Tabitha Ford
Sioux City,IA
Summary
Dynamic and results-oriented professional with extensive experience in insurance processing and claim management, notably at Siouxland Mental Health Center. Demonstrated expertise in policy review and underwriting alongside exceptional teamwork and problem-solving abilities. Proven track record of enhancing operational efficiency and customer satisfaction through meticulous attention to detail and robust organizational skills.
Overview
9
9
years of professional experience
Work History
Insurance Processor
Siouxland Mental Health Center
Sioux City, IA
11.2021 - Current
- Verified client information by analyzing existing evidence on file.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Posted payments to accounts and maintained records.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Ensured seamless customer service by promptly addressing inquiries and resolving any concerns related to policy updates or claim status.
- Demonstrated exceptional time management skills by juggling multiple priorities while adhering to strict deadlines for claim submissions and other tasks.
- Observed strict procedures to protect sensitive patient information, medical records, and payment data.
- Calculated and issued policyholders' premiums, refunds and adjustments.
- Conducted data entry and recordkeeping to maintain client information.
- Contributed to team-wide goals to improve processes and integrate additional functions into daily operations.
- Streamlined internal communication by maintaining an organized filing system for all documentation and correspondence related to insurance policies and claims.
Insurance Processor
Lincare
North Sioux City, SD
05.2018 - 11.2021
- Verified client information by analyzing existing evidence on file.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Posted payments to accounts and maintained records.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Determined appropriateness of payers to protect organization and minimize risk.
- Executed calls, sent emails and employed other channels to communicate with existing and prospective clients.
- Expedited underwriting processes using standardized templates while working closely with agents and brokers.
Sales Associate
Fleet Farm
Sioux City, IA
05.2017 - 05.2018
- Organized racks and shelves to maintain store visual appeal, engage customers, and promote specific merchandise.
- Handled cash transactions efficiently while adhering to company cash handling policies, ensuring accuracy in all financial exchanges.
- Built relationships with customers to encourage repeat business.
- Managed returns, exchanges and refunds in accordance with store policy.
- Maintained calm demeanor and professionally managed issues in busy, high-stress situations.
- Prepared merchandise for sales floor by pricing or tagging.
- Helped customers locate products and checked store system for merchandise at other sites.
- Answered customer questions about sizing, accessories, and merchandise care.
- Provided positive first impressions to welcome existing, new, and potential customers.
- Rotated stock and restocked shelves to maintain product availability and store appearance.
- Engaged with customers to build rapport and loyalty.
Surgical Instrument Technician
Mercy Medical Center
Sioux City, IA
05.2016 - 05.2017
- Collaborated with surgical teams to optimize instrument setup, resulting in reduced surgery preparation time.
- Developed customized solutions for unique cases, collaborating with surgical teams to ensure the availability of necessary instruments.
- Maintained comprehensive records of instrument usage, repairs, and sterilization cycles to ensure regulatory compliance.
- Reduced instrument repair costs by performing regular preventative maintenance on delicate equipment.
- Streamlined inventory management processes to minimize tool shortages and ensure prompt replacement of damaged items.
- Assisted in maintaining a sterile environment within the operating room through proper handling techniques and adherence to established protocols.
- Fostered a culture of continuous improvement within the department by regularly reviewing processes and implementing best practices in instrument care and handling.
- Utilized advanced automated cleaning systems for efficient removal of organic matter from complex instruments.
- Conducted thorough manual cleaning processes for delicate or specialized equipment not suitable for machine washing.
- Kept abreast of industry advancements, attending professional development courses to enhance knowledge in surgical instrumentation technology.
- Enhanced patient safety through meticulous inspection and maintenance of surgical instruments.
- Contributed to successful surgeries by ensuring timely availability of properly sterilized and functional instruments.
- Improved surgical instrument processing efficiency by implementing a streamlined workflow for sterilization procedures.
Education
High School Diploma -
East High
Sioux City, IA05.2009
Skills
- Policy review
- Underwriting
- Claim processing
- Insurance terminology
- Teamwork
- Teamwork and collaboration
- Problem-solving
- Time management
- Customer service
- Attention to detail
- Problem-solving abilities
- Multitasking
- Claims investigation
- Organizing and prioritizing work
- Reliability
- Excellent communication
- Organizational skills
- Team collaboration
- Adaptability and flexibility
- Effective communication
- Claims processing
- Teamwork skills
- Decision-making
Timeline
Insurance Processor
Siouxland Mental Health Center
11.2021 - Current
Insurance Processor
Lincare
05.2018 - 11.2021
Sales Associate
Fleet Farm
05.2017 - 05.2018
Surgical Instrument Technician
Mercy Medical Center
05.2016 - 05.2017
High School Diploma -
East High