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Delores A Jones

Medical Reimbursement and Coding

Bryant and Stratton College

Address: 2220 Bordeaux Ave Apt A
Gastonia, NC 28056
Phone: 980-238-9580
Email: vision5252@yahoo.com
My Social:

http://mycred.com/p/5720774262/daj5252
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Academic Service: Delores A Jones
SOSC226 Career Development II 10 21 2021.pptx PowerPoint

The different projects demonstrate that I have had to do, show how I met program outcomes and/ institutional outcomes.

I have knowledge of the core concepts, issues, and methods in my field. I have engaged in and conduct original research.

I use relevant information, integrate constructive feedback, and present work to others in an appropriate and effective manner.
I will show how to draw upon ideas and methods of multiple disciplines to create new, integrative, and transformative solutions.
I pursued college with the goal of becoming qualified for a good job—especially because of a career path in mind that makes me excited—and make a decent living. To improve employment opportunities by (91%), make more money (90%), get a good job (89%).
Participate in social, academic, and professional communities for individual growth and to function as a citizen of a multicultural world.

Career Prep & Career plan
Being career-ready college graduate needs to a well-rounded, career-ready job candidate after graduation.
After creating or updating my résumé, I must job hunt my career field using smart search–related skills in addition to field awareness, knowledge, and interest.
Per my training I need experiences outside the classroom like Internships, projects, volunteering.
Both soft and hard skills that align with career interests: Oral communication, teamwork, critical-thinking, and specific technology skills.
Transfer knowledge, skills and behaviors acquired through formal and informal learning and life experiences to new situations

Creating my Professional MyCred I can manage and digitally tell my story of achievement, and back it up with artifacts and real-life examples to faculty, employers, and peers. It will help build credibility, strengthen professional relationships, display accomplishments, and improve professional outcomes. Which set myself apart with a comprehensive ePortfolio.
Employ strategies for reflection on learning and practice in order to adjust learning processes for continual improvement.

What I have learned from Interview Simulation, to maximize the amount of information gathered in the shortest amount of time, increases in accuracy. Has showed me to create a level playing field where I'm given an equal opportunity to succeed.
Employment simulations let me test drive the job and prove that I have the skills to succeed.
Simulations allow me to handle the most challenging issues, to learn from my mistakes without consequences, and experience mastery and success—making a direct impact on job satisfaction, performance, and productivity.
Demonstrate competency to assemble, process, maintain, store, abstract, analyze, index and retrieve health information data.

https://photos.app.goo.gl/AoZxZrJUaTr5HYJ36

211023122629_SOSC226_Career_Development_II_10_21_2021.pptx (.pptx) 0.04mb
Academic Service: Delores A Jones
W6: Portfolio Video Presentation

The different projects demonstrate that I have had to do show how I met program outcomes and/ institutional outcomes.

I have knowledge of the core concepts, issues, and methods in my field. I have engage in and conduct original research.

I use relevant information, integrate constructive feedback, and present work to others in an appropriate and effective manner.
I will show how to draw upon ideas and methods of multiple disciplines to create new, integrative, and transformative solutions.
I pursued college with the goal of becoming qualified for a good job—especially because a career path in mind that makes me excited—and make a decent living. To improve employment opportunities by (91%), make more money (90%), get a good job (89%).
Participate in social, academic, and professional communities for individual growth and to function as a citizen of a multicultural world.

Career Prep & Career plan
Being career-ready college graduate needs to a well-rounded, career-ready job candidate after graduation.
After creating or updating my résumé, I must job hunt my career field using smart search–related skills in addition to field awareness, knowledge, and interest.
Per my training I need experiences outside of the classroom like Internships, projects, volunteering.
Both soft and hard skills that align with career interests: Oral communication, teamwork, critical-thinking, and specific technology skills.
Transfer knowledge, skills and behaviors acquired through formal and informal learning and life experiences to new situations

Creating my Professional MyCred I can manage and digitally tell my story of achievement, and back it up with artifacts and real-life examples to faculty, employers, and peers. Will help build credibility, strengthen professional relationships, display accomplishments, and improve professional outcomes. Which set myself apart with a comprehensive ePortfolio.
Employ strategies for reflection on learning and practice in order to adjust learning processes for continual improvement.

