Vanessa M. Jones

• Coordinate the implementation of provider data/contract audit projects
• Audit all provider information to ensure payment accuracy as outlined in the contract
• Collaborate with cross-functional teams to develop network reports for Medicare-Medicaid Plan (MMP), Medicaid, and commercial lines of business
• Resolve data integration errors between database, contracts, and payment systems, resolving state complaints within 3-7 business days
• Audit analysis on completed requests and monitor compliance status of submitted requests
• Analyze inbound requests to decide accuracy and route request to provider changes or other cross functional teams
• Coordinate provider data between the health plan database and various internal databases
• Track, update and audit information in database

• Provided administrative support to the 2017-2018 highest rated Medicaid plan in Illinois through its Illinois Operations staff daily
• Updated data sent from the State of Illinois as it relates to Provider Complaints
• Enter and verify survey information of patients about health care screenings
• Compiled and kept State of Illinois health care enrollment discrepancies (deceased, incarcerated, name/age/gender inconsistencies, out of state enrollments)
• Updated Provider and Public Notices for inclusion on the Illinois State Bulletin Repository
• Retrieved and used the Business Enterprise Program for the State of Illinois
• Knowledgeable of the use of the National Provider Identifier number
• Handled scheduling for executive's calendar and prepared meeting agenda and materials.
• Produced accurate office files, updated spreadsheets, and crafted presentations to support executives and boost team productivity.
• Seamlessly interacted with colleagues to plan and complete special projects.

• Answered over fifty plus calls per shift externally
• Answered over one hundred calls per shift internally and transferred via switchboard system
• Created/Kept directories of hospital administration and staff
• Provided customer service techniques when aiding parties by calling into the hospital
• Administered on-call scheduling protocols for doctors
• Administered hospital code protocols effectively
• Utilized AMCOM smart console to decide patient’s location and D.I.D
• Telephone number
• Page over the loudspeaker system when proper and keep a daily log of all overhead pages
• Contacted security and directed them to various hospital areas in response to security situations
• Paged proper individuals and transferred calls according to instructions
• Monitored panic alarm systems and fire alarm panels according to departmental procedures
• Responded to customer requests efficiently and with knowledgeable assistance.

• Decreased inappropriate movement trends of juvenile court clients on a GPS tracking system
• Developed a client case management system to show trends of movement of 200+ clients
• Implemented documentation to keep all sentencing measurements for 25+ clients
• Reduced court call overloads by scheduling court hearings with longer times for low-risk clients, thus allowing those clients to be seen 4 times per year over 12 times
• Achieved 100% completion of court orders to fulfill State of Illinois requirements about juvenile sentencing as outlined in the Juvenile Court Act of Illinois
• Aligned client personal goals with court orders that yielded over 75% compliance rates between the probationer and probation officer
• Transported and monitored offenders on probation and parole for compliance with court protocols.
• Built relationships with defendants and offenders, assessing living conditions and case background information.
• Conducted investigations into violations and other allegations.
• Collaborated with senior leadership during decision-making processes and created thorough offender reports for corrective action planning.
• Tracked assigned juvenile movements and adherence to probation requirements.
• Completed reports on behalf of court and associated legal entities.
• Interpreted data from various assessment tools to determine appropriate level of supervision.
• Monitored defendants' compliance and progress in treatment by reviewing reports from counseling agencies.
• Researched each case thoroughly to strengthen case outcomes.
• Wrote progress reports and testified under oath at court hearings.
• Maintained organized offender records and documentation in compliance with department and legal standards.
• Verified social and legal history information of individual probationers.
• Helped resolve probationer issues with housing, employment and healthcare.
• Handled over thirty full-cycle caseloads per month.

• Coordinated 100% of office functions for 1 Senior Level Probation Officer, 4 Junior Level Probation Officers and 24 Entry Level Probation Officers
• Orchestrated a method of responding and routing all inbound phone calls accurately
• Created a training system for receptionists to effectively respond to questions from parties who needed redirecting to proper units
• Recruited, trained and maintained a network of approximately 200+ mentors for a mentoring program
• Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
• Maintained inventory of office supplies and placed orders.
• Managed filing system, entered data and completed other clerical tasks.
• Created and maintained detailed administrative processes and procedures to drive efficiency and accuracy.
• Completed forms, reports, logs, and records to quickly handle all documentation for human resources.
• Facilitated timely delivery of special projects to meet organizational and departmental objectives.
• Organized logistics and materials for each meeting and took detailed notes for later dissemination to key stakeholders.
• Transcribed and organized information to assist in preparing speeches and presentations.
• Assisted coworkers and staff members with special tasks on daily basis.
• 
  

● Oversaw procure to pay processes.
● Reconciled all payments within budget guidelines, creating a 100% attainment of timely payments.
● Enhanced administering of grant allocations to ensure the appropriation of funds according to grant guidelines.
● Provided reports for Leadership in the Probation and Court Services of Cook County Juvenile Court.

• Maintained complete documentation and records of all purchasing activities.
• Created purchase orders to monitor stock levels, verify purchase requisitions, and expedite customer orders.
• Negotiated with suppliers, vendors, and other representatives.
• Checked items received against items ordered by verifying receipts.
• Maintained and reviewed computerized records of items purchased and costs associated with purchases.
• Computed and created purchase orders to monitor stock levels, verify purchase requisitions, and expedite customer orders.
• Researched suppliers based on availability, quality, selection, and price.
• Maintained consistent email communication with stores and suppliers to confirm and track orders and verify price revisions on purchase orders.
• Negotiated contracts with vendors for cost-effective purchasing terms.

• Managed 3 supervisors and 88 clerical staff
• Centralized the assignment of staff to provide coverage for 5 reception desks for the Juvenile Court of Cook County employing over 1000+ employees with direct services for over 350+ employees
• Recorded new hires, transfers, terminations, changes in job classifications, and merit increases to main human resources files.
• Partnered with other office managers to create work-sharing processes to reduce service overlap and efficiency concerns.
• Assisted in organizing and overseeing assignments to drive operational excellence.
• Defined clear targets and objectives and communicated to other team members.
• Maintained a professional demeanor by staying calm when addressing unhappy or angry clients.
• Improved staffing during busy periods by creating employee schedules and monitoring call-outs.
• Cultivated positive rapport with fellow employees to boost company morale and promote employee retention.
• Opened and closed locations and monitored shift changes to uphold successful operations strategies and maximize business success.
• Recruited, interviewed, and hired employees and implemented mentoring program to promote positive feedback and engagement.