Roneshia Fitch
La Vergne,TN
Summary
Detail-oriented Human Resources and Healthcare professional with extensive experience in onboarding, full-cycle recruitment, and prior authorization. Proven ability to navigate complex insurance and compliance processes while ensuring timely approvals and a positive employee and patient experience. Skilled in sourcing, interviewing, and onboarding top talent, as well as managing HR functions with accuracy and confidentiality. Recognized for efficiency, strong communication, and a proactive approach to problem-solving in fast-paced environments.
Overview
10
10
years of professional experience
Work History
Onboarding Specialist
Vanderbilt Medical Center
Nashville, Tennessee
04.2025 - Current
- Facilitated new employee orientation sessions to ensure smooth onboarding experience.
- Coordinated onboarding process for multiple departments to enhance team integration.
- Managed documentation and compliance requirements during the onboarding process.
- Collaborated with HR teams to streamline onboarding procedures and improve efficiency.
- Worked closely with human resources department to ensure compliance with company policies regarding hiring practices.
- Assessed new hires for compliance with company, state and federal requirements.
- Conducted background checks and orientation, coordinating new employee onboarding process.
- Assisted candidates with application processes by answering questions about application, performing background checks, providing I-9 forms and handling drug screening paperwork.
Program Support Assistant
Veterans Affairs
Smyrna, TN
02.2024 - Current
- Managed special projects as assigned by Program Management personnel.
- Provided administrative support to program staff and management teams.
- Responsible for the verification of Third Party Payer (TPP) precertification requirements of Veterans' insurance coverage for inpatient, outpatient, prescription, Care in the Community (CIC) authorized medical care, and prosthetics services.
- Reviews, analyzes, researches, and verifies insurance benefits, policy numbers, contact numbers for TPP care.
- Responsible for entering documentation of precertification activities according to established requirements in Claims Tracking.
- Retrieves clinical documentation and data from Veteran's electronic and paper health record that requires additional independent investigation, and judgement.
- Verified accuracy of provider data entered into the system including tax ID numbers, NPI numbers, address changes .
- Assisted claimants, providers and clients with problems or questions regarding claims.
- Assessed coding accuracy, using ICD-10 codes, CPT codes, HCPCS codes, and modifiers.
Recruiting Specialist
TA Staffing
Smyrna, TN
09.2023 - 02.2024
- Developed and executed recruiting plans for various departments.
- Conducted initial phone screens with potential candidates to determine qualifications.
- Identified qualified candidates through sourcing techniques such as job boards, social media, and internal databases.
- Coordinated the onboarding of new hires by preparing paperwork and conducting orientation sessions.
- Maintained accurate records of all recruitment activities in Applicant Tracking System.
- Participated in career fairs to network with potential candidates.
Recruiting Coordinator
HCA Healthcare Inc.
Nashville , TN
08.2021 - 08.2023
- Organized applicant drug tests and obtained results.
- Initialized background checks for potential new hires.
- Managed and updated recruitment ATS and CMS software.
- Contacted job applicants to inform of application status.
- Set up phone and in-person interviews by managing calendar appointments for hiring managers and other key personnel.
- Processed and conducted background checks for prospective employees.
- Collaborated with recruitment and HR professional to achieve hiring goals.
- Assisted customer service with inbound and outbound calls regarding HR inquiries.
- Multiple systems/software to assist
- Work from Home
- Troubleshooting and problem solve HR related inquiries
HR Customer Service Representative
HCA Healthcare Inc.
Nashville, TN
12.2020 - 08.2021
- Created and implemented process improvements to reduce workloads and bolster callback efficiency.
- Escalated customer concerns, store issues and inventory requirements to supervisors.
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
- Asked probing questions to determine service needs and accurately input information into electronic
- Provides support with HR line of business
- Answered incoming calls emails, and chats providing frontline customer support or assistance with product and service transactions.
- Demonstrated excellent communication skills in resolving product and consumer complaints.
Customer Service Associate
Amazon
Seattle, WA
05.2020 - 12.2020
- Delivered fast, friendly and knowledgeable service for routine questions and service complaints.
- Improved productivity by providing CSR performance feedback for corrective action.
- Completed diverse tasks on daily basis to serve customer needs, including processing and issuing money orders, managing returns and exchanges, and logging daily shipments.
- Answered 100 +daily phone calls to resolve customer issues.
- Diminished financial discrepancies and managed monetary transactions, including deposits and credit card transactions.
- Collected, monitored and evaluated customer requirements to achieve desired delivery time and order fill rates.
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
Customer Service Representative
Lincare Holdings Inc.
Nashville, TN
01.2019 - 05.2020
- Delivered high level of service and support to each customer, paving way for future business opportunities.
- Documented conversations with customers to track requests, problems and solutions.
- Greeted customers to facilitate services, determine service needs and accurately input orders into electronic systems.
- Maintained calm, friendly demeanor with upset customers to de-escalate stressful situations.
- Answered customer invoice questions and resolved issues discovered during invoicing and collection process.
- Assessed and resolved variances in accounts, databases and bills.
Claims Representative
United Healthcare
Brentwood, TN
06.2015 - 02.2017
- Review and research claims while operating several computer programs.
- Conducted research into medical terminology related to healthcare claims processing activities.
- Provided clear explanations of benefits, eligibility requirements, and applicable laws when communicating with customers.
- Utilized claims management software to track claims progress and maintain organized documentation.
- Can resolve claim issues in a timely manner Follow up, follow on claim procedures and policies.
- Entered details such as payments, account information and call legs into the computer system.
- Assisted in developing strategies aimed at improving efficiency in the process flow of Claims Processing.
- Denied or paid claims
- Remote
- Processed a high volume of claims on a daily basis using established time frames.
- Performed Quality Assurance checks on processed claims ensuring all edits were resolved prior to submitting them for adjudication and payment.
- Assessed coding accuracy, using ICD-10 codes, CPT codes, HCPCS codes, and modifiers.
- Stayed current on HIPAA regulations, benefits claims processing, medical terminology and other procedures.
Education
High School Diploma -
Lavergne High School
La Vergne, TN05.2008
Skills
- Excel spreadsheets
- Medical terminology
- Insurance eligibility verifications
- Advanced MS Office Suite knowledge
- Strong interpersonal skills
- Self-starter
- Claims appeal procedures
- Time management
- Problem-solving abilities
- Call center experience
- Credit card payment processing
- Quality assurance controls
- Clerical support
- Program support
- Background checks
- Applicant sourcing
- Human resource management systems
- Key partnership management
- Microsoft Office
- Clerical
- Analytical
- Critical thinking
- Multitasking
- Training & development
- Team management
- Organizational skills
- Decision-making
- Policies implementation
- Supervision & leadership
- ICD-10-cM coding
- CPT code mastery
Education and Training
other
Timeline
Onboarding Specialist
Vanderbilt Medical Center
04.2025 - Current
Program Support Assistant
Veterans Affairs
02.2024 - Current
Recruiting Specialist
TA Staffing
09.2023 - 02.2024
Recruiting Coordinator
HCA Healthcare Inc.
08.2021 - 08.2023
HR Customer Service Representative
HCA Healthcare Inc.
12.2020 - 08.2021
Customer Service Associate
Amazon
05.2020 - 12.2020
Customer Service Representative
Lincare Holdings Inc.
01.2019 - 05.2020
Claims Representative
United Healthcare
06.2015 - 02.2017
High School Diploma -
Lavergne High School