What I have learned from Interview Simulation to maximize the amount of information gathered in shortest amount of time, increases in accuracy. Has showed me to create a level playing field where I'm given an equal opportunity to succeed.
employment simulations let me test drive the job and prove that I have the skills to succeed.
Simulations allow me to handle the most challenging issues, to learn from my mistakes without consequences, and experience mastery and success—making a direct impact on job satisfaction, performance, and productivity.
Demonstrate competency to assemble, process, maintain, store, abstract, analyze, index and retrieve health information data.

https://photos.app.goo.gl/AoZxZrJUaTr5HYJ36

211023121624_SOSC226_Career_Development_II_Wk6_Porrtfolio_Video_Presentation.docx (.docx) 0.01mb
Academic Service: Delores A Jones
SOSC226 – Informal Career Plan
This is my Wk7 SOSC226 – Informal Career Plan View

Academic Service: Delores A Jones
Career Prep
Being career-ready college graduate needs to a well-rounded, career-ready job candidate after graduation. After creating or updating my résumé, I must job hunt my career field using smart search–related skills in addition to field awareness, knowledge, and interest. Per my training I need experiences outside the classroom like Internships, projects, volunteering. Both soft and hard skills that align with career interests: Oral communication, teamwork, critical-thinking, and specific technology skills. View

Academic Service: Delores A Jones
How projects demonstrate that I have met program and/ institutional outcomes.

I have gained knowledge that shows that I have met program and/ institutional outcomes, of the core concepts, issues, and methods in my field. I have engaged in and conduct original research.
Furthermore, I use relevant information, integrate constructive feedback, and present work to others in an appropriate and effective manner.  I will show how to draw upon ideas and methods of multiple disciplines to create new, integrative, and transformative solutions.
I pursued college with the goal of becoming qualified for a good job—especially because of a career path in mind that makes me excited—and make a decent living. To improve employment opportunities by (91%), make more money (90%), get a good job (89%).

Academic Service: Delores A Jones
Creating my Professional MyCred

Creating my Professional MyCred I can manage and digitally tell my story of achievement, and back it up with artifacts and real-life examples to faculty, employers, and peers. It will help build credibility, strengthen professional relationships, display accomplishments, and improve professional outcomes. Which set me apart with a comprehensive portfolio.

Academic Service: Delores A Jones
Mock Interview Simulation

What I have learned from Interview Simulation, to maximize the amount of information gathered in the shortest amount of time, increases in accuracy. Has showed me to create a level playing field where I'm given an equal opportunity to succeed.
Employment simulations let me test drive the job and prove that I have the skills to succeed.
Simulations allow me to handle the most challenging issues, to learn from my mistakes without consequences, and experience mastery and success—making a direct impact on job satisfaction, performance, and productivity.

211017124122_SOSC226_Mock_Interview_Simulation_Mock_Interview_Simulation_Rise_360.pdf (.pdf) 0.03mb
Academic Service: Delores A Jones
Career Prep and Career Plan

Being career-ready college graduate needs to a well-rounded, career-ready job candidate after graduation.
After creating or updating my résumé, I must job hunt my career field using smart search–related skills in addition to field awareness, knowledge, and interest.
Per my training I need experiences outside the classroom like Internships, projects, volunteering.
Both soft and hard skills that align with career interests: Oral communication, teamwork, critical-thinking, and specific technology skills.

211017123213_SOSC_226_Week_2_Career_Plan_Template_Delores_Jones_2_.docx (.docx) 0.03mb
Academic Service: Delores A Jones
Student loan repayment project
During my student loan repayment project I learned how to figure out how I should being to payoff my student loans, in years, and amount. I learned how to figure disposable income, future value, of student loans
Academic Service: Delores A Jones
Computer Assisted Coding Audit
I learned how to work scenarios, making sure that I code patient diagnosis correct. What I learned is that you have to read all the information that is in a patient records. View

Academic Service: Delores A Jones
W7 Computer Assisted Coding Audit
I hope that I did this correct. I tried to pull all the information that was needed. W7 Computer Assisted Coding Audit

Academic Service: Delores A Jones
Elevator Speech

Hello, I'm Delores Jones, currently a student at Bryant and Stratton College, taking an associate's degree in medical reimbursement and coding. I will be graduating in Feb 2022. During my training at Bryant and Stratton College, I have learned about CPT, ICD-10-cms, ICD-10-pcs, HCPCS codes, time management, and medical & diagnosis coding. I have extensive knowledge of the medical field, working in the front and back office, insurance verification, and correcting denied claims. I'm interested in furthering my education, and I'm open to training.  I would like to thank you for this interview and hope that you will consider me as an applicant.

