Tonya Terry
Nashville
Summary
Dynamic Insurance Verifications Representative at Amsurg LLC, recognized for enhancing claim processing efficiency and reducing denials through meticulous follow-up and patient communication. Proven expertise in HIPAA compliance and a strong commitment to customer service, ensuring accurate insurance verifications and fostering positive relationships with clients and colleagues alike.
Overview
17
17
years of professional experience
Work History
Insurance Verifications Representative
Amsurg LLC
06.2024 - Current
- Prevented revenue loss by identifying potential coverage issues and informing appropriate parties in a timely manner.
- Achieved faster claim processing times through diligent follow-up on pending authorizations and referrals.
- Streamlined internal communications between departments through effective use of email, phone calls, and in-person meetings to discuss insurance verification updates or concerns.
- Increased overall accuracy of billing department''s work through close collaboration with colleagues on complex cases requiring additional research or clarification on coverage specifics.
- Resolved discrepancies in insurance claims by efficiently communicating with patients and carriers.
- Maintained up-to-date knowledge of insurance policies, regulations, and industry trends to provide accurate information to clients.
- Contributed to office productivity by managing high volumes of inbound calls for insurance verifications.
- Enhanced customer satisfaction with prompt and accurate insurance verifications for medical services.
- Ensured regulatory compliance by maintaining confidentiality of sensitive patient information during the verification process.
- Reduced claim denials by thoroughly reviewing patient eligibility and coverage details.
- Updated patient records with accurate, current insurance policy information.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
Tax Consultant
ABC Tax Services
01.2008 - Current
- Facilitated smooth communication between clients and taxing authorities during inquiries or disputes, achieving favorable outcomes.
- Streamlined tax preparation process for increased efficiency and accuracy.
- Educated clients about the impact of life events on their taxes, helping them make informed decisions.
- Evaluated client financial records to identify opportunities for reducing taxable income through strategic planning.
- Maintained positive relationships with both existing and prospective clientele through excellent customer service and responsiveness.
- Reduced client tax liabilities by identifying applicable deductions and credits.
- Identified discrepancies in client records that could trigger audits or result in missed deductions or credits.
- Advised clients on best practices for maintaining compliance with changing tax regulations, avoiding costly penalties.
- Provided expert guidance to clients during audits, minimizing potential penalties and interest charges.
- Furnished taxpayers with sufficient information and advice to facilitate correct tax form completion.
Care Taker
Care At Home
08.2020 - 06.2024
- Provided compassionate care to residents, assisting with daily tasks such as meal preparation and personal grooming.
- Remained alert to problems or health issues of clients and competently responded.
- Developed strong relationships with residents and families, fostering trust and open communication.
- Monitored and maintained cleanliness, sanitation, and organization of assigned station and service areas.
- Recorded temperature, blood pressure, pulse, or respiration rate as directed by medical or nursing staff.
- Maintained accurate records of activities, incidents, and resident information for regulatory compliance.
- Improved resident satisfaction by promptly addressing maintenance requests and ensuring a clean living environment.
Receptionist
Salon Mogul
01.2014 - 10.2018
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Confirmed appointments, communicated with clients, and updated client records.
- Answered phone promptly and directed incoming calls to correct offices.
- Kept reception area clean and neat to give visitors positive first impression.
- Resolved customer problems and complaints.
- Handled cash transactions and maintained sales and payments records accurately.
- Streamlined front desk operations for increased efficiency by effectively managing phone calls, emails, and walk-in clients.
- Responded to inquiries from callers seeking information.
- Maintained a well-organized reception area with updated materials, contributing to a welcoming environment for visitors.
- Answered central telephone system and directed calls accordingly.
- Supported office efficiency by performing clerical tasks such as data entry, photocopying, scanning, and faxing documents.
- Demonstrated strong multitasking abilities while managing numerous tasks simultaneously under tight deadlines.
- Managed multiple tasks and met time-sensitive deadlines.
- Maintained confidentiality of information regarding clients and company.
- Provided administrative support to staff members by handling correspondence, filing documents, and managing office supplies inventory.
Education
Criminal Justice
Tennessee State University
Nashville, TN05-2010
Skills
- HIPAA compliance
- Claims processing
- Microsoft office
- Follow-up skills
- Accuracy and precision
- Confidentiality
- Customer service
- Attention to detail
- Coverage and authorizations
- Data entry and review
- Patient communication
- Communication and interpersonal skills
- Patient confidentiality
Timeline
Insurance Verifications Representative
Amsurg LLC
06.2024 - Current
Care Taker
Care At Home
08.2020 - 06.2024
Receptionist
Salon Mogul
01.2014 - 10.2018
Tax Consultant
ABC Tax Services
01.2008 - Current
Criminal Justice
Tennessee State University
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