Shereika Tucker
Midway
Summary
Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic, adaptability, and exceptional interpersonal skills. Eager to contribute to a dynamic team and support organizational goals.
Overview
19
19
years of professional experience
2003
2003
years of post-secondary education
Work History
Research Liasion Specialist
Acentra Health
Tallahassee
03.2020 - 09.2025
- Facilitated communication between Department of Labor and Acentra Claims Department.
- Adjust medical claim as necessary to expedite payments to medical providers and patients.
- Developed medical claims for Workers patient Compensation programs.
- Maintained accurate records in electronic health systems.
- Assisted in resolving client inquiries and concerns promptly.
- Conducted research into Medical Claims and Authorizarions in order to develop solutions that meet their requirements.
- Prepared detailed documents to trace missing checks and payments. Provide payments status and reissue the payments.
- Responded promptly to queries from Department of Labor regarding medical claims and approvals.
Medical Billing Specialist
Conduent
Tallahassee
09.2012 - 03.2020
- Reviewed medical records for accurate coding and billing processes.
- Processed claims and resolved billing discrepancies effectively.
- Maintained patient confidentiality while handling sensitive information.
- Researched denied claims to determine the cause of denial and corrected errors as needed.
- Processed medical claims using advanced billing software at Conduent.
- Reviewed patient accounts for accuracy and completeness in documentation.
- Assisted in audits by providing necessary documentation and information promptly.
- Adhered to HIPAA regulations when handling confidential patient information.
- Applied payments, adjustments, and denials into medical manager system.
- Maintained detailed records of all billing activities including denials, adjustments, and payments received.
- Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
- Collaborated closely with other departments to resolve claims issues.
- Precisely completed appropriate paperwork and system entry regarding claims.
- Reviewed and verified benefits and eligibility with speed and precision.
- Reviewed patient records for accuracy and completeness of information in medical billing system.
Choice Counseling Specialist
Automated Health Systems Inc.
Tallahassee
10.2010 - 09.2012
- Managed incoming calls and provided accurate information to clients.
- Assisted in resolving customer inquiries and complaints efficiently.
- Documented call details accurately in the customer management system.
- Educated clients on available health services and program options.
- Responded quickly to customer inquiries via email or telephone calls.
- Researched solutions to address customer concerns using online resources or referring them to the appropriate departments within the organization.
- Created reports summarizing daily activities for management review purposes.
- Utilized problem-solving skills when presented with complex technical issues from clients.
- Recorded detailed notes in customer profiles regarding any changes made while assisting them.
- Documented all interactions with customers, including notes on the resolution of each call.
- Developed effective relationships with customers by providing friendly, helpful service.
Call Center Team Leader
ACS Xerox
Tallahassee
01.2007 - 09.2010
- Supervised daily operations of call center team to ensure efficient service delivery.
- Monitored call metrics to identify areas for team improvement and development.
- Resolved escalated customer issues by providing effective solutions and guidance.
- Collaborated with management to implement new strategies for operational efficiency.
- Fostered a positive work environment through team-building activities and recognition programs.
- Motivated and encouraged team members through positive communication and feedback.
- Monitored call volumes and adjusted staffing schedules accordingly during peak periods.
- Maintained records of all calls received, including detailed notes regarding customer inquiries and complaints.
- Answered, screened and processed high volume of calls daily with call management system and web-based communications.
- Maintained strong call control and quickly worked through scripts to address problems.
- Met or exceeded call speed, accuracy and volume benchmarks on consistent basis.
- Participated in the recruitment and selection process for new team members.
- Answered calls with friendly and polite approach to engage callers and deliver exceptional customer service.
Education
Godby High School
Tallahassee, FloridaSkills
- Medical claims processing
- Electronic health records
- Claims resolution techniques
- Customer Service
- HIPAA regulations adherence
- Customer relationship management
- Effective communication
- Problem solving
- Attention to detail
- Team collaboration
- Time management
- Representative experience
- Goal setting
- Proficient in Microsoft Word, Excel
- Data Entry
Timeline
Research Liasion Specialist
Acentra Health
03.2020 - 09.2025
Medical Billing Specialist
Conduent
09.2012 - 03.2020
Choice Counseling Specialist
Automated Health Systems Inc.
10.2010 - 09.2012
Call Center Team Leader
ACS Xerox
01.2007 - 09.2010
Godby High School