Terry Jones
Summary
My goal is to be a Senior Rep with comprehensive understanding of insurance policies and risk management. Proven track record of effectively managing client relationships and resolving claims. Strong focus on team collaboration and adaptability, ensuring reliable and results-driven performance.
Successful and seasoned Insurance Specialists with expertise in providing wide range of high-quality insurance solutions. Possesses deep knowledge of insurance industry with extensive experience assessing customer risk and providing tailored solutions to meet needs. Adept at building trust with clients, providing guidance and advice, and delivering outstanding service claims resolution
Overview
5
5
years of professional experience
Work History
Insurance Specialists
Meduit
09.2022 - Current
- Enhanced customer satisfaction by addressing insurance-related inquiries and resolving issues promptly.
- Processed eligibility and benefits verification and authorization requests.
- Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
- Followed up on denials, late payments, extensions and other special circumstances.
- Resolved discrepancies in insurance payments by collaborating with carriers.
- Maintained a high level of industry expertise through continuous professional development courses and certifications in the field of insurance specialty.
EBO Specialist
Meduit
03.2020 - 09.2022
- Followed all company policies and procedures to deliver quality work.
- Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.
- Collaborated with cross-functional teams to achieve project goals on time and within budget.
- Enhanced customer satisfaction with timely and accurate issue resolution.
Education
No Degree - Medical Billing And Coding
Fayetteville Technical Community College
Fayetteville, NC02-2021
Associate of Arts - Cosmetology
Isothermal Community College
Spindale, NC04-1988
Skills
- Documentation skills
- Policy analysis
- Regulatory compliance
- Account management
- Documentation
- Health insurance
- Knowledgable CPT Codes and Diagnosis codes
- Proficiency claim adjustment and revenue codes
- Mathematics skills
- Communication skills
- Organisation skills
- Team work
Timeline
Insurance Specialists
Meduit
09.2022 - Current
EBO Specialist
Meduit
03.2020 - 09.2022
No Degree - Medical Billing And Coding
Fayetteville Technical Community College
Associate of Arts - Cosmetology
Isothermal Community College
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