WYKEETA M. JONES
Florissant
Summary
Results-oriented lead hospital revenue cycle representative with 8 years of remote work experience, overseeing a substantial inventory desk and training new hires. Expertise in managing insurance follow-up and collections for 15 years, including effective communication with payers and meticulous documentation in company systems. Committed to executing billing functions, including manual re-bills and electronic submissions to ensure timely payments.
Overview
15
15
years of professional experience
Work History
Lead Hospital Revenue Cycle Representative
Conifer Health Solutions/Tenet
Frisco
01.2015 - Current
- Managed correspondence with government agencies, including Medicare and Medicaid programs.
- Processed accounts to identify appropriate actions for third-party payers, including workers' compensation and commercial payers.
- Reconciled balances and payments between insurance companies and client systems.
- Monitored daily productivity standards for assigned accounts to ensure compliance.
Revenue Cycle Representative
Aerotek Staffing/OutSource Group & Conifer Health
St. Louis
01.2013 - 01.2015
- Resolved payer rejections and denials via appeals process to enhance claims acceptance.
- Exceeded productivity metrics and maintained high-quality standards in all tasks.
Medicare Collection Specialist
Office Team Staffing/United Seating & Mobility
St. Louis
01.2012 - 01.2013
- Facilitated accurate charge and payment entry within electronic health record system.
- Coordinated with providers to resolve incomplete information for effective claim adjudication.
Insurance Claims Representative
Abbott Ambulance/PBS
St. Louis
01.2011 - 01.2012
- Executed initial setup and provided ongoing management of claims within claims management system.
- Conducted thorough investigations and evaluations to complete coverage analysis, confirming or denying coverage.
Education
Certificate - Certified Clinical Research Professional
Tenet Health
Certified Medical Assistant -
AL-MED Academy
Skills
- Claims processing
- Insurance verification
- Revenue cycle management
- Insurance Follow Up
- Billing Management
- Insurance Collections
- Patient registration
- Coordinating documents
- Attention to detail
- Problem solving
- Team Leadership
- Inventory Maintenance
Technical Systems
- Epic
- VIWeb
- AS-400
- ACE
- Availity
- E-premis
Timeline
Lead Hospital Revenue Cycle Representative
Conifer Health Solutions/Tenet
01.2015 - Current
Revenue Cycle Representative
Aerotek Staffing/OutSource Group & Conifer Health
01.2013 - 01.2015
Medicare Collection Specialist
Office Team Staffing/United Seating & Mobility
01.2012 - 01.2013
Insurance Claims Representative
Abbott Ambulance/PBS
01.2011 - 01.2012
Certificate - Certified Clinical Research Professional
Tenet Health
Certified Medical Assistant -
AL-MED Academy