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TYYANIA JONES
3110 Mt Zion Rd Apt 1107
Stockbridge, Ga 30281
918-409-5684
TSJONES29@YAHOO.COM
OBJECTIVE
TO OBTAIN A POSITON WITH A PROGRESSIVE ORGANIZATION THAT WILL BROADEN
MY SCOPE OF RESPONSIBILITIES AND ENHANCE MY SKILLS. ALSO TO USE THE
SKILLS GAINED TO ASSIST THE COMPANY IN ACHIEVING THEIR GOALS WHICH WILL
PROMOTE COMPANY GROWTH AND FINANCIAL STABILITY.
SKILLS PROFILE
Ability to operate copier, fax and email
Knowledge of and experience with Microsoft office and IDX
Good filing and organizational skills
Experience in handling taking payments for billing
Ability to Assist patients with best possible solution
Good customer-relations background
EMPLOYMENT HISTORY
Customer Service Commercial Business Rep
First Data Corp Tulsa, Ok
09-96 to 12-98
Demonstrate and possess strong interpersonal skills.
Analyze and evaluate customer relation issues to determine the most efficient & effective
possible solution.
Provided exceptional verbal communications with businesses.
Assist businesses with billing inquiries for gas card statements.
Customer Service Associate/Team Leader 12-98 to 12-99
Sun tech Inc Tulsa, Ok
Managed high volume verbal communication with customers, provided troubleshooting
technical support for phone lines.
A team leader responsible for motivating co-workers to produce high quantities with quality
customer service.
Assisted with technical guidance for new personnel.
Assisted with billing issues do to long distance billing.
Customer Service Rep 12-99 to 06-01
West Teleservices Tulsa, Ok
Assisted customers with online billing and technical support for AOL.
Analyzed and provided customer with best possible solution for online product support.
Provided a positive and encouraging environment for my co-workers and managers.
Utilized windows Microsoft and internet applications.
Collection Billing Specialists 06-
01 to 02-02
Metris Companies Tulsa, Ok
Provided best possible solution for customer financial needs.
Take prompt payments to help customers avoid further debt.
Assisted customers with billing inquiries for credit card statements.
Organized and prepared customer portfolio statements for future financial organization.
Customer Service Billing And Technical Support Rep 01-03
to 08-04
Cox Communications Tulsa, Ok
Assisted customers with billing inquiries for cable and internet services.
Provided customers with technical support for cable electronic devices.
Analyzed and helped customers with best possible services for their personal needs.
Assisted co-workers in handling high volume calls and customer communications to provide
guidance on how to reduce stress.
Admitting Rep/Insurance specialists 09-07 to
05-11
St Francis Hospital Tulsa, Ok
Assist patients on pre-registration before scheduled appointments.
Obtain authorizations from insurance companies prior to appointments.
Contact insurance companies for patient benefits and utilize insurance websites for
insurance information.
Work day to day with doctor office to obtain clinical and paperwork for patient appointments.
Provides patient and doctor offices with CPT/Procedure codes for proper coding and billing.
Assist with Icd-9 codes.
Assist patients with procedure amounts and collect payments for services, also setup budget
plans if needed.
Handles hospital pricing sheet on day to day basis and assist patients with correct amounts.
Admitting Rep/Insurance Specialist 05-11 to 02-12
SouthCrest Hospital Tulsa, Ok
Register patients for outpatient and inpatient stays, outpatient testing.
Collect patient demographics, medical insurance information.
Contact medical insurance companies for benefits and authorizations.
Collect patient portion for procedures.
Collect clinical and medical records from doctor offices.
Assist patient to department for surgery and outpatient testing.
Customer Advocate 02-12 to 07-12
Kelly Services Tulsa, Ok
Assist members with benefit questions for medical insurance.
Contact providers to inquire on claims processed and payments.
Assist members with finding providers in their network.
Conduct research on accounts for members inquiries concerning claims processed.
Assist members with membership questions.
Client Assist Advocate II 08-12 to 05-16
BlueCross and BlueShield Of Oklahoma
Answer Phones and assist Marketing Reps, Group administrators, And Brokers/Producers
with eligibility/enrollment questions, claims, benefits, and provider inquiries.
Respond to email inquiries within a timely manner.
Help in assisting Brokers/Producers and Group administrators with PHI/Authorization form
approvals.
Research members accounts for any discrepancies with coding, benefits, and
eligibility/enrollment.
Process and adjust claims according to members benefits.
Contact and speak with members and providers to resolve complex issues concerning members
claims and benefits. Correct claims due to any errors.
Liason for Marketing Reps, Group administrators and Broker/Producers on members behalf.
Education
1991-1996
Memorial High School
High School Diploma 1995
OSU Okmulgee Tech-Legal secretary
1995-1996
Contact and speak with members and providers to resolve complex issues concerning members
claims and benefits. Correct claims due to any errors.
Liason for Marketing Reps, Group administrators and Broker/Producers on members behalf.
