Tajiana Hood

• Facilitated care coordination for an average of 50+ inpatient cases daily, ensuring timely referrals and patient follow-ups.
• Reduced insurance claim denials by 20% by implementing a pre-verification system for prior authorizations.
• Collaborated with nurses, physicians, and social workers to streamline discharge planning, cutting patient discharge delays by 30%.
• Maintained a 98% accuracy rate in EHR documentation, ensuring compliance with HIPAA and JCAHO standards.
• Trained 5+ new administrative coordinators on case management best practices and insurance policies.

• Processed 100+ batch eligibility files daily for CareFirst BCBS, ensuring 99.5% data accuracy.
• Identified and resolved 30+ eligibility discrepancies per week, improving patient enrollment efficiency.
• Conducted daily audits on eligibility data, reducing processing errors by 15%.

• Managed 150+ delinquent accounts per month, successfully negotiating payment plans and reducing default rates by 15%.

• Improved customer retention by 20% by offering financial education resources and dispute resolution support.

•Investigated 80+ fraudulent transactions daily, identifying fraud patterns and preventing financial losses.

•Reduced false fraud claims by 25% by implementing a customer education initiative.
•Achieved a 97% accuracy rate in fraud case resolutions, enhancing customer trust and retention.

• Assisted 5+ elderly clients with daily living activities, medication adherence, and mobility support.

• Reduced hospital readmissions by 25% by closely monitoring medication compliance and chronic conditions.

•Coordinated care for 60+ patients weekly, ensuring smooth transitions between healthcare services.

• Verified patient insurance coverage for 200+ claims per month, reducing errors and delays in prior authorizations.
• Provided patient education on healthcare benefits, improving patient satisfaction scores by 15%.

• Processed 100+ unemployment claims weekly, ensuring timely benefits distribution.

• Provided comprehensive case management, reducing claim processing times by 20%.

•Managed 100+ disaster relief cases, ensuring timely financial aid to affected individuals.
• Streamlined application processing, cutting response times by 35%.