Zabriel Jones
Oklahoma City,OK
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
11
11
years of professional experience
Work History
Cultivation Specialist
Stability Cannabis
01.2023 - 01.2024
- Enhanced plant growth by implementing effective cultivation techniques and monitoring environmental factors.
- Increased crop yields through proper nutrient management and timely harvesting practices.
- Optimized plant health by diagnosing and treating diseases, pests, and other issues in a timely manner.
- Streamlined cultivation processes with the implementation of efficient irrigation systems and equipment maintenance protocols.
- Complete daily plant inspection and maintenance according to the company’s SOP
- Assisted with potting and transplanting of plants
- Pruned and topped plants in the vegetative phase according to company metrics
- Assisted in loading plants into flower rooms, often lifting up to 50 pounds repeatedly
- Assisted on harvest days with cutting, carrying, and hanging of plants for drying
- Conducted deep cleaning of tables, floors, walls and mechanical systems after each harvest
- Inspected and reported observed pest or disease related issues in plants
- Worked with a positive encouraging attitude with other duties as assigned
Forklift Operator
Walmart Distribution
12.2021 - 06.2022
- Improved warehouse efficiency by skillfully operating forklifts to move, locate, and stack materials.
- Reduced loading times for shipping trucks by efficiently organizing and staging pallets.
- Ensured timely delivery of products by accurately picking orders from storage areas.
- Maintained optimal inventory levels with precise forklift operation and proper storage techniques.
Clinical Appeals and Grievance Coordinator
Blue Shield of California
03.2019 - 03.2021
- Conducts insurance eligibility/benefit verification, referral/authorization, and financial education on designated accounts
- Handles clinical referrals and authorization coordination
- Enhances the patient experience throughout all patient interactions by serving as the customer service point of contact by demonstrating knowledge of the Health system and service offerings.
Member Level Processor Intermediate
Aerotek (Blue Shield of California)
12.2018 - 02.2019
- Processed member level data and information using automated systems within established production and quality standards
- Processed new member additions, eligibility updates and reports within established production and quality standards
- Reviewed accuracy of data entered against source documents, identified and resolved issues with enrollment information and member eligibility.
Patient Services Representative
Aerotek (Wellspace Health)
03.2018 - 07.2018
- Answered a high volume of incoming calls and provided information to callers, facilitated new patient registration and determined client/patient eligibility
- Scheduled appointments between providers, offices, physicians, etc
- And reminded patients of upcoming appointments
- Provided general administrative support (i.e
- Typing, filing, etc.) to supervisor and department
- Used HER NextGen
- Received and processed fees or credit card payments prior to client appointments
- Determined client/patient eligibility.
Authorizations and Appointments
Kelly Services (Health Net)
09.2016 - 08.2017
- Validated Veteran and medical provider demographic information including correct selection of a medical provider by specialty for healthcare service
- Determined whether Veterans were eligible to receive health care benefits under the program by determining the patients' status/eligibility, and the appropriate authorization path
- Contacted medical provider offices by telephone, scheduled and cancelled patient appointments, and notified Veterans for all requests
- Followed step-by-step instructions, including redirecting Veterans to appropriate providers for care, as required by contractual standards
- Documented transactions in authorization system and communicated via written correspondence to the Veteran's Administration when needed.
Petitioner
Grafton
03.2016 - 05.2016
- Educated register voters on ballot issues
- Persuaded register voters.
Customer Service Specialist
Alliance Data
06.2015 - 01.2016
- Took a wide range of inbound calls to resolve inquiries and educate the customer regarding their credit accounts
- Updated and document account information and records
- Followed established guidelines for quality and productivity
- Authorized/declined purchases based on the customer's financial profile
- Opened new credit card accounts for eligible customers in an effort to create loyal customer relationships.
Team Lead Sales
Convergys (Anthem Blue Cross Blue Shield)
08.2014 - 02.2015
- Conferred with company officials to develop methods and procedures to increase sales
- Expanded markets and promoted business
- Listened to and resolved customer complaints regarding services, products, or personnel
- Provided staff with assistance in performing difficult or complicated duties
- Monitored sales staff performance to ensure that goals are met and trained and evaluated personnel
- Attended company meetings to exchange product information and coordinate work activities with other departments
- Planned and prepared work schedules, and assigned employees to specific duties.
Sales & Service Representative II
Convergys (Anthem Blue Cross Blue Shield)
03.2014 - 10.2014
- Referred patients to appropriate health care services or resources
- Investigated and directed patient inquiries or complaints to appropriate medical staff members and followed up to ensure satisfactory resolution
- Explained policies, procedures, or services to patients using medical or administrative knowledge.
Customer Service Representative
Convergys (Anthem Blue Cross Blue Shield)
10.2013 - 03.2014
- Protected the security of medical records to ensure that confidentiality is maintained
- Reviewed records for completeness, accuracy, and compliance with regulations
- Reviewed insurance policy terms to determine whether a particular loss is covered by insurance
- Checked to ensure that appropriate changes were made to resolve customers' problems
- Determined charges for services requested, collected deposits or payments, or arranged for billing
- Resolved customers' service or billing complaints by performing activities such as exchanging merchandise, refunding money, or adjusting bills.
Insurance Agent
American Republic Insurance
06.2013 - 10.2013
- Interviewed prospective clients to obtain data about their financial resources and needs, the physical condition of the person or property to be insured, and to discuss any existing coverage
- Sold various types of insurance policies to businesses and individuals on behalf of insurance companies, including automobile, fire, life, property, medical and dental insurance or specialized policies such as marine, farm/crop, and medical malpractice.
Education
BBA - Finance
University of Missouri - Kansas City
Kansas City, MOSkills
- Policy Knowledge
- Dispute Resolution
- Microsoft Office Proficiency
- Team Collaboration
- Problem Solving
- Customer Service
- Attention to Detail
- Critical Thinking
- Effective Communication
Education And Licenses
- Life, Accident, & Health Insurance License
Timeline
Cultivation Specialist
Stability Cannabis
01.2023 - 01.2024
Forklift Operator
Walmart Distribution
12.2021 - 06.2022
Clinical Appeals and Grievance Coordinator
Blue Shield of California
03.2019 - 03.2021
Member Level Processor Intermediate
Aerotek (Blue Shield of California)
12.2018 - 02.2019
Patient Services Representative
Aerotek (Wellspace Health)
03.2018 - 07.2018
Authorizations and Appointments
Kelly Services (Health Net)
09.2016 - 08.2017
Petitioner
Grafton
03.2016 - 05.2016
Customer Service Specialist
Alliance Data
06.2015 - 01.2016
Team Lead Sales
Convergys (Anthem Blue Cross Blue Shield)
08.2014 - 02.2015
Sales & Service Representative II
Convergys (Anthem Blue Cross Blue Shield)
03.2014 - 10.2014
Customer Service Representative
Convergys (Anthem Blue Cross Blue Shield)
10.2013 - 03.2014
Insurance Agent
American Republic Insurance
06.2013 - 10.2013
BBA - Finance
University of Missouri - Kansas City
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