Tessie M. Jones
Indianapolis
Summary
Dedicated Medical Assistant with over 10 years in healthcare. Proficient in insurance authorizations and EMR management, fostering effective communication with patients and providers. Committed to enhancing patient outcomes through thorough advocacy and attention to detail.
Overview
10
10
years of professional experience
Work History
Medical Assistant
IU Health Physicians Psychiatry & Behavioral Sciences
Indianapolis
06.2015 - 10.2025
- Obtain prior authorizations for medications and procedures.
- Validated patient information and insurance details.
- Ensured that authorization details are uploaded into the patient’s medical record.
- Analyzed patient medical notes to obtain relevant information and ensure insurance authorizations.
- Proficient in medical terminology CPT and ICD 10 codes.
- Communicated in a professional and respectful manner with insurance companies, providers, and patients related to Prior Authorization processes.
- Initiated contact with payers, and/or payer websites, accessed a variety of systems and tools to secure and validate authorizations.
- Communicate with Pharmaceutical Representatives regarding programs available for medication payment assistance.
- Follow up and secure prior-authorizations prior to service appointments.
- Demonstrate proficiency in medical terminology and general medical office procedures, including HIPAA regulations.
- Review denial reasons and advocate for patients while obtaining approval/denial letters, informing the office of results, and providing appeal services.
- Assist with patient assistance program enrollment for medications.
- Support medical staff in performing procedures and patient care.
- Assist with patient check-in and checkout procedures, documentation, and rooming.
Education
Bachelor of General Studies -
Indiana University Indianapolis
Indianapolis, IndianaMedical Coding Certificate -
Indiana University Indianapolis
Indianapolis, IndianaSkills
- Electronic Medical Records (EMR)
- Microsoft Office
- ICD 10 and CPT coding
- Insurance authorizations and appeals
- Medicare and Medicaid regulations
- Insurance verification, policies and benefits
- Authorization tracking
- Medical terminology
- Critical thinking
- Patient advocacy
- Effective communication
- Attention to detail
- Healthcare compliance
- Prior authorization
- CPR
- Medical records confidentiality
- Emergency procedures
- Preparing specimens and samples
- Direct patient care
- Insurance verification
- Prescription refills
- Certified in basic life support (BLS)
- Medical records management
- Reliable team player
- Medical procedures
- Data entry
Related Experience
Medical Assistant, 06/01/15, 10/01/25, IU Health Physicians Psychiatry & Behavioral Sciences, Indianapolis, IN, Obtain prior authorizations for medications and procedures., Validated patient information and insurance details., Ensured that authorization details are uploaded into the patient’s medical record., Analyzed patient medical notes to obtain relevant information and ensure insurance authorizations., Proficient in medical terminology CPT and ICD 10 codes., Communicated in a professional and respectful manner with insurance companies, providers, and patients related to Prior Authorization processes., Initiated contact with payers, and/or payer websites, accessed a variety of systems and tools to secure and validate authorizations., Communicate with Pharmaceutical Representatives regarding programs available for medication payment assistance., Follow up and secure prior-authorizations prior to service appointments., Demonstrate proficiency in medical terminology and general medical office procedures, including HIPAA regulations., Review denial reasons and advocate for patients while obtaining approval/denial letters, informing the office of results, and providing appeal services., Assist with patient assistance program enrollment for medications., Support medical staff in performing procedures and patient care., Assist with patient check-in and checkout procedures, documentation, and rooming.
Timeline
Medical Assistant
IU Health Physicians Psychiatry & Behavioral Sciences
06.2015 - 10.2025
Bachelor of General Studies -
Indiana University Indianapolis
Medical Coding Certificate -
Indiana University Indianapolis