TYNESE JONES
Valrico,FL
Summary
Highly motivated, enthusiastic individual, eager to succeed in a career in a medical field facility/hospital setting. Where my knowledge and experience can be utilized as we'll as enhanced.
Overview
11
11
years of professional experience
Work History
Customer Service Representative
Healthplex
Uniondale, New York
09.2015 - Current
- Efficiently answer inbound calls while resolving member issues concerning their Dental coverage, Claims, Denials ,Appeals and Complaints.
- Handle irate customers in a professional manner, approximately 75 phone calls daily basis Absorb and retain information to ensure consistency when explaining benefits, regulatory items, and policy and procedures.
- Ensure consistency and adherence to departmental work flows, policy and procedures Follow appropriate avenues of protocol to elevate issues.
- Ensure Dental coding for procedures submitted from physician offices is correct for claims to be Proven ability to maintain patient confidentiality.
Medical Billing/coder Specialist
ArroHealth
Brentwood, NY
12.2014 - 09.2015
- Handle Outbound/Inbound calls to hospitals, Physician offices & Nursing Homes, to obtain medical records for insurance companies such as for HEDIS reviews request Responsible for verifying demographics are all correct, also to enter information in the system accurately to be able to code and bill.
- Schedule onsite appointments to retrieve medical records to Bill insurances.
- Well-versed with legality and ethics of medical field.
EKG Technician
ADVANCED CARDIOVASCULAR DIAGNOSTICS
New Hyde Park, NY
05.2013 - 07.2017
- Monitored patient hemodynamic status during procedures using electrocardiograms.
- Positioned patients for optimal comfort before procedures.
- Performed Vestibular, Ankle Brachial Index, EKG, Echo cardiovascular testing
- Managed Trained over 12 team members on testing equipment accurately
- Worked in collaboration with radiologists, sonographers and other healthcare team members.
Education
Certificate: Phlebotomy/EKG - undefined
05.17
Medical Billing Certification - Medical Billing and coding
05.07
Medical Billing Program
Ultrasound Sonography
Ultrasonography Certificate - Echocardiography
2012
GPA: 3.96
Skills
- Electrocardiography (EKG)
- Venipuncture and Capillary puncture techniques
- Ability to complete multiple tasks efficiently
- Excellent organizational
- Microsoft Office
- Knowledge of Medical Terminology
- Vital sign monitors
- Excel
- Communication skills
- Detailed Oriented
- Outlook
Externship
Professionally trained Phblebotomist and EKG Technician with experience ensuring high standards of culturally competent care for a wide variety of patients with diverse needs. Works well under pressure in a Primary Care Physician office.
Timeline
Customer Service Representative - Healthplex
09.2015 - Current
Medical Billing/coder Specialist - ArroHealth
12.2014 - 09.2015
EKG Technician - ADVANCED CARDIOVASCULAR DIAGNOSTICS
05.2013 - 07.2017
New York Medical Career Training Center - Certificate: Phlebotomy/EKG,
Branford Hall Career Institute - Medical Billing Certification, Medical Billing and coding
Institute Of Allied Health & Technology Ultrasound - Ultrasonography Certificate, Echocardiography