Jonita Edmonds
Charlotte
Summary
Dynamic professional with extensive experience at Florida Blue, excelling in customer service and operational improvement. Proven ability to analyze data trends and enhance process efficiency, while maintaining exceptional attention to detail. Skilled in conflict resolution and proficient in Microsoft Office, consistently delivering high-quality results and fostering positive client relations.
Overview
8
8
years of professional experience
Work History
Service Advocate III, Analyst Intern, HR Intern
Florida Blue
10.2022 - Current
- Implement the Florida Blue Call Strategy to deliver outstanding customer service, addressing members' inquiries and concerns while adhering to established call resolution standards
- Research and resolve service-related inquiries promptly, meeting or exceeding expectations for quality, productivity, and timeliness
- Employ effective questioning, probing, and reasoning techniques to assist members in understanding and resolving their inquiries
- Interacted with members professionally and empathetically to foster positive experiences
- Collaborate with internal teams and resources to provide comprehensive solutions to members' issues
- Reviewed members' enrollment and claims history to ensure accurate billing, enrollment, and application of deductibles and member responsibilities
- Documented member interactions accurately within company systems for comprehensive record-keeping
- Consistently follow up on issues to ensure timely and satisfactory resolution for members.
- Analyzed data trends to support strategic business decisions.
- Utilized analytical tools to evaluate performance metrics and benchmarks.
- Collaborated with team members on project development and implementation.
- Conducted market research to identify emerging industry opportunities.
- Supported cross-functional teams in executing strategic initiatives efficiently.
- Assisted in recruitment processes by screening resumes and scheduling interviews.
- Helped with recruitment by posting job openings, screening resumes and scheduling interviews.
- Supported HR team in maintaining employee records and updating databases regularly.
- Participated in staff meetings to discuss company policies and procedures related to human resources management.
- Tracked vacation days and managed employee benefits for HR team members.
- Provided administrative support to the Human Resources department including filing, data entry and record keeping.
Claims Processor
FirstSource
03.2022 - 05.2022
- Reviewed and processed medical claims submitted by healthcare providers, ensuring accuracy and compliance with payer policies
- Conducted comprehensive claims investigations, including verifying patient information, coverage eligibility, and medical coding accuracy
- Utilized claims processing software and databases to adjudicate claims accurately, ensuring timely reimbursement for healthcare providers
- Collaborated with insurance companies, providers, and internal teams to resolve claims discrepancies, enhancing communication and service efficiency
- Implemented efficient claims processing workflows, reducing turnaround time and enhancing productivity
- Maintained a high level of quality control and accuracy in claims processing, resulting in a consistently low error rate
- Trained and onboarded new claims processing staff, reinforcing adherence to company standards and improving team readiness.
Accounts Receivable Specialist
Labcorp
09.2021 - 02.2022
- Produced A/R and A/P aging reports, income and P&L statements, and sales projection reports for management weekly, monthly, and annually to inform financial decision-making
- Make bank deposits, reconcile bank statements, and post deposits to A/R accounts
- Designed specialized Excel spreadsheets that used PivotTables and Graphs to display data for future sales projections and special pricing quotes
- Audited accounts payable for accuracy in billing and proper coding to general ledger accounts, ensuring compliance and reducing discrepancies
- Identified and corrected billing errors in accounts payable records.
- Assigned appropriate codes to vendor bill backs and processed transactions.
- Perform accounts payable functions including coded, audited and reconciled invoices for payment
- Provided analysis reports on customer rebates, enabling the controller to prepare accurate customer profitability reports
- Maintain accounts payable filing system.
Administrative Assistant
Guilford Technical Community College
08.2020 - 08.2021
- Facilitated effective communication between employees and students through electronic, telephone, mail, and direct channels.
- Coordinated phone management, document faxing, file copying, and record filing to ensure smooth office operations.
- Demonstrated capacity to quickly become skilled in organizational processes, workflows, policies and procedures of the company
- Repeatedly met short term deadlines with accuracy, performed data entry, scanned documents, indexed voter registration documents and prepared written correspondence and Excel spreadsheets with a high degree of accuracy
- Executed administrative tasks such as accurate data entry, efficient filing, and organization of office supplies to support daily operations.
Patient Billing Specialist/Accounts Receivable Specialist
LabCorp
10.2018 - 02.2019
- Reviewed clinical documentation/OP notes for accurate coding and entry into the billing system
- Reviewed and updated charges for accuracy and timeliness
- Submitted recommendations for process improvements to enhance billing efficiencies
- Conducted weekly reconciliations and submitted reports identifying completed work and potential improvements
- Conducted weekly audits and collaborated with leadership regarding changes in workflow
- Managed assigned projects from inception to completion
- Organized data for analysis to support decision-making processes.
Education
Associate of Arts - Business Administration Human Resources
Guilford Technical Community College
05-2022
Bachelor of Arts - Business Administration And Management
Strayer University
04-2026
Skills
- Service quality improvement
- Technical support
- Quality assurance management
- Data entry and integrity
- Database management
- Report documentation
- Results execution
- Microsoft Office proficiency
- Critical thinking
- User support services
- Time management
- Attention to detail
- Conflict resolution
- Communication skills
- Training and development
References
References available upon request
Timeline
Service Advocate III, Analyst Intern, HR Intern
Florida Blue
10.2022 - Current
Claims Processor
FirstSource
03.2022 - 05.2022
Accounts Receivable Specialist
Labcorp
09.2021 - 02.2022
Administrative Assistant
Guilford Technical Community College
08.2020 - 08.2021
Patient Billing Specialist/Accounts Receivable Specialist
LabCorp
10.2018 - 02.2019
Associate of Arts - Business Administration Human Resources
Guilford Technical Community College
Bachelor of Arts - Business Administration And Management
Strayer University