Taj’Jenay Edwards
Minnetonka,MN
Summary
Dynamic healthcare professional with a proven track record at Allina Health, excelling in patient scheduling and issue resolution. Demonstrates exceptional attention to detail and effective communication skills, ensuring seamless patient experiences. Adept at analyzing complex claims and providing quality customer service, fostering trust and satisfaction among patients and providers alike.
Overview
9
9
years of professional experience
Work History
Operator/Appointment Scheduler
Allina Health
Coon Rapids, MN
09.2023 - 05.2025
- Managed patient refill request, provided messages and request to providers.
- Assisted patient with scheduling appointments.
- Assisted patient with refill request and billing questions
- Provided patient with knowledge of cancellation of appointment, pharmacy questions and provider intake request.
- Scheduled and confirmed appointments.
Health Plan Specialist
Medica
Minnetonka, MN
03.2019 - 08.2023
- Assist member with submitting replacement Id cards and forms (EOB'S, AUTHORIZATION, CERTIFICATE OF COVERAGE)
- Reviewed and analyzed health care claims to identify discrepancies, errors or frauds.
- Managed the daily workflow of members' enrollment applications and insurance claims.
- Provided technical assistance to providers regarding claim status, billing issues, contractual requirements and other related inquiries.
- Researched and resolved complex customer service issues in a timely manner.
- Maintained up-to-date knowledge of state and federal laws governing health plans.
- Advised customers on their rights under existing healthcare plans.
- Documented all customer interactions according to established protocols.
- Explained coverage options to potential policyholders, answering questions or concerns.
Patient Registration Representative
M Health Fairview
Edina, MN
01.2016 - 06.2018
- Verified insurance coverage to confirm patient coverage for necessary medical services.
- Gathered demographic and insurance information to register patients for medical appointments.
- Imaged and scanned patient and registration documentation into electronic patient records.
- Demonstrated adaptability in handling high-volume periods while maintaining a calm demeanor, resulting in efficient service delivery during peak hours.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff
- Prepared patient charts before visits to facilitate easy access to relevant information for healthcare providers.
- Followed up on missed appointments with patients to reschedule and promote continuity of care.
- Maintained patient confidentiality by adhering to HIPAA regulations and securing sensitive information.
- Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties.
Education
Augusburg Fairview Academy
Minneapolis, MN06.2015
Skills
- Attention to detail
- Problem-solving
- Teamwork and collaboration
- Troubleshooting
- Effective communication
- Quality assurance
- Flexible schedule
- Data entry
- Analytical thinking
- Issue resolution
- Customer service
Timeline
Operator/Appointment Scheduler
Allina Health
09.2023 - 05.2025
Health Plan Specialist
Medica
03.2019 - 08.2023
Patient Registration Representative
M Health Fairview
01.2016 - 06.2018
Augusburg Fairview Academy