Dareona Jones
Accounts Receivable Specialist at THE MEDCOR GROUP, INC.- Claim this Profile
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Bio
Experience
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THE MEDCOR GROUP, INC.
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Accounts Receivable Specialist
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May 2023 - Present
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Medical Billing Specialist
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Nov 2022 - Present
Primary Care and Behavior health providing services in verifying health insurance checking for different government plans such as Medicare and its replacement plans for HMO/PPO, and Medicaid plans such as Silver Summit, HPN, Anthem and many more. Also working with commercial insurances like Aetna, UnitedHealthcare, Humana, Cigna and many more. Working Accounts receivables using the provider portals for the insurance information and to check for claim status for payments and denials. As well as calling the insurance companies for reprocessed and corrected claims. Rebilling claims due to rejections and change of patient insurance. Posting payments received from the ERA through the clearinghouse. Calling patients for payments (copayments) and sending out their statements for past due balances. Show less
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Cognizant
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Uzbekistan
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Education
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1 - 100 Employee
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Medical Referral Speicalist
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Jul 2021 - Feb 2023
authorizations for inpatient, outpatient services/surgery and DMEs. These authorizations are built on a portal called Trucare. The members information is retrieved from a different portal called Turning point showing if the CPT code is approved/denied/partially approved. There are guidelines that are to be followed through the states of Florida and Georgia. authorizations for inpatient, outpatient services/surgery and DMEs. These authorizations are built on a portal called Trucare. The members information is retrieved from a different portal called Turning point showing if the CPT code is approved/denied/partially approved. There are guidelines that are to be followed through the states of Florida and Georgia.
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EMC billing
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United States
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Medical Practices
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Medical Biller
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Feb 2020 - Jul 2021
I work for different types of practices, Podiatry, Chiropractic, and Mobile Medical Practices. Account receivable, appeals, checking claim status, and eligibility for insurances. Data entry for new patients, receiving batches of new/est patients organizing paperwork to post new charges. Cash pays when patients are HMO, I check for all Medicare plans includes Medicare replacement and supplement I call insurance companies to verify if they pick up deductible. Knowledge of CPT, ICD codes and HIPPA. Communicating between the front offices with questions about the patients information via email.I also respond to emails from the Doctors office regarding delinquents account. Show less
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Delta Global Services
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Nigeria
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Travel Arrangements
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1 - 100 Employee
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Passenger Service Agent
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Jul 2019 - Mar 2020
Providing excellent customer service, boarding passengers at the gate, scanning boarding passes as well as making announcements to changes made to any flight departures. Ticket sales, assisting guests with booking reservations providing them with fare rules and policies. Collecting passenger's baggage, and verifying their travel destination checking IDs/Passport. Keeping passengers informed with their itinerary and gate information. Education Providing excellent customer service, boarding passengers at the gate, scanning boarding passes as well as making announcements to changes made to any flight departures. Ticket sales, assisting guests with booking reservations providing them with fare rules and policies. Collecting passenger's baggage, and verifying their travel destination checking IDs/Passport. Keeping passengers informed with their itinerary and gate information. Education
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Education
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Northwest Career College
Associate's degree, Health/Health Care Administration/Management -
Northwest Career College
Medical billing and coding, Medical Insurance Specialist/Medical Biller -
LORAIN HIGH SCHOOL DIGITAL ACADEMY
High School Diploma, Psychology