Tiana Nubia
San Antonio,TX
Summary
Organized and motivated employee eager to apply time management and organizational skills in various environments. Seeking opportunities to expand skills while facilitating company growth.
Overview
8
8
years of professional experience
Work History
Triage Appeals Analyst
United Healthcare Group
San Antonio, TX
03.2023 - Current
- Identified reasons behind denied claims and worked closely with insurance carriers to promote resolutions.
- Acted as intermediary between insurance companies and customers by researching and assessing information to determine appeal validity.
- Planned and developed data entry documentation and instructions to optimize data delivery.
Customer Service Representative
United Healthcare Group
San Antonio, TX
11.2021 - 03.2023
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
Reception Technician
CSL Plasma
San Antonio, TX
01.2020 - 06.2020
- Offered friendly greetings and assistance to incoming customers.
- Screened and verified visitors for identification credentials and purpose of visit to maintain security of personnel and office environment.
Case Management Assistant
Ernest Health
Corpus Christi, TX
06.2019 - 12.2019
- Prioritized calls, messages and email to smoothly manage case-related communications.
- Managed intake and maintenance of patients' medical records.
- Uploaded, reviewed and tracked daily mail into case management system.
- Handled support tasks such as office supplies and meeting schedules to support senior case managers with workloads.
Certified Nursing Assistant
Post Acute Medical
Corpus Christi, TX
06.2018 - 04.2019
- Facilitated activities of daily living, personal hygiene management, feeding and ambulation.
- Conducted routine checks on patient vitals, blood pressure, blood sugar and heart rate.
- Managed and maintained patient rooms, shared-living areas and nursing stations.
Certified Nursing Assistant
Brookdale Senior Living
Corpus Christi, TX
03.2017 - 12.2017
- Used mobility devices to transport patients.
- Documented activities and recorded information in EMR system.
- Supported non-ambulatory residents in range of motion exercises.
- Observed and reported unusual symptoms and changes to charge nurse.
Education
BBA - Business Management
The University of Texas At San Antonio
San Antonio, TX05-2025
Associate of Arts - Business Management
San Antonio College
San Antonio, TX05.2023
Some College (No Degree) - Diploma
Harold T Branch Academy For Career & Technical Ed
Corpus Christi, TXSkills
- Product management
- Organization and planning
- Database entry
- Fast learner
- Communication skills
- Clinical training
- Medical terminology specialist
- Database management
- Claims trained
- Evidence-Based Decision Making
Timeline
Triage Appeals Analyst
United Healthcare Group
03.2023 - Current
Customer Service Representative
United Healthcare Group
11.2021 - 03.2023
Reception Technician
CSL Plasma
01.2020 - 06.2020
Case Management Assistant
Ernest Health
06.2019 - 12.2019
Certified Nursing Assistant
Post Acute Medical
06.2018 - 04.2019
Certified Nursing Assistant
Brookdale Senior Living
03.2017 - 12.2017
BBA - Business Management
The University of Texas At San Antonio
Associate of Arts - Business Management
San Antonio College
Some College (No Degree) - Diploma
Harold T Branch Academy For Career & Technical Ed
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