 

 

https://photos.app.goo.gl/xGH7dJuzt7Ux1NbV9

Assignments: Delores A Jones
MCCG222 – Advanced CPT and HCPCS Level II Coding Portfolio Project Coding Template
Rodney Balbo's assignment Emergency Office visit Office Visit Imaging Service Outpatient Surgery #1 Outpatient Surgery #2 View

Courses Taken: Delores A Jones
Semester Courses

ICD Diagnostic Coding 

CPT and HCPCS II Coding 

College Mathematics 

 Clinical Documentation :Integrity & Quality

Advanced ICD Diagnostic Coding 

Evaluation and Management Services 

Career Dev II Theory & Practice 

ICD Procedural Coding

 Workplace Mathematics

Human Disease and Drug Pharmacology

Electronic Health Records

Healthcare terminology

Research and Writing

learning Communities

Computing Skills

Introduction to Reimbursement & Coding

Educational Background: Delores A Jones
SOSC226038 Education Background 10 09 21.docx

Education Background

 

Bryant @ Stratton College

Associate in Medical & Billing Program Online

Syracuse, NY

888-268-8404

Start Date 01/09/2019 Graduate 11/2021

 

 

Gaston College

Belmont, NC

Certificate Basic computer skills for the workplace

Certificate career Readiness for Medical Office Administration

Diploma 07/07/2007

 

Professional Career Development Institute

Norcross, GA

Medical Billing Program

Diploma

03/2004 - Graduated 11/30/2006

 

Texas College of Medical & Dental

9461 LBJ Freeway

Dallas, Texas

Medical Assistant

Diploma

02/1987 -Graduated 09/1987

 

Allstate Business College

Dallas, Texas

Bookkeeping

Diploma

11/1983 - Graduated 05/1985

 

NR Crozier Tech/ Dallas High School

2214 Bryan Street

Dallas, Texas

214-670-4209

Office Procedures

Graduated 1970

 

Saint Peter Academy

Dallas, Texas

Diploma

08/1964 - Graduated 05/1969

211009020429_SOSC226038_Education_Background_10_09_21.docx (.docx) 0.01mb
Employment History: Delores A Jones
SOSC226038 Employment History 10 09 21.docx

12/02/2019 - Present

SCSEP / House of Mercy

This is a Senior Community Service Employment Program

100 McCauley St., Belmont, NC  28012

Office Clerk

 

06/20/2016 - 12/17/2017 Randstad- Convergys

1010111 Claude Freeman Dr., Charlotte, NC  28262

Customer Service for OnStar & Problem Service

 

12/2015 - 06/2016 Unemployed

 

10/20/2015 - 12/2015 Talent Bridge - Lash Group AmerisourceBergen

1636 Woodlawn Rd #262, Charlotte, NC

Account Coordinator

 

12/2014 - 10/2015 Unemployed

 

11/2014 - 12/2014 Randstad - Hewitt Associates

7201 Hewitt Associates Dr., Charlotte, NC  28262

Patient Benefit Claim Processor

 

03/24/2008 - 10/07/2014 Carolinas HealthCare System work from home

5001 Airport Parkway Dr., Charlotte, NC

Medicare and Medicaid follow-up

 

 

07/2007- 03/2008 Hewitt and Associates

7201 Hewitt Associates Dr., Charlotte, NC  28262

401K/ Pension Specialists

 

 

 

211009022140_SOSC226038_Employment_History_10_09_21.docx (.docx) 0.01mb
Goals (Personal & Professional): Delores A Jones
Goals Personal and Professional

Listing my overall goal is to buy my first home and graduate from Bryant and Stratton College with an Associate Degree in Medical Reimbursement and Coding.  After graduating I would like to start my own business working from home doing medical reimbursement and coding for Physician Practices, Nursing Outpatient Facilities, Home care Facilities, Insurance Providers, and other businesses.

211024063936_Goals_Personal_and_Professional.docx (.docx) 0.01mb
My Bio: Delores A Jones
Bio Summary

Delores Jones career with The House of Mercy, gaining unparalleled experience in the HR dept, while also establishing as a respected team member. Currently working as an Office Clerk for The House of Mercy, my current function is employee reference check, Post office run collect, sort mail, and delivering mail, credit card statement reconciliation against receipts, NC Track posting residents stay at the site.

Listing my overall goal is to buy my first home and graduate from Bryant and Stratton College with an Associate Degree in Medical Reimbursement and Coding.

I have worked in the medical field for 15 years doing various positions in Medicare and Medicaid Government Follow-up and Denied Claims, Patient Benefit Claim Processor, Patient Account Coordinator, also have Customer Service experience for 25 years.

Outside of work, I am working on my Associate Degree in Medical Reimbursement and Coding. Sing in church Mass choir, Usher board, single ministry. I love to fish, bowl, ride horses, and play chess

My contact info is email address is vision5252@yahoo.com, http://Delores.Jones69@linkedin.com.

