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Raynetta Jones

@raynettajones

Healthcare revenue cycle professional specializing in denial management and patient access.

United States
Message

What I'm looking for

I am seeking a revenue cycle role where I can reduce denials, improve processes, train staff, and use EPIC to protect revenue and enhance patient experience.

I am a healthcare revenue cycle professional with over 10 years' experience in denial management, insurance verification, and patient access services. I have a proven record of investigating and resolving claim denials, collaborating with payers and internal teams, and using EPIC Systems to maintain accurate patient records and streamline workflows.

I am recognized for strong problem-solving, patient advocacy, and process improvement initiatives that reduce rework and prevent revenue loss. I have supported high-volume outpatient operations, trained staff on EPIC and payer requirements, and upheld HIPAA and payer compliance across clinical and administrative settings.

Experience

Work history, roles, and key accomplishments

LC

Registration Specialist

Loyola University Medical Center

Jul 2018 - Aug 2024 (6 years 1 month)

Investigated and resolved insurance claim denials and partnered with billing/coding to reduce rework, improving reimbursement accuracy; verified eligibility and obtained authorizations to prevent avoidable denials across 30+ outpatient clinics.

Education

Degrees, certifications, and relevant coursework

MC

Malcolm X College

Applied Associate of Science, Radiography

Completed an Applied Associate of Science in Radiography with coursework and training focused on radiographic procedures and patient imaging.

JS

John Marshall Law School High School

Associate of Arts, General Studies

Completed an Associate of Arts (Transfer Degree) in General Studies preparing for further postsecondary education.

Tech stack

Software and tools used professionally

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Raynetta Jones - Registration Specialist - Loyola University Medical Center | Himalayas