Summary
Overview
Work History
Education
Skills
Timeline
Generic

Nicole Jones

Griffin

Summary

Talented research specialist with attention to detail and complex issue identification and resolution. During my time with Millennia I began in the call center and was recruited to Research to work with one of the companies top hospital clients. Shortly after, I also acquired the accounts for the physicians and have worked with over 30 physicians offices ranging in specialty. This merged Research for these clients, hospital and physicians, in to one cohesive unit, managed together using data from both physician and hospital systems, to better serve clients.

Overview

15
15
years of professional experience

Work History

Research Account Specialist

Millennia
08.2018 - Current
  • Research accounts to resolve complex billing issues, to address patient and client concerns.
  • Maintained direct communication with clients to strengthen issue resolution, and ensure timely updates and feedback.
  • Insurance verification and eligibility using insurance eligibility portals.
  • Insurance re-bills and coverage detection re-bills.
  • Mail, process and approve or deny applications for financial assistance for the entire healthcare system.
  • Manage courtesy holds on accounts for patients applying for the program, and writing off balances for patients who are approved.
  • Intake, review, and processing of death certificates for hospital client.
  • Navigate accounts in the client HIS, including applying adjustments, write offs, and adjustment reversals.
  • Maintain email with hospital client to attend to issues from hospital employees including the cashiers, RCM partner company, posting, insurance follow up, patient advocate / Risk Management, marketing and development and collections.
  • Manage accounts on payment plans to ensure the proper holds are placed in the client and billing systems.
  • Intake Worker's Comp and Auto claim information and enter in to the HIS for review by the client.
  • Submit requests for refunds, and UB-04 insurance forms to the client for review.
  • Manually work reports to maintain internal processes including comment upload from billing systems to client HIS, prompt pay discounts, payment plans, Financial Assistance adjustments.
  • Strong adherence to internal process, policy, and procedures as well as that set forth by clients.


Branch Manager

Complete Cash
02.2018 - 08.2018
  • Keyholder position.
  • Processed approved and completed title loans for qualifying customers.
  • Solicitation calls to existing customers who may qualify for additional funds.
  • Collection calls to customers who are past due on their payment.
  • Maintain complete and accurate records of all loan documents and contracts.
  • Visit establishments and competitors in the community to maintain professional relationships and promote partnerships and referrals.
  • Processing cash and credit card payments. Completing the branch deposit at the end of the day, and depositing with the bank.
  • Collections and repossession efforts for seriously delinquent accounts.
  • Maintained the day-to-day activities of the branch including paying bills, hiring maintenance and pest control, cleaning, and general upkeep.

Assistant Branch Manager

1st Franklin Financial
11.2009 - 12.2017
  • Processed and approved and closed loans for qualifying customers including reviewing credit, collateral, and ability to pay.
  • Placed collection calls to customers behind on payments.
  • Initiated further collection efforts for seriously delinquent accounts including, law suit, garnishment, and repossession.
  • Represented the organization during court during law suit and garnishment hearings.
  • Maintained GILA and Georgia Insurance Licenses.
  • Processed title liens with the local tag office, and released liens on collateral attached to satisfied debt.
  • Processed payments and bank deposits.
  • Paid bills for the branch using the accounts payable system.


Education

GED -

Southern Crescent Technical College
Griffin, GA
02-2009

Skills

  • Account Management
  • Client communications
  • Problem solving
  • Knowledge of insurance practices, verification, and billing
  • Knowledge of hospital and healthcare practices
  • Knowledge of Medical terminology
  • Knowledge of billing and coding practices including CPT and ICD 10
  • Data entry and management
  • Attention to detail
  • Management experience of more than 7 years
  • Computer skills including strong typing skills, Microsoft Word, and Excel
  • Team player

Timeline

Research Account Specialist

Millennia
08.2018 - Current

Branch Manager

Complete Cash
02.2018 - 08.2018

Assistant Branch Manager

1st Franklin Financial
11.2009 - 12.2017

GED -

Southern Crescent Technical College

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Nicole Jones