 

211024062033_Bio_Summary.docx (.docx) 0.01mb
READINESS is an eLearning platform that hosts eLearning Centers for various colleges and institutions. The entries below are the specific activities I have completed.
READINESS Certificates: Delores A Jones
Certificate career Readiness

Gaston College, Belmont, NC

Certificate Basic computer skills for the workplace

Certificate career Readiness for Medical Office Administration

Diploma 07/07/2007

Resume & CV: Delores A Jones
SOSC226038 Cover Letter 10 09 21.docx

Delores Jones

2220 Bordeaux Ave #A Gastonia, NC.  28056

704-691-7676 Home 980-238-9580 Cell

vision5252@yahoo.com

 

CaroMont Regional Medical Center

2525 Court Drive

Gastonia, NC  28054

 

RE: Medical billing and Coding

Dear HR Manager

 

I am writing to apply for the Medical Biller position with CaroMont Regional Medical Center. As a skilled medical biller with experience in hospital setting, I am ready to bring my qualifications to work for your hospital. I pride myself on contributing to the provision of quality healthcare by working to obtain payments and reimbursements in a timely manner.

I have worked as Medicaid and Medicare biller in hospital settings for over 8 years. Thus, I am deeply familiar with medical billing processes, including coding. By ensuring that claims are submitted promptly and correctly, I facilitate the payment of reimbursements while cutting down on delays and claim refusals.

In addition to being highly organized, I work well with others. My duties have included speaking with insurance company representatives about potentially problematic claims and working out solutions with providers, insurers, and patients. I also work with patients to create payment plans for the portions of their bills that are not covered by insurance.

I appreciate the time you took to review my application. I hope soon to have the opportunity to tell you more about what I can do for your hospital. You can contact me at (704) 691-7676 home or 980-238-9580 cell, can call any time.

 

Sincerely,

 

Delores Jones

 

Enclosure:  Resume

 

211009105443_SOSC226038_Cover_Letter_10_09_21.docx (.docx) 0.01mb
Resume & CV: Delores A Jones
SOSC226038 WK2 Resume 10 09 2021.docx

Delores Jones

2220 Bordeaux Ave #A Gastonia, NC  28056

704-691-7676 Home 980-238-9580 Cell

vision5252@yahoo.com

 

OBJECTIVE

To obtain a position in your company with growth potential allowing me to utilize skills, abilities and acquired training from previous extensive work experience as I acquire new ones.

 

Employment History

12/02/2019 - Present

SCSEP / House of Mercy

This is a Senior Community Service Employment Program

100 McCauley St.

Belmont, NC  28012

Office Clerk

Office Clerk has primary responsibility for performing clerical duties and assisting House of Mercy administrative staff.

  • 1. Employee verification check, send out emails to new employees for next status in the employee process
  • 2. Post in NC Tracks resident's attendance for the month funding.
  • 3. Check several different systems for donations.
  • 4. Send out Birthday announcements, and prepare employees timesheets
  • 5. Filing and maintaining filing systems as established by the Director of Administration and HR, and basic excel.
  • 6. Collecting mail, sorting, and delivering mail.
  • 7. Post payment donations, post In Kind Gifts donations, 
  • 8. Prepare bank deposit slips, bank reconciliation reports.
  • 9. Typing thank you letters for donations
  • 10. Pick-up grocery for residents, go to Food bank 2nd Harvest, and run resident errands.

 

Maintain polite and professional communication in-person and via phone, e-mail, and mail.

Anticipate the needs of administrative staff in order ensure their seamless and positive experience.

Follows all established rules, regulations, policies, and procedures pertaining to residents and staff at the House of Mercy

 

06/20/2016 - 12/17/2017 Randstad- Convergys

1010111 Claude Freeman Dr.

Charlotte, NC  28262

Customer Service for OnStar & Problem Service

The Customer Service Representative position interfaces with customers via inbound calls, outbound calls, or through the Internet depending upon client requirements. This position provides customer service support and resolution of routine problems regarding client's product or services.

Essential Functions/Core Responsibilities

Ensure service delivered to our customers meets contractual Key Performance Indicator

  • Clarify customer requirements; probe for understanding, use decision-support tools and resources to appropriately provide resolution to the customer.
  • Listen attentively to customer needs and concerns; demonstrate empathy while maximizing opportunity to build rapport with the customer.
  • Greet customers in a courteous, friendly, and professional manner using agreed upon procedures.
  • Maintain basic knowledge of client products and/or services.
  • Prepare complete and accurate work including appropriately notating accounts as required
  • Participate in activities designed to improve customer satisfaction and business performance.
  • May offer additional products and/or services.
  • Track, document and retrieve information in call tracking database.
  • May respond to customer inquiries by referring them to published materials, secondary sources or more senior staff.

 

12/2015 - 06/2016 Unemployed

 

10/20/2015 - 12/2015 Talent Bridge - Lash Group AmerisourceBergen

1636 Woodlawn Rd #262

Charlotte, NC

1-800-357-5274

 

Account Coordinator

The Insurance Verification Coordinator

  • I obtain all pertinent insurance benefit information and/or pre-certification information for patients scheduled to receive services at an Imaging site, center or facility.
  •  Records all benefit and certification information into the applicable computer system and communicates with scheduling in accordance to documented work processes.
  • Coordinates coverage restrictions to prevent payment problems.
  • May assist in training new hire staff. Ensures every customer receives the highest level of customer service.

Specific duties include, but are not limited to:

Responsible for ensuring insurance companies are contacted to complete the verification process through phone calls and/or web-based sites.

Prioritizes workload to ensure deadlines are met. Acts as a source of reference for other team members.

Documents the insurance and authorization verification information in the applicable computer system in accordance with documented work processes.

Ensures any coverage restrictions are documented and addressed to avoid payment problems.

Ensures authorizations /pre-certifications issued are correct.

Provides support for the scheduling and pre-registration departments as needed.

Completes any additional job duties as assigned.

 

12/2014 - 10/2015 Unemployed

 

11/2014 - 12/2014 Randstad - Hewitt Associates

7201 Hewitt Associates Dr

Charlotte, NC  28262

 

Patient Benefit Claim Processor

Enroll employees from AT&T in retirement plans, recording how much they wish to contribute from SSS and personal bank account for medical benefits for employee and family.  Also make changes to the plan when employees request.

 

03/24/2008 - 10/07/2014 Carolinas HealthCare System work from home

5001 Airport Parkway Dr.

Charlotte, NC

Medicare and Medicaid follow-up

Medicare & Medicaid government follow-up Insurance follow-up including payment verification, research check, insurance coverage.  Call insurance companies, customers, during account reconcilement, work reports (CBO edit list, account receivable, self-pay, small balance, CLS reports refiling claims for payment after corrections have been made to claim.)

Worked in different groups include (MMG, Comm sits, OB, Internal Medicine, Urgent Care, Family practice and HSF).  Learned how to create professional claims in the new NC Tracks System.

 

07/2007- 03/2008 Hewitt and Associates

7201 Hewitt Associates Dr

Charlotte, NC  28262

401K/ Pension Specialists

Enroll employees in retirement plans, recording how much they wish to contribute from each paycheck, as well as how they wish to invest the money.

Also make changes to the plan when employees request.  Specialists also answer questions about the retirement plans, including information about eligibility. 

Matching or funding done by the employer and about investing options.

 

211009012439_SOSC226038_WK_2_Resume_10_09_2021.docx (.docx) 0.02mb
Skills: Delores A Jones
SOSC226038 Skills 10/09/21.docx

Cust Serv & Problem Service II (20+ years)

 Insurance verification (10+ years)

 Medicare & Medicaid follow-up (8 + years)

Typing (20 + years)

 Medical Record Tech (2 Years)

 File clerk (10 + years)

 Code denied claims, and refile (8 +years)

 Communication Skills (20 + years)

Proficient in Microsoft Word, PowerPoint, & Excel

Flexibility and adaptability

Employment Verification Check

 

211009014854_SOSC226038_Skills_10_09_21.docx (.docx) 0.01mb
Volunteer, Community & Civic Activity: Delores A Jones
SOSC226038 Volunteer 10 09 21.docx

At the House of Mercy, in Belmont, NC our movement is made up of people of all ages, faiths and abilities, all working side-by-side to ensure that everyone, regardless of gender, income or background, can live life to its fullest.

We value caring, honesty, respect and responsibility, and everything we do stems from this. Our volunteers are kids, parents, grandparents, neighbors, and local leaders who are all personally committed to understanding what our neighborhoods need. Together, we use our knowledge to develop stronger, more inclusive communities, provide support for people, and promote positive change overall.

I volunteer my time to pick up groceries for the residents, picking up personal items, playing games, driving residents to doctor appointments, donating dinners, donating food, donating can goods, buying clothes that residents have on the wish list on our web site, donating money to be used for the upkeep of the resident's courters.

211009032408_Document14_2_.docx (.docx) 0.01mb