Updated resume

1. 6952 Rockfield Road ▪ Windsor Mill, MD 21244
(443) 467-2881
latonia.jones1965@gmail.com
LA TONIA ANTOINETTE JONES-BRITT
SUMMARY OF QUALIFICATIONS
 Accurate and timely maintenance of health insurance provider billing
 Excellent customer service skills and skilled at conflict resolution
 Superior knowledge of computer software and strong track record in innovation
 Positive attitude and team player
WORK EXPERIENCE
10/15-04/16 Artech Information Systems LLC Rockville, MD 20871
Billing Analyst – Kaiser Permanente
 Knowledge of Current Procedural Terminology (CPT) and International Classification of
Diseases (ICD-9/10) to evaluate member encounters and assure appointment types, provider
documentation, billing edits, and benefits have resulted in an appropriate statement.
 Performed account review through pre-assigned work queues to expedite payment and/or reverse
denials for expected payments
 Resolved account issues including resubmitting claim if not on file, verify/confirm patient
information for reprocessing, identify information needed to correctly process claim and
generally work through issues in order to process claim as expediently as possible.
 Complied with managed care contracts relating to billing and collection of accounts and
associated state and federal regulations.
 Stayed abreast of ,assist, interprets and communicated changes in regulations pertaining to CMS,
WC, TPL and other regulatory bodies.
 Resolved situations which require research or adaptation of responses in order to resolve
account.
 Contacted patients delinquent in payment of their accounts according to department policy,
documents conversations and correspondence with patient/member in computer system.
 Received and responded to incoming customer calls pertaining to the collection of patient
receivables.
 Offered payment arrangements to delinquent accounts according to Patient Financial Services
guidelines.
 Managed case load by identifying appropriate follow up time lines and next step
 Reviewed and responded to member inquires through member services patient account case
management system.
 Performed other duties as directed
04/11-05/15 Financial Health Strategies Gaithersburg, MD 20878
Billing Specialist
 Worked claim edits for UBs and HCFAs that didn’t release through the clearinghouse.
 Called insurance companies or searched online to verify if patients had primary or other
insurance.
 Worked follow-up on accounts that had no insurance payment.
 Worked denials and rejections on accounts to try to get payments on claims.
 Submitted appeals, claim reconsideration forms, and corrected claims.
 Answered questions, and help team members as needed.

2. L a ToniaJones-Britt
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04/11-10/11 Maxim Healthcare Services Gaithersburg, MD 20878
Billing Specialist - Financial Health Strategies
 Worked claim edits for UBs and HCFAs that didn’t release through the clearinghouse.
 Called insurance companies or searched online to verify if patients had primary or other
insurance.
 Worked follow-up on accounts that had no insurance payment.
 Worked denials and rejections on accounts to try to get payments on claims.
 Submitted appeals, claim reconsideration forms, and corrected claims.
 Answered questions, and help team members as needed.
02/11-03/11 Tesst College of Technology Baltimore, MD
Medical Billing and Coding Externship (160 Hours) – Sinai Hospital, Rubin Institute
 Performed and observed CPT-4, ICD-9 and HCPCS Coding as well as insurance claims for
preparation, processing and follow-up.
 Utilized office equipment and medical software to schedule appointments, verify insurance and
provide patients with referrals.
 Organized, thinned and filed patient records. Responded to requests for information and pulled
files from archives.
04/00-02/06 Erickson Retirement Communities Catonsville, Maryland
Promotion to Exception Process Specialist 06/05-02/06
 Actively worked rejection and denial reports to identify and resolve claims errors.
 Billed charges to Maryland Medical Assistance, HCFA Medicare Part A and B, and third party
payers’.
 Assisted and or performed insurance verification as required.
 Provided customer service to residents and resident representatives, business partners,
community medical centers, and other corporate departments.
 Prepared end-of-the-month reconciliation reports.
 Maintained accounts receivables in the A/R system on a daily basis.
EDUCATION
08/10-04/2011 Tesst College Baltimore, Maryland
Medical Billing & Coding
01/03-05/10 Baltimore City Community College Baltimore, Maryland
Business Management – 62 Credit Hours
ACHIEVEMENTS
Certified Coder - NRCCS
Was on the President’s List at Tesst College – 3.91 average
Received the Silver Level John C. Erickson Award for Innovation