Leniece Tomlinson
Summary
Dynamic and dedicated Medical Assistant with a proven track record of excellence in individual, team, and organizational settings. Expertise in multitasking and effectively prioritizing workloads with minimal supervision. Committed to delivering high-quality patient care while fostering collaboration and efficiency within healthcare teams.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Certified Clinical Medical Assistant
WellStar Health System
11.2018 - 09.2021
- Conducted comprehensive patient intake, obtaining vital signs, medical histories, and chief complaints to prepare for physician examinations.
- Assisted physicians with a variety of clinical procedures, maintaining a sterile and safe environment.
- Verified insurance details for patients, minimizing billing errors and ensuring accurate claims submission.
- Interpreted medical terminology and ICD-10 codes to accurately document patient information in EHR systems.
- Organized patient charts and documentation to support office efficiency and reduce administrative delays.
Certified Medical Assistant
Women's Health Institute of Stockbridge
07.2017 - 11.2018
- Managed the complete patient verification process, ensuring all medical histories and documentation were accurate and complete.
- Identified gaps in patient treatment plans and collaborated with physicians to improve compliance.
- Educated patients on insurance coverage and healthcare plans to improve understanding of benefits.
- Coordinated and processed insurance authorizations to facilitate efficient scheduling.
Administrative Medical Assistant
South Dekalb Family Physicians
09.2010 - 07.2017
- Managed and maintained accurate patient documentation, ensuring full compliance with medical and insurance standards.
- Processed insurance claims and obtained prior authorizations for procedures and referrals.
- Streamlined office workflows and patient record management to improve operational efficiency.
- Assisted in scheduling and verifying insurance for patient referrals, ensuring all necessary authorizations were obtained.
Education
Bachelor of Science - Health Informatics
Mercer University
Macon, GASkills
- Clinical Skills: Patient Intake & Vitals, Specimen Collection, Sterile Technique, Procedure Assistance, Patient Education
- Administrative Skills: EHR (eClinicalWorks, Epic), Patient Scheduling, Insurance Verification & Authorization,Medical Records Management
- Patient Care: Appointment Coordination, Triage, Empathetic Communication, Patient Flow Management
- Professional Skills: HIPAA Compliance, Time Management, Detail-Oriented
Professional Experience
Injury Claims Specialist | State Farm | Remote | Sep 2023 – Present
· Analyze 50+ complex claims weekly, assessing coverage and determining liability through systematic data investigation and documentation review.
· Identify and report on key claims metrics (resolution times, satisfaction scores, trends), providing data-driven insights to management that inform strategic decision-making.
· Identify patterns in claims data to recommend and implement process improvements, resulting in a 10-15% reduction in claim processing time.
· Collaborate with legal and medical professionals to ensure accurate data interpretation for complex claims assessments, improving settlement accuracy.
Casualty Claims Adjuster | Allstate | Remote | Apr 2022 – Feb 2023
· Processed and managed a high-volume caseload of 50 claims per week, ensuring data accuracy in liability and coverage assessments.
· Conducted in-depth interviews to gather and validate data, facilitating a 10-15% faster-than-average claim resolution time.
· Improved data integrity and reduced financial discrepancies by identifying errors and recommending adjustments, which decreased disputes by 12%.
· Generated and delivered clear, actionable monthly reports on over 100 claims to streamline claims management processes.
Inbound Contact Representative | Humana | Remote, GA | Sep 2021 – Feb 2022
· Addressed customer inquiries regarding health and pharmacy benefits, utilizing empathetic communication to achieve a 100% net promoter score for customer satisfaction.
Certification
Certified Medical Assistant (CMA)- NCCT
Timeline
Certified Clinical Medical Assistant
WellStar Health System
11.2018 - 09.2021
Certified Medical Assistant
Women's Health Institute of Stockbridge
07.2017 - 11.2018
Administrative Medical Assistant
South Dekalb Family Physicians
09.2010 - 07.2017
Bachelor of Science - Health Informatics
Mercer University
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