execution by scheduling and conducting study procedures while recording detailed data in SPSS for ongoing analysis.
- Facilitated smooth research collaborations by processing confidentiality disclosure agreements and tracking clinical trial communications with sponsors.
Intake Specialist
Coastal Carolina Neuropsychiatric Center
03.2012 - 04.2014
- Ensured accurate patient onboarding by entering new client information into the company database to support timely access to care services.
- Accelerated service approvals by verifying insurance eligibility and requesting authorizations for therapy and medication management to prevent appointment delays.
- Maintained up-to-date scheduling by managing the State’s LME CALOCUS calendar to align provider availability with patient needs.
- Improved provider compliance by preparing signature forms and guiding clinicians through the completion of authorization request documents.
- Handled high call volumes by responding to patient inquiries and provider requests to streamline communication and support case processing.
Education
Bachelor's degree - HealthCare Administration
The University of Arizona Global Campus
05.2025
Associate’s degree - Business Management
Trident Technical College
05.2008
Diploma -
James Island Charter High
06.1999
Skills
- Data entry
- Medical billing
- Medical coding
- Customer service
- Team collaboration
- Clinical documentation
- Medical terminology expertise
- Programming
- Confidentiality
- Microsoft office
- Public assistance
- Verbal communication
- Advocacy and counseling
- Effective communication skills
Certifications
- Certified Professional Coder (July 2025)
- Microcomputer Business Applications Certificate (2008)
- Commissioned Notary Public for the State of Florida, Loan Signing & Remote (Commissioned in 2022)
- BLS Provider (Exp. May 202)
References
References available upon request.
Timeline
Authorization Specialist
Cancer Specialist of North Florida
11.2018 - 02.2020
Medical Records Technician
Advantmed LLC
02.2017 - 06.2018
Management Support Representative
Yuma Regional Medical Center
06.2015 - 11.2016
Intake Specialist
Coastal Carolina Neuropsychiatric Center
03.2012 - 04.2014
Bachelor's degree - HealthCare Administration
The University of Arizona Global Campus
Associate’s degree - Business Management
Trident Technical College
Diploma -
James Island Charter High