Overview
Work History
Education
Skills
Timeline
Generic

Maya Jones

Florissant,MO

Overview

3
3
years of professional experience

Work History

Sleep Customer Qualification

Apria Healthcare
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
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, IL

Bachelor of Science - Exercise Science

Southern Illinois University, Edwardsville
Edwardsville, IL
05-2021

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
Maya Jones