Tamesia Kennedy
Eden
Summary
Authorized to work in the US for any employer
Knowledgeable patient representative offers demonstrated skills in case management and service coordination. Expertly handles complaints, inquiries and service questions to meet patients' access needs and correct problems related to care. Well-versed in policies, procedures and standards.
Dedicated employee known for punctuality, pursuing employment options where good customer service and positive attitude will make a difference.
Overview
9
9
years of professional experience
Work History
Patient Access Representative
Conifer Health Solutions
04.2022 - 02.2024
- Worked in Epic systems, Nthrive systems, ace systems, Vweb systems, etc
- Experienced in Microsoft systems
- Authorization
- Appeals
- Obtains and inputs complete and accurate patient, guarantor and insurance information which includes verification of existing information regarding personal and employer information
- Ensures all necessary forms are completed for each patient, all signatures are obtained and each patient receives an armband at the time of registration
- Performs insurance verifications on insurance that is entered into a patient’s account
- Acknowledges all external and internal calls as soon as possible and operates the telephone system in an efficient, courteous manner to process telephone communications for patients, physicians, personnel and the general public.
Forklift Operator
Home Depot
04.2017 - 03.2022
- Completes provider payer enrollment/credentialing and recredentialing with all identified payers in a timely manner
- Handles highly sensitive and confidential information regarding professional provider
- Resolves enrollment issues through collaboration with physicians, non-physicians, office staff, management, contracting, insurers, and others as identified
- Maintains positive working relationships with providers
- Plays an active role in explaining and informing providers about insurance
- Obtains updated provider information from various sources including provider offices, state licensing boards, malpractice insurance companies, residency training programs, etc
- Identifies and resolves problems with primary source verification elements by interpreting, analyzing, and researching data
- Proactively obtains updated provider credentialing data prior to expiration
- Creates, develops, and maintains applicable matrices and/or utilizes departmental software that supports the enrollment functions
- Completes all additions, updates, and deletions
- Supports new provider onboarding processes as related to enrollment
- Provides updates to on-site practice management staff and others with any changes to requirements for credentialing individual providers based on government and commercial payer credentialing processes
- Proactively communicated any changes regarding contracting as it relates to enrollment and operations
- Communicates updated payer enrollment information including payer provider numbers to practice operations in a timely manner while fostering working relationships and team work with departments, vendors, etc
- Establish EFT payments/transfers.
- Safely loaded and unloaded trucks using appropriate forklift attachments, reducing the risk of accidents or injuries.
- Kept warehouse clean and organized by removing debris and returning unused pallets to designated areas.
- Improved warehouse efficiency by skillfully operating forklifts to move, locate, and stack materials.
- Wrapped pallets in plastic wrap and attached merchandise tags to prepare for shipping.
- Transported goods between warehouse locations according to shipment and storage needs.
- Operated forklift in compliance with OSHA guidelines and organizational policies.
- Operated equipment safely and efficiently to prevent damage to items and avoid injuries.
- Unloaded and stacked materials by raising and lowering lifting devices.
Customer Service Representative
Mc Donald’s
05.2015 - 01.2018
- Handle escalated calls, resolving more complex customer issues in a one and done manner
- Answer incoming phone calls from Policyholders, Agents and Third-parties
- Processing and identifying the type of assistance the customer needs
- Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
- Own problem through to resolution on behalf of the customer in real time or through comprehensive and timely follow - up with the member
- Research complex issues across multiple databases and work with support resources to resolve customer issues and / or partner with others to resolve escalated issues
- Meet the performance goals established for the position in the areas of: first call resolution, call quality, efficiency, provider satisfaction, and attendance
- Resolved customer complaints with empathy, resulting in improved satisfaction ratings.
- Collaborated with team members to improve overall response times and service quality.
- Worked flexible hours across night, weekend, and holiday shifts.
- Worked front counter, drive-thru and other areas.
- Took orders, prepared meals, and collected payments.
- Cleaned and maintained all areas of restaurant to promote clean image.
- Kept food preparation area, equipment, and utensils clean and sanitary.
Education
Associate's degree - Insurance billing & coding
Herzing University
Atlanta, GA04.2022
High school diploma -
Effingham High School
Springfield, GA05.2014
Skills
- Insurance Verification
- Medical Billing
- HIPAA
- Accounts Receivable
- Epic (4 years)
- Appeals (4 years)
- Microsoft Word (6 years)
- Microsoft Excel (6 years)
- Microsoft Outlook (6 years)
- Inbound calls (6 years)
- Outbound calling (6 years)
- Customer service (9 years)
- Medical Records
- EMR Systems
- Hospital Experience
- HIPAA Compliance
- Customer Service
- Insurance Billing
- Patient Registration
- Flexible Schedule
- Team Leadership
- Payment Processing
Timeline
Patient Access Representative
Conifer Health Solutions
04.2022 - 02.2024
Forklift Operator
Home Depot
04.2017 - 03.2022
Customer Service Representative
Mc Donald’s
05.2015 - 01.2018
High school diploma -
Effingham High School
Associate's degree - Insurance billing & coding
Herzing University
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