Education
1991-1996
Memorial High School
High School Diploma 1995
OSU Okmulgee Tech-Legal secretary
1995-1996

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TYYANIA JONES RESUME FOR CUSTOMER SERVICE AND INSURANCE POSITIONS

  • 1. TYYANIA JONES 3110 Mt Zion Rd Apt 1107 Stockbridge, Ga 30281 918-409-5684 TSJONES29@YAHOO.COM OBJECTIVE TO OBTAIN A POSITON WITH A PROGRESSIVE ORGANIZATION THAT WILL BROADEN MY SCOPE OF RESPONSIBILITIES AND ENHANCE MY SKILLS. ALSO TO USE THE SKILLS GAINED TO ASSIST THE COMPANY IN ACHIEVING THEIR GOALS WHICH WILL PROMOTE COMPANY GROWTH AND FINANCIAL STABILITY. SKILLS PROFILE Ability to operate copier, fax and email Knowledge of and experience with Microsoft office and IDX Good filing and organizational skills Experience in handling taking payments for billing Ability to Assist patients with best possible solution Good customer-relations background EMPLOYMENT HISTORY Customer Service Commercial Business Rep First Data Corp Tulsa, Ok 09-96 to 12-98 Demonstrate and possess strong interpersonal skills. Analyze and evaluate customer relation issues to determine the most efficient & effective possible solution. Provided exceptional verbal communications with businesses. Assist businesses with billing inquiries for gas card statements. Customer Service Associate/Team Leader 12-98 to 12-99 Sun tech Inc Tulsa, Ok Managed high volume verbal communication with customers, provided troubleshooting technical support for phone lines.
  • 2. A team leader responsible for motivating co-workers to produce high quantities with quality customer service. Assisted with technical guidance for new personnel. Assisted with billing issues do to long distance billing. Customer Service Rep 12-99 to 06-01 West Teleservices Tulsa, Ok Assisted customers with online billing and technical support for AOL. Analyzed and provided customer with best possible solution for online product support. Provided a positive and encouraging environment for my co-workers and managers. Utilized windows Microsoft and internet applications. Collection Billing Specialists 06- 01 to 02-02 Metris Companies Tulsa, Ok Provided best possible solution for customer financial needs. Take prompt payments to help customers avoid further debt. Assisted customers with billing inquiries for credit card statements. Organized and prepared customer portfolio statements for future financial organization. Customer Service Billing And Technical Support Rep 01-03 to 08-04 Cox Communications Tulsa, Ok Assisted customers with billing inquiries for cable and internet services. Provided customers with technical support for cable electronic devices. Analyzed and helped customers with best possible services for their personal needs. Assisted co-workers in handling high volume calls and customer communications to provide guidance on how to reduce stress. Admitting Rep/Insurance specialists 09-07 to
  • 3. 05-11 St Francis Hospital Tulsa, Ok Assist patients on pre-registration before scheduled appointments. Obtain authorizations from insurance companies prior to appointments. Contact insurance companies for patient benefits and utilize insurance websites for insurance information. Work day to day with doctor office to obtain clinical and paperwork for patient appointments. Provides patient and doctor offices with CPT/Procedure codes for proper coding and billing. Assist with Icd-9 codes. Assist patients with procedure amounts and collect payments for services, also setup budget plans if needed. Handles hospital pricing sheet on day to day basis and assist patients with correct amounts. Admitting Rep/Insurance Specialist 05-11 to 02-12 SouthCrest Hospital Tulsa, Ok Register patients for outpatient and inpatient stays, outpatient testing. Collect patient demographics, medical insurance information. Contact medical insurance companies for benefits and authorizations. Collect patient portion for procedures. Collect clinical and medical records from doctor offices. Assist patient to department for surgery and outpatient testing. Customer Advocate 02-12 to 07-12 Kelly Services Tulsa, Ok Assist members with benefit questions for medical insurance. Contact providers to inquire on claims processed and payments.
  • 4. Assist members with finding providers in their network. Conduct research on accounts for members inquiries concerning claims processed. Assist members with membership questions. Client Assist Advocate II 08-12 to 05-16 BlueCross and BlueShield Of Oklahoma Answer Phones and assist Marketing Reps, Group administrators, And Brokers/Producers with eligibility/enrollment questions, claims, benefits, and provider inquiries. Respond to email inquiries within a timely manner. Help in assisting Brokers/Producers and Group administrators with PHI/Authorization form approvals. Research members accounts for any discrepancies with coding, benefits, and eligibility/enrollment. Process and adjust claims according to members benefits.
  • 5. Contact and speak with members and providers to resolve complex issues concerning members claims and benefits. Correct claims due to any errors. Liason for Marketing Reps, Group administrators and Broker/Producers on members behalf. Education 1991-1996 Memorial High School High School Diploma 1995 OSU Okmulgee Tech-Legal secretary 1995-1996
  • 6. Contact and speak with members and providers to resolve complex issues concerning members claims and benefits. Correct claims due to any errors. Liason for Marketing Reps, Group administrators and Broker/Producers on members behalf. Education 1991-1996 Memorial High School High School Diploma 1995 OSU Okmulgee Tech-Legal secretary 1995-1996