Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Yatisha Jones

Wilson,NC

Summary

Motivated to support patient medical needs by efficiently verifying insurance, scheduling appointments and organizing documents. Forward-thinking and resourceful with good interpersonal skills, a strong attention to detail and a positive and upbeat mentality. Advanced abilities in EPIC and eClinicalWorks.

Overview

8
8
years of professional experience

Work History

Provider Enrollment Specialist

IT Resource Solutions
Raleigh, NC
05.2023 - Current
  • Reviewed and updated provider enrollment applications to ensure accuracy and completeness of information.
  • Performed verification checks for new provider enrollments in accordance with company policies and procedures.
  • Resolved discrepancies between provider applications and available data sources.
  • Handled new enrollments by entering customers' data and reviewing information.
  • Granted, modified, denied, or terminated assistance based on key information and eligibility determination.

Patient Care Specialist

Boice-Willis Clinic
Rock Mount, NC
08.2022 - 03.2023
  • Updated patient charts while maintaining client confidentiality with eClincal Works.
  • Verified demographics and insurance information to register patients in computer system.
  • Obtained necessary signatures for privacy laws and consent for treatment.
  • Communicated financial obligations to patients and collected fees at time of service.
  • Reviewed referral details and expectations with providers and patients and requested new referrals when necessary.
  • Reviewed data obtained from referring physicians for completeness and accuracy.
  • Tracked referral request progress and resolved issues to maintain smooth processing.
  • Contacted patients to confirm or reschedule appointments to minimize no-show appointments.
  • Prioritized referrals according to urgency and adhered to appropriate referral deadlines.

Medical Office Assistant

Carolina Gastroenterology
Wilson, NC
01.2022 - 07.2022
  • Registered patients and scheduled appointments.
  • Assisted with referrals and prepared medical records for patients.
  • Educated patients about medications, procedures and physician's instructions.
  • Collected information, verified insurance and collected co-payments for patients as part of check-in process.
  • Managed incoming telephone calls, took messages and directed callers to personnel.
  • Communicated with patients to resolve inquiries, schedule appointments and address billing questions.

Customer Service Representative

CVScaremark
Cary, NC
09.2021 - 12.2021
  • De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
  • Educated customers on special pricing opportunities and company offerings.
  • Upheld quality control policies and procedures to increase customer satisfaction.
  • Asked probing questions to determine service needs and accurately input information into electronic systems.
  • Explained benefits, features and recommendations to maximize client retention.

Patient Access Representative

Vidant HealthPlex-Wilson
Wilson, NC
10.2018 - 08.2021
  • Scheduled and confirmed patient appointments with patients and healthcare professionals.
  • Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
  • Scheduled patient appointment and procedures with EPIC.
  • Attended departmental meetings, providing feedback to enhance future performance.
  • Verified demographics and insurance information to register patients in computer system.
  • Processed patient responsibility estimate determined by insurance at pre-registration.

Front Office Associate

Carolina Family Health Centers Inc.
Wilson, NC
11.2015 - 10.2018
  • Greet and check-in/check-out patients.
  • Organized, updated and maintain over 200 patients charts.
  • Collect co-payment and verify insurance coverage.
  • Schedule and confirm patient appointments.
  • Perform clerical duties, such as word processing, data entry and answering phones.

Education

High School Diploma -

Charles B Aycock High School
Pikeville, NC
06.2010

Some College (No Degree) - Elementary Education

Fayetteville State University
Fayetteville, NC

Skills

  • Team Management
  • Appointment scheduling
  • Payment processing
  • Regulatory compliance
  • Cash deposit preparation
  • Insurance eligibility verification
  • Medical records management
  • Knowledge of HIPAA regulations

References

  • Ashley Keller, NP: Vidant Healthplex/ Telephone: (602) 818-4781
  • Chiquita Rodgers: Former Coworker/ Vidant Healthplex/ Telephone: (252) 217-9644
  • Rayven Anderson: Former Coworker/ Vidant Healthplex/ Telephone: (252) 230-0259
  • April Crocker: Former Coworker/ Carolina Gastroenterology/ Telephone: (252) 373-9823

Timeline

Provider Enrollment Specialist

IT Resource Solutions
05.2023 - Current

Patient Care Specialist

Boice-Willis Clinic
08.2022 - 03.2023

Medical Office Assistant

Carolina Gastroenterology
01.2022 - 07.2022

Customer Service Representative

CVScaremark
09.2021 - 12.2021

Patient Access Representative

Vidant HealthPlex-Wilson
10.2018 - 08.2021

Front Office Associate

Carolina Family Health Centers Inc.
11.2015 - 10.2018

High School Diploma -

Charles B Aycock High School

Some College (No Degree) - Elementary Education

Fayetteville State University

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Yatisha Jones