Maya Jones
Florissant,MO
Overview
3
3
years of professional experience
Work History
Sleep Customer Qualification
Apria Healthcare
Remote
06.2022 - Current
- Investigate and review clinical documentation that supports requirements for approval
- Adheres to HIPAA Guidelines
- Review new patient orders
- Accurately document patients accounts
- Conduct outbound initiatives to patients and insurance companies to resolve insurance verification discrepancies
- Research and audit claims inquiries
- Initiate authorization requests
- Review health insurance plan policies
- Promote member compliance
- Initiates and facilitates the predetermination process
- Contacts appropriates insurance vendors for benefit verification
- Confirm accuracy of patient's eligibility and medical information to effectively facilitate order fulfillment
- Accurately process orders and returns by working through complex systems and processes
- Thoroughly document patient accounts to ensure comments, discussions and concerns are capture correctly
- Communicate patient and insurance billing process to ensure that patient understands his/her financial responsibility
- Report compliance issues
- Use proper practices to protect sensitive information such as member financial information
- Answered up to 50 calls per shift
Biology Lab Assistant
Southern Illinois University Edwarsville
Edwardsville, IL
08.2021 - 05.2022
- Teach assigned curriculum in classroom setting and record findings
- Lead instructional classes, discussions, and student question/answer sessions
- Lead 15 students
- Evaluate students essays, projects, labs, tests, and other assessments
- Update databases of student progress notes and grades
- Develop and administer quizzes and exams
- Assist in the preparation of lab experiments, equipment, and research
Education
Master of Science - Exercise Physiology
Southern Illinois University, Edwardsville
Edwardsville, ILBachelor of Science - Exercise Science
Southern Illinois University, Edwardsville
Edwardsville, IL05-2021
Skills
- Insurance Verification
- Leadership
- Medicare Guidelines Training
- Community 'Outreach
- Data Outcome Reporting
- Electronic medical Records Database
- Attention to Detail
Timeline
Sleep Customer Qualification
Apria Healthcare
06.2022 - Current
Biology Lab Assistant
Southern Illinois University Edwarsville
08.2021 - 05.2022
Master of Science - Exercise Physiology
Southern Illinois University, Edwardsville
Bachelor of Science - Exercise Science
Southern Illinois University, Edwardsville