Summary
Overview
Work History
Education
Skills
Timeline
Generic

Crystal Jones

Elkton,MD

Summary

Proven leader in medical billing and patient care coordination at Ambucor Health Solutions, adept in ICD-10 and HIPAA compliance, with a knack for enhancing productivity and reducing payment errors by 98%.

Medical billing professional with proven track record in managing billing operations and ensuring compliance with healthcare regulations. Highly reliable team player focused on effective collaboration and achieving results. Skilled in medical coding, claims processing, and maintaining patient confidentiality.

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Experienced with managing end-to-end medical billing processes. Utilizes comprehensive knowledge of medical coding and insurance claim procedures to ensure accurate billing. Strong understanding of regulatory compliance and revenue cycle optimization.

Results-oriented achiever with proven ability to exceed targets and drive success in fast-paced environments. Combines strategic thinking with hands-on experience to deliver impactful solutions and enhance organizational performance.

Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.

Efficient billing professional with 9 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.

Overview

24
24
years of professional experience

Work History

Medical Billing Coordinator

Ambucor Health Solutions
06.2015 - 12.2024
  • Identified areas for process improvement within the billing department, leading to increased productivity among team members.
  • Ensured compliance with industry regulations by staying current on changes in medical coding guidelines and maintaining accurate records.
  • Leveraged strong organizational skills to maintain comprehensive patient accounts, enabling quick access to relevant information during billing inquiries.
  • Safeguarded sensitive patient data through strict adherence to HIPAA guidelines and implementation of secure record-keeping practices.
  • Assisted in the implementation of new software systems designed to streamline billing processes, leading to increased accuracy and reduced administrative burden on staff members.
  • Effectively resolved disputes regarding coverage eligibility or claim denials through professional communication with patients and insurance representatives alike.
  • Coordinated with clinical teams to ensure proper documentation was received for accurate coding and claim submissions, reducing delays in reimbursements.
  • Reduced claim denials and rejections by conducting thorough audits and addressing discrepancies prior to submission.
  • Verified accuracy of accounts payable payments, resulting in 98% reduction in payment errors and check reissues.
  • Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
  • Maintained accurate records of customer payments.
  • Audited and corrected billing and posting documents for accuracy.

CIED TECH

Ambucor Health Solutions
06.2015 - 12.2024
  • Participated in healthcare management of over 2,000 patients with cardiovascular implanted devices such as Medtronic, Biotronik, Boston Scientific and St Jude (Abbott).
  • Managed dozens of new enrollments daily for new patients.
  • Checked patients account schedules daily and performed appropriate schedule management responsibilities via One View and Medtronic, Biotronik, Boston Scientific and St Jude portals.
  • Troubleshooted patient questions concerning their devices.
  • Maintain inter and intra office communications to support patient care, patient compliance and management.
  • Called patients if needed to send transmissions from their monitors.

Daycare Owner

Jones Day Care Owner
05.2011 - 05.2015
  • Built strong relationships with parents through open communication channels, resulting in increased trust and confidence in the daycare''s services.
  • Demonstrated leadership skills in overseeing the entire home daycare.
  • Led the consistent implementation of rules for behavior and procedures for maintaining order.
  • Administered observation and evaluation of children's performance, behavior, social development, and physical health.
  • Attended to the basic needs of children in a prompt manner while offering various materials and resources for them to explore through application of learning activities and in imaginative play.
  • Prepared and served meals and snacks in adherence to nutritional guidelines.

Child Care Intern

Boys and Girls Club of Newark
01.2014 - 05.2014
  • Provided necessary support in delivering various age appropriate programs and activities.
  • Took part in ensuring safe implementation of all programs and activities which involved conditioning of equipment and facilities concerning age, ability levels, and proper usage of equipment and supplies.
  • Rendered essential assistance in establishing and maintaining productive relationships with parents, school administrators and staff, and other visitors of the club.
  • Proactively engaged in promoting positive identity and strong presence of the club throughout the community.

Consumer Loan Analyst

Bank of New York
10.2000 - 07.2005
  • Streamlined loan application procedures for enhanced client satisfaction and faster processing times.
  • Implemented customer service best practices to provide superior assistance and guidance to borrowers throughout the loan process.
  • Increased efficiency within the department by identifying areas for improvement and recommending appropriate changes to workflow processes.
  • Sustained coordination with customers and branch personnel regarding credit decisions on all business, personal, home equity, auto and secured loan applications.

Education

Bachelor of Science - Behavorial Science

Wilmington University
New Castle, DE
06-2014

Skills

  • ICD-10 knowledge
  • Equipment maintenance
  • Health and safety regulations
  • Patience and empathy
  • Microsoft Excel
  • Organizational growth
  • Documentation review
  • Motivation and initiative
  • Relationship building
  • Observation and assessment
  • HIPAA compliance
  • Computer networking
  • Medical office software proficiency
  • Medical coding expertise
  • CPT coding
  • Scheduling expertise
  • Leadership skills
  • Patient billing procedures
  • Teamwork and collaboration
  • Customer service
  • Organizational skills
  • Billing and collection procedures
  • Multitasking and organization
  • Oral and written comprehension
  • Analytical and critical thinking

Timeline

Medical Billing Coordinator

Ambucor Health Solutions
06.2015 - 12.2024

CIED TECH

Ambucor Health Solutions
06.2015 - 12.2024

Child Care Intern

Boys and Girls Club of Newark
01.2014 - 05.2014

Daycare Owner

Jones Day Care Owner
05.2011 - 05.2015

Consumer Loan Analyst

Bank of New York
10.2000 - 07.2005

Bachelor of Science - Behavorial Science

Wilmington University
Crystal Jones