Summary
Overview
Work History
Education
Skills
RELEVANT EXPERIENCE
Timeline
Generic

Ta'Nia Perow-Carter

Conyers

Summary

Medical Administrative professional looking for an opportunity in a healthcare setting that will utilize skills and professional experience.

Knowledgeable Desired Position with robust background in pharmaceutical sales and relationship management. Proven track record of effectively promoting medical products and building strong professional relationships with healthcare providers. Demonstrated expertise in strategic communication and product knowledge to drive sales and exceed targets.

Achieved industry-leading customer and revenue growth by leveraging top-notch abilities in networking and lead development. Demonstrated success in converting prospects into customers, servicing accounts and maintaining consistent sales levels. Skilled relationship-builder, communicator and multitasker.

Experienced with navigating healthcare insurance systems to secure treatment approvals. Utilizes keen attention to detail and extensive knowledge of medical coding to streamline processes. Strong understanding of insurance guidelines and patient advocacy to ensure optimal outcomes.

Professional in healthcare administration with strong background in managing authorization processes. Adept at ensuring compliance, streamlining workflows, and mitigating risks. Consistent track record of fostering team collaboration and achieving results in dynamic environments. Skilled in navigating complex systems, prioritizing tasks, and maintaining high standards of accuracy and efficiency.

Reliable Prior Authorization Specialist with over Number years of experience working in fast-paced, Type clinical environments. Bilingual professional with skill in prior authorization for patients, finding solutions to issues and tackling work tasks in busy office.

Overview

2026
2026
years of professional experience

Work History

Customer Service Representative

Elevance Health
Atlanta, GA
2021 - Current
  • Resolved customer inquiries and issues efficiently through effective communication and problem-solving skills.
  • Guided customers through product selections, enhancing their overall experience and satisfaction.
  • Processed orders and returns accurately while maintaining detailed records of transactions.
  • Trained new team members on customer service protocols and company policies to ensure consistent service quality.
  • Implemented feedback systems for continuous improvement in customer interaction strategies.
  • Collaborated with cross-functional teams to address complex customer concerns swiftly and effectively.
  • Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
  • Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
  • Responded to customer requests for products, services, and company information.
  • Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
  • Developed strong product knowledge to provide informed recommendations based on individual customer needs.
  • Developed rapport with customers through active listening skills, leading to higher retention rates and positive feedback from clients.
  • Exceeded performance metrics consistently, earning recognition as a top performer within the team.

Outbound/Warehouse

Amazon
05.2021 - 2022
  • Process Orders for Customers
  • Package Shipping Labels

Prior Authorization Specialist

Rose International / CVS
11.2020 - 05.2021
  • Call Center Inbound/Outbound
  • Verify Patient Information
  • Documentation
  • Authorizing Medication for Criteria Form on Question
  • Make sure the information is correct on work instructions
  • Run test claim on medication to see is a p/a is required
  • People Safe/ a/s 400 trained Cas

Paramount Staffing Atlanta Ga/ Kaiser Permanente
01.2020 - 09.2020
  • Medical Administrative
  • Call Center Inbound/Outbound
  • Verify Patient Information
  • Intake Payment for premium
  • Documentation
  • Handling for Members Compliments/Complaints

Customer Service Representative

Pridestaff/DGS, Conyers Ga
03.2019 - 08.2019
  • Calling Center Inbound
  • Verify Patient information
  • Making sure speaking with correct patient
  • Complying with HIPAA

Customer Service Representative 2

Teletech/ Allstate, Englewood Co
08.2017 - 04.2018
  • Verified Insurance
  • Add/Remove vehicle to policy
  • Verify Coverage
  • Take Payments
  • Answer inbound calls concerning billing questions about customers policy
  • Collection on pass due account
  • Process verification to send to customer by email

Medical Insurance Verifier

Bay Area Credit, Kennesaw Ga
03.2016 - 12.2016
  • Verify insurance
  • Call Carrier
  • Verify coverage for DOS
  • Collections
  • Patient Registration
  • Benefits Administration

Customer Service Assistance

Walmart, Stone Mountain, GA
09.2007 - 04.2016
  • Responsible for handling guest complaints and compliments.
  • Return merchandise to shelves, accept returns/exchanges, refund money and maintain a balanced cash drawer.
  • Activate gift cards, phone cards and handle requests for money orders.
  • Assist the customers with finding items they couldn't find.
  • Made sure the customers have a pleasant shopping experience

Customer Service Supervisor

Kroger, Lilburn, GA
04.2004 - 04.2007
  • Conferred with customers by telephone or in person to provide information about products or services.
  • Checked to ensure that appropriate changes were made to resolve customers' problems.
  • Kept records of customer interactions or transactions, recorded details of inquiries, complaints, or comments, as well as actions taken.
  • Resolved customers' service or billing complaints by performing activities such as exchanging merchandise, refunding money, or adjusting bills.
  • Assigned work schedules, following work requirements, to ensure quality and timely delivery of service.
  • Trained workers in proper operational procedures and functions and explained company policies.

Education

Medical Insurance Billing and Coding Diploma - undefined

Everest Institute
Norcross, GA

Medical Administration

Gwinnett College
Lilburn, Ga
10.2019

Skills

  • ICD-9 & CPT /HCPCS Coding
  • CMS/1500/UB04/UB92
  • Benefits Administration
  • Claims Submission
  • Microsoft Office Suite
  • Keyboarding 65 wpm
  • Scheduling
  • Patient Check In/Out
  • Charting/Filing
  • Insurance Verification
  • Collections
  • Multiline Phone System
  • EHR/Collaborate MD
  • Patient Registration

RELEVANT EXPERIENCE

New Century Hospice, Maintained medical records, technical library, or correspondence files., Greeted patients, ascertain purpose of visit and directed them to appropriate staff., Compiled medical charts, reports/correspondence using computer., Received and routed messages or documents to appropriate staff., Answered multi line phone systems and assisted patients via telephone and in person., 200 Extern Hours

Timeline

Outbound/Warehouse

Amazon
05.2021 - 2022

Prior Authorization Specialist

Rose International / CVS
11.2020 - 05.2021

Paramount Staffing Atlanta Ga/ Kaiser Permanente
01.2020 - 09.2020

Customer Service Representative

Pridestaff/DGS, Conyers Ga
03.2019 - 08.2019

Customer Service Representative 2

Teletech/ Allstate, Englewood Co
08.2017 - 04.2018

Medical Insurance Verifier

Bay Area Credit, Kennesaw Ga
03.2016 - 12.2016

Customer Service Assistance

Walmart, Stone Mountain, GA
09.2007 - 04.2016

Customer Service Supervisor

Kroger, Lilburn, GA
04.2004 - 04.2007

Medical Insurance Billing and Coding Diploma - undefined

Everest Institute

Medical Administration

Gwinnett College

Customer Service Representative

Elevance Health
2021 - Current
Ta'Nia Perow-Carter