Keyani Tate
Columbus,USA
Summary
Auditor with 5+ years of healthcare claims experience conducting chart audits, identifying coding mismatches, and resolving denial trends to improve reimbursement accuracy. Applies root-cause analysis and EMR reviews to support appeals and reduce recurring exceptions. Seeks to advance claims integrity and lower denial rates through targeted corrective actions. Positive, upbeat, and adaptable, with strong foundation in medical coding principles and healthcare regulations. Proficient in ICD-10-CM and CPT coding, ensuring accurate and efficient code assignment and compliance with industry standards. Committed to improving patient data integrity and healthcare outcomes through meticulous coding practices.
Overview
6
6
years of professional experience
Work History
Customer Solutions Specialist
Corro Health
07.2022 - 01.2026
- Developed and implemented customer service strategies to enhance client satisfaction and retention.
- Analyzed customer feedback to identify trends and recommend actionable improvements.
- Managed escalated customer inquiries, ensuring timely and effective resolution of complex issues.
- Utilized CRM software to track customer interactions, improving data accuracy and reporting capabilities.
Financial Services Representative
U.S. Bank
09.2022 - 05.2024
- Provided excellent customer service, resolving issues quickly and maintaining long-term client relationships.
- Maintained up-to-date knowledge of industry regulations, trends, and best practices to provide informed advice to clients.
- Trained new team members on company procedures, systems, and best practices for delivering excellent customer service in the financial sector.
Medical Data Claims Specialist
Nehet
09.2021 - 09.2022
- Enhanced customer satisfaction by addressing and resolving financial inquiries in a timely manner.
- Assisted in fraud prevention efforts by closely monitoring customer accounts and reporting suspicious activity as required.
- Contributed to departmental goals by consistently meeting or exceeding individual performance metrics for both quality and quantity of processed claims.
- Leveraged software tools to quickly identify discrepancies, leading to more accurate claims decisions.
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Developed strong relationships with healthcare professionals, fostering trust and cooperation for smoother claims processing.
Healthcare Customer Service Representative
Conduent
10.2019 - 10.2020
- Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
- Enhanced patient satisfaction by efficiently addressing and resolving healthcare-related inquiries.
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Participated in continuing education opportunities related to medical insurance collections, staying current with industry best practices and regulatory changes.
Education
High School Diploma - Phlebotomy
Kendrick High School
Columbus, GA05.2014
Skills
- Critical Decision-making
- Customer service
- HIPAA compliance awareness
- Financial services
- ICD-10-CM coding
- Claim denial resolution
- Data entry
- Claims investigation
Timeline
Financial Services Representative
U.S. Bank
09.2022 - 05.2024
Customer Solutions Specialist
Corro Health
07.2022 - 01.2026
Medical Data Claims Specialist
Nehet
09.2021 - 09.2022
Healthcare Customer Service Representative
Conduent
10.2019 - 10.2020
High School Diploma - Phlebotomy
Kendrick High School