Summary
Overview
Work History
Education
Skills
Certification
Timeline
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Tajuanna McCauley

Stockbridge,GA

Summary

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Experienced leader with strong background in guiding teams, managing complex projects, and achieving strategic objectives. Excels in developing efficient processes, ensuring high standards, and aligning efforts with organizational goals. Known for collaborative