Tamika Taylor
Newnan
Summary
Customer service oriented professional with a strong background in medical administration. Ensures smooth patient flow by meticulously reviewing intake materials for accuracy and completeness. Demonstrates the ability to build and maintain strong working relationships, consistently delivering the highest quality work. Proficient in Microsoft Office Suite/Word with a typing speed of 40WPM. Experienced in LivePeople Chat and well-versed in HIPAA Compliance, Electronic Medical Records, Medical Records Management, Encoder Pro, Insurance Verification, Appointment Scheduling, Filing, and Processing Co-Payments.
Overview
16
16
years of professional experience
Work History
Member Service Representative
Alignment Healthcare
11.2024 - Current
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Provided exceptional service through active listening, understanding member needs, and offering appropriate solutions.
- Enhanced customer satisfaction by efficiently addressing and resolving inquiries and concerns.
- Maintained high-quality service by adhering to company policies and standards in all member interactions.
Medical Claims Specialist
Elevance Health
03.2021 - 09.2024
- Expertly employ medical terminology in communication.
- Ensured compliance with HIPAA standards.
- Ensured accuracy of medical insurance start and end dates.
- Provided accurate and timely responses to customer inquiries through live chat.
- Assessed claims records and forms to confirm patient medical insurance.
- Determine benefits and initiate processes for medical claims adjudication.
Sales Manager
First Envision Optics LLC
10.2017 - 03.2021
- Served as an assistant manager to the general manager.
- Supported seamless customer interactions by preserving orderly sales floor layout.
- Facilitated payment transactions, operated cash register efficiently, and assisted with purchases.
- Captured accurate measurements to customize eyewear solutions.
OD Technician Coordinator / Sales Associate
Vision Works
12.2014 - 10.2017
- Welcomed patients and visitors, effectively managed phone calls, arranged appointments.
- Documented and managed demographic data utilizing Crystal software.
- Managed inventory and replenishment of contact lens stock.
- Calibrated machines and equipment to ensure optimal performance daily.
- Aided contact patients throughout informational training.
- Supervised three OD Technicians.
Assembly Line Worker/Production
EGO North America
02.2012 - 01.2014
- Assembles parts and subassemblies to create high-quality components.
- Employ various equipment and hand implements to construct assemblies.
- Maintained cleanliness and functionality of work area and equipment.
Scheduling Specialist / Administrative Support
Intercall, Inc
03.2009 - 07.2010
- Executed administrative responsibilities, managed and routed customer calls, and prepared call lists.
- Maintained accurate records of all operator activity periods.
Education
Associate of Science - Health Care Management
Ultimate Medical Academy
Tampa, FL05.2016
High school or equivalent -
Griffin High School
Griffin, GA05.2001
Skills
- Microsoft Office
- Telephone Skills
- Microsoft Word
- Sales
- Insurance
- CPT Coding
- Troubleshooting
- Inside Sales
- Live Chat
- Customer Service
- Assistant Sales Manager
- Records Management
- Insurance Verification
- Medical Terminology
- Office Equipment
Personal Information
- Willing To Relocate: Anywhere
- Authorized To Work: US for any employer
Timeline
Member Service Representative
Alignment Healthcare
11.2024 - Current
Medical Claims Specialist
Elevance Health
03.2021 - 09.2024
Sales Manager
First Envision Optics LLC
10.2017 - 03.2021
OD Technician Coordinator / Sales Associate
Vision Works
12.2014 - 10.2017
Assembly Line Worker/Production
EGO North America
02.2012 - 01.2014
Scheduling Specialist / Administrative Support
Intercall, Inc
03.2009 - 07.2010
Associate of Science - Health Care Management
Ultimate Medical Academy
High school or equivalent -
Griffin High School
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