Aquasha Jones

Well-rounded professional backed by healthcare industry, insurance verification, payment processing, call center, and customer service experience. Serve as initial and ongoing point of contact to deliver high quality customer service. Communicate effectively to build and maintain positive relationships. Act in a highly professional manner and demonstrate commitment to the mission and values of the company.

Eligibility Representative / Customer Service Representative – Remote Call Center at American Specialty Health (2023-11 – 2024-04)

• Verified member eligibility from eligibility file, communications log, and health plan websites or by calling health plan directly when all other resources are exhausted.
• Entered verified member information into communications log and placed outbound follow up calls to providers and members to give results of research.
• Transferred providers to provider queue if question was not related to eligibility.
• Updated member and group records and resolved ASHCore log when process was completed.

Customer Service Representative – Remote Call Center at BroadPath Healthcare Solutions (2022-10 – 2023-04)

• Served as inbound provider service representative to review and educate members on member information, plan and benefit information, coverage, and overview of plans.
• Made outbound calls to Provider Services Departments for review, clarity, and guidance on member claims.
• Abide by HIPAA guidelines to ensure confidentiality of private information.

Customer Service Representative – Call Center at Teleperformance (2021-09 – 2022-10)

• Answered incoming customer calls, listened attentively to concerns, and resolved problems.
• Responded to requests for assistance and processed payments.
• Entered customer data, documented call activities, and assured privacy of sensitive and confidential information.

Registrar / Customer Service at Parallon (2019-04 – 2019-12)

• Registered patients through ER, verified insurance coverage, and accepted co-pays.
• Answered inbound calls on multi-line phone system, faxed documents, and communicated effectively via email.
• Abided by HIPAA guidelines to ensure privacy.

Certified Nursing Assistant / CNA at Harborview Health Systems (2018-12 – 2019-04)

• Took vital signs and assisted with activities of daily living – personal hygiene, mobility, and feeding.
• Communicated and interacted effectively and tactfully with patients, visitors, families, peers, and supervisory staff.
• Documented and reported observations of patient behavior, complaints, and physical symptoms.
• Maintained confidentiality standards of protected health information in accordance with HIPAA guidelines.

Personal Care Assistant / PCA at Public Health Personal Support (2017-06 – 2017-12)

• Assisted with activities of daily living – personal hygiene, mobility, and feeding.
• Handled light housekeeping duties, prepared meals, and ran errands.
• Documented patient condition and activities and any changes to patient care plan.
• Ensured confidentiality and privacy standards of protected health information.

Medical Receptionist

Prior relevant work history includes 2+ years of experience as a Medical Receptionist. Served as initial contact, pulled records, and made sure patient information was accurate and that charts were complete

Associate of Science Degree in Health Sciences – Medical Administrative Assistant – Ultimate Medical Academy (2017)

Diploma in Medical Administrative Assistant – Ultimate Medical Academy (2016)