Tyra Jones

Knowledgeable and dedicated customer service professional with extensive experience in the health industry. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses.

• Medical Mutual, Cleveland, Ohio, 2019, Present, Customer Service Representative, Handling confidential records and information using a variety of tools to analyze relevant date that consistently meet HIPPA requirements., Process any claim payments when applicable and ensure they comply with federal, state, and company guidelines., Monitoring Commerical, Medicare, and Medicaid providers for compliances, answering phone, work audits and onsite reviews that may include a variety of providers and state partner agencies.
• Ahuja Medical Center, Beachwood, Ohio, 2013, 2019, Health Information Specialist, Consistently meet HIPPA requirements when handling release of information requests for doctor’s offices, patients, physicians and lawyers., Utilize effective problem-solving skills while controlling switchboard to ensure patient satisfaction., Scan charts daily into EMR system ensuring that documents will be available for hospital staff to view., Provide ongoing training to staff on scanning, answering calls and following all rules that need to be met in order to pass JACHO inspections.
• South Pointe Hospital, Warrensville Heights, Ohio, 2003, 2013, Patient Care Assistant, Obtained patient information during pre-admission., Documented patient history into the Electronic Medical Record., Communicated with providers and other medical care staff for patients’ quality care., Handled getting patient chart ready for medical records and making sure all documents were there.