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ZACK JONES 1221 General Macarthur Drive  Brentwood, TN  (760) 315-0493 
zacktenn@gmail.com
RESEARCH ASSISTANT /FULL-TIME STUDENT
14 Year Military Veteran  Honor Roll Student  Student of the Month
 Fourteen years Military training reinforced by serving for three branches (NAVY, Air Force & ARMY)
 Credentials include prerequisites in Political Science, Medical Assisting and Health Care Management.
 Passion for providing quality patient care and understanding the values & commitments needed in the
healthcare field.
o CPT/ICD-9 Coding
o Injections
o Patient Vitals
o Urinalysis
o MS Excel
o MS Access
o Health Star beta-tester
o Performed EKG’s
o Patient Assessments
o Chief Complaints
o Knowledge of HIPAA/ OSHA
o MS Word
o MS Visio
o FACETS
o Patient
Education
o CPR Certified
o Procedure
Preparation
o Records
Management
o MACESS
Experience
Devry University, Nashville, TN JAN 2014-Present
Health Care Administration (BS) specialized in Health Care Management
- Managed Care and Health Insurance - survey the development of health insurance products and managed-care
approaches to the financing and delivery of healthcare services.
- Healthcare Policy - the political, social and economic influences on public healthcare
- Marketing - the principles and strategies for successfully marketing products and services.
- Principles of Management - foundation for understanding and applying traditional management theories in
formal and informal organizational structures.
- Budgeting and Forecasting — Design and implement departmental and long-term budgets, accounting for
resource expenditures based on actual processes.
- Human Resource Management — Explore techniques essential to managing corporate human resources,
including resource planning, staffing and rewards, as well as developing and maintaining positions and people.
Research Assistant II, Nashville, TN SEP 2014-Present
Amerigroup
- Electronic Visit Verification (EVV) alert processing
- Conduct member outreach to ensure caregiver and state compliance
- Conduct provider outreach to ensure caregiver and state compliance
- Working knowledge of FACETS claims process, MACESS, CareCompass, and various SharePoint sites
- Research member Plans of Care for appropriate service code and service dates/times to support alert processing
- Utilizes various software for researching and resolving received alerts and EVV issues
- 1 0f 2 Health Star beta testers for Amerigroup
- Contributory in Health Star testing and implementation
- Research and help resolve Health Star pilot provider issues including claims processing
- Wrote “Manual Confirmation” Standard Operating Procedure for Health Star EVV team and quality/auditing team
- Research and correct EVV provider issues for EVV management
- Applied and awaiting acceptance to Amerigroup leadership program
Medical Billing/Coding, Franklin, TN JAN 2014-AUG 2014
Franklin Billing Specialist
- Coded and billed PT doctor’s visits
- Processed over 50 tickets per day
- Credentialed Williamson Medical Group (15 specialists total) with all major insurance companies
- Resolved unpaid claims with PT and insurance companies
- Updated provider CAQHs for credentialing purposes
- Accessed multiple insurance companies databases for PT and enrollment verification
Patient Visit Coordinator, Franklin, TN AUG 2013-JAN 2014
Sporti Pediatrics, Sports and Dance Medicine
- Customer Service
- Front Desk Duties: PT check-in, booking/scheduling appointments, opening and closing clinic, answering
phones
- Managed PT appointments to ensure PT flow efficiency
- Completed end of day financial statements for billing company
- Completed EMR training in Aprima and Tiger
- Created and integrated Standard Operating Procedures (SOP) for clinic
- Created and generated ALL office forms to be used by clinic
- Maintained and adjusted operations, forms, and clinic duties as necessary
- Created front desk employee schedule
Medical Support Assistant, San Diego, CA MAY 2012-MAY 2013
Naval Medical Center San Diego – Department of Cardiology
- Customer service
- Identifying patients needing urgent intervention and alerting nursing staff
- Completed classes in AHLTA, CHCS (PAS and PAS SUP)
- Front Desk Duties: Patient check-in, booking/scheduling appointments, opening clinic, answering phones
- Creating provider schedules
- Appointing consults
- Life-watch monitor ordering
- Updating provider waitlists
- Entering Telephone consults
- Ensuring accuracy while entering prescriptions
- Cath teachings for PTs undergoing procedures
Medical Assistant, San Diego, CA JAN 2012-MAY 2012
Naval Medical Center San Diego – Department of Cardiology
- Worked in the EKG tracing clinic for six weeks performing EKGs and vital signs on well over 100 patients per day
- Properly attached electrodes to patient’s chest for both 12 and 3 lead EKG monitoring
- Managed flow of patients to ensure they were seen by providers in a timely manner
- Reported abnormal vital signs and EKGs to appropriate providers
- Matched completed EKG tracings to the correct request and proper appointment paperwork
- Ensured patient privacy both personal and records (HIPAA)
- Explained procedures to patients clearly and answered questions
- Retrieved past EKGs from Muse system
US NAVY, Bremerton, WA 2005-2009
Storekeeper
Air National Guard, Brentwood, TN 2002-2005
Aircraft Loadmaster (C-130)
US ARMY, Colorado Springs, CO 1998-2002
Military Police Officer
ARMY National Guard, Murfreesboro, TN 1996-1998
Military Police Officer
Education & Credentials
Devry University, Nashville, TN 2014-present
Health Care Administration (BS)
Dean’s List
Concorde Career College, San Diego, CA 2011-2012
Medical Assistant
Dean’s List, Honor Roll, Perfect Attendance & Student of the Month Recipient
Palomar Community College, San Marcos, CA 2011-2012
Political Science
Awards & Achievements
• Air Force Air Medal • GWT Expeditionary Medal • National Defense Medal- 2
• Aerial Achievement Medal • GWT Service Medal • Overseas Tour Ribbon
• NAVY Good Conduct Medal • ARMY Service Medal • Air Force Service Medal
• Air Force Service Ribbon • Letter of Commendation • Student of the Month
• Deans List- 3 • Honor Roll • Perfect Attendance- 5
• Certificate of Achievement-
5
• US NAVY SAWD Award • Surface Warfare Award
• Aviation Warfare Award
• Spot bonus award through
Amerigroup
• V.P. Commendation • Honorable Discharge

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AmerigoupResume

  • 1. ZACK JONES 1221 General Macarthur Drive  Brentwood, TN  (760) 315-0493  zacktenn@gmail.com RESEARCH ASSISTANT /FULL-TIME STUDENT 14 Year Military Veteran  Honor Roll Student  Student of the Month  Fourteen years Military training reinforced by serving for three branches (NAVY, Air Force & ARMY)  Credentials include prerequisites in Political Science, Medical Assisting and Health Care Management.  Passion for providing quality patient care and understanding the values & commitments needed in the healthcare field. o CPT/ICD-9 Coding o Injections o Patient Vitals o Urinalysis o MS Excel o MS Access o Health Star beta-tester o Performed EKG’s o Patient Assessments o Chief Complaints o Knowledge of HIPAA/ OSHA o MS Word o MS Visio o FACETS o Patient Education o CPR Certified o Procedure Preparation o Records Management o MACESS Experience Devry University, Nashville, TN JAN 2014-Present Health Care Administration (BS) specialized in Health Care Management - Managed Care and Health Insurance - survey the development of health insurance products and managed-care approaches to the financing and delivery of healthcare services. - Healthcare Policy - the political, social and economic influences on public healthcare - Marketing - the principles and strategies for successfully marketing products and services. - Principles of Management - foundation for understanding and applying traditional management theories in formal and informal organizational structures. - Budgeting and Forecasting — Design and implement departmental and long-term budgets, accounting for resource expenditures based on actual processes. - Human Resource Management — Explore techniques essential to managing corporate human resources, including resource planning, staffing and rewards, as well as developing and maintaining positions and people. Research Assistant II, Nashville, TN SEP 2014-Present Amerigroup - Electronic Visit Verification (EVV) alert processing - Conduct member outreach to ensure caregiver and state compliance - Conduct provider outreach to ensure caregiver and state compliance - Working knowledge of FACETS claims process, MACESS, CareCompass, and various SharePoint sites - Research member Plans of Care for appropriate service code and service dates/times to support alert processing - Utilizes various software for researching and resolving received alerts and EVV issues - 1 0f 2 Health Star beta testers for Amerigroup - Contributory in Health Star testing and implementation - Research and help resolve Health Star pilot provider issues including claims processing - Wrote “Manual Confirmation” Standard Operating Procedure for Health Star EVV team and quality/auditing team - Research and correct EVV provider issues for EVV management - Applied and awaiting acceptance to Amerigroup leadership program
  • 2. Medical Billing/Coding, Franklin, TN JAN 2014-AUG 2014 Franklin Billing Specialist - Coded and billed PT doctor’s visits - Processed over 50 tickets per day - Credentialed Williamson Medical Group (15 specialists total) with all major insurance companies - Resolved unpaid claims with PT and insurance companies - Updated provider CAQHs for credentialing purposes - Accessed multiple insurance companies databases for PT and enrollment verification Patient Visit Coordinator, Franklin, TN AUG 2013-JAN 2014 Sporti Pediatrics, Sports and Dance Medicine - Customer Service - Front Desk Duties: PT check-in, booking/scheduling appointments, opening and closing clinic, answering phones - Managed PT appointments to ensure PT flow efficiency - Completed end of day financial statements for billing company - Completed EMR training in Aprima and Tiger - Created and integrated Standard Operating Procedures (SOP) for clinic - Created and generated ALL office forms to be used by clinic - Maintained and adjusted operations, forms, and clinic duties as necessary - Created front desk employee schedule Medical Support Assistant, San Diego, CA MAY 2012-MAY 2013 Naval Medical Center San Diego – Department of Cardiology - Customer service - Identifying patients needing urgent intervention and alerting nursing staff - Completed classes in AHLTA, CHCS (PAS and PAS SUP) - Front Desk Duties: Patient check-in, booking/scheduling appointments, opening clinic, answering phones - Creating provider schedules - Appointing consults - Life-watch monitor ordering - Updating provider waitlists - Entering Telephone consults - Ensuring accuracy while entering prescriptions - Cath teachings for PTs undergoing procedures Medical Assistant, San Diego, CA JAN 2012-MAY 2012 Naval Medical Center San Diego – Department of Cardiology - Worked in the EKG tracing clinic for six weeks performing EKGs and vital signs on well over 100 patients per day - Properly attached electrodes to patient’s chest for both 12 and 3 lead EKG monitoring - Managed flow of patients to ensure they were seen by providers in a timely manner - Reported abnormal vital signs and EKGs to appropriate providers - Matched completed EKG tracings to the correct request and proper appointment paperwork - Ensured patient privacy both personal and records (HIPAA) - Explained procedures to patients clearly and answered questions - Retrieved past EKGs from Muse system US NAVY, Bremerton, WA 2005-2009 Storekeeper Air National Guard, Brentwood, TN 2002-2005 Aircraft Loadmaster (C-130) US ARMY, Colorado Springs, CO 1998-2002 Military Police Officer
  • 3. ARMY National Guard, Murfreesboro, TN 1996-1998 Military Police Officer Education & Credentials Devry University, Nashville, TN 2014-present Health Care Administration (BS) Dean’s List Concorde Career College, San Diego, CA 2011-2012 Medical Assistant Dean’s List, Honor Roll, Perfect Attendance & Student of the Month Recipient Palomar Community College, San Marcos, CA 2011-2012 Political Science Awards & Achievements • Air Force Air Medal • GWT Expeditionary Medal • National Defense Medal- 2 • Aerial Achievement Medal • GWT Service Medal • Overseas Tour Ribbon • NAVY Good Conduct Medal • ARMY Service Medal • Air Force Service Medal • Air Force Service Ribbon • Letter of Commendation • Student of the Month • Deans List- 3 • Honor Roll • Perfect Attendance- 5 • Certificate of Achievement- 5 • US NAVY SAWD Award • Surface Warfare Award • Aviation Warfare Award • Spot bonus award through Amerigroup • V.P. Commendation • Honorable Discharge