Tamira Jones
Columbus,GA
Summary
Experienced professional who provides exceptional service through active listening and problem solving skills. Polished professional manages multiple tasks, utilizes electronic medical record systems, and provides excellent customer service to patients and staff. Adheres to medical records policies and procedures to comply with HIPAA regulations. Track record of effectively troubleshooting issues and maintaining patient confidentiality. Disciplined individual skilled in collecting and verifying patient demographic and insurance information and preparing and maintaining medical records. Proficient in using medical terminology and classifying diagnostic procedures, treatments and medications. Dedicated to providing highest quality care to patients.
Overview
17
17
years of professional experience
Work History
My Chart Specialist II
Tegria
02.2021 - 05.2023
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Responded to customer needs through competent customer service and prompt problem-solving.
- Assisted call-in customers with questions and orders.
- Advising patients of their user IDs to access their MyChart accounts, also making parents for children under twelve proxies over their children's accounts.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Logged call information and solutions provided into internal database.
- Interacted with different providers regarding patient information.
Customer Care Advocate
Aflac
05.2018 - 06.2021
- Managed customer calls effectively and efficiently in a complex, fast-paced and challenging call center environment.
- Identified chronic customer issues by creating and maintaining customer complaint log.
- Addressed customer complaints and mitigated dissatisfaction by employing timely and on-point solutions.
- Educated clients on account services and resolved client inquiries regarding statement information and account balances.
Claims Representative
WPS Health Solutions
12.2009 - 07.2012
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge.
- Analyze claims to determine if eligibility requirements and claim filing requirements are met and make determinations.
- Review submitted claim information and select correct procedure code and diagnosis code using ICD-9,ICD-10, CPT4, and HCPCS manuals.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Analyzed and addressed escalated claims to resolve issues quickly.
Accounts Payable Specialist
Buffalo Rock Pepsi
09.2006 - 07.2009
- Directed guests and routed deliveries and courier services.
- Managed office supplies, vendors, organization and upkeep.
- Answered and managed incoming and outgoing calls while recording accurate messages.
- Planned and coordinated logistics and materials for board meetings, committee meetings and staff events.
- Reached out to vendors and customers to verify information and follow up on client issues.
- Prepared month-end closing entries for detailed reporting and recordkeeping.
Education
Bachelor of Science - Business Administration And Management
Strayer University
Washington, DC06.2026
High School Diploma -
Kendrick High School
Columbus, GA05.2005
Skills
- Skilled in call center operations
- Strong problem solving aptitude
- Avaya Software knowledge
- Familiar with commercial and private insurance carriers
- ICD-10 (International Classification of Disease Systems)
- Behavioral health billing and collections
- Medical terminology expert
- Complaint resolution
- Productivity Standards
- Medical Histories and Vital Statistics
- Call Control
- Knowledge Base
- Customer Implementation Support
- Call Volume Analysis
- Accounts Payable and Accounts Receivable
- Conflict Resolution Techniques
- ICD-9 ICD-10 CPT4 and HCPCS manuals
Timeline
My Chart Specialist II
Tegria
02.2021 - 05.2023
Customer Care Advocate
Aflac
05.2018 - 06.2021
Claims Representative
WPS Health Solutions
12.2009 - 07.2012
Accounts Payable Specialist
Buffalo Rock Pepsi
09.2006 - 07.2009
Bachelor of Science - Business Administration And Management
Strayer University
High School Diploma -
Kendrick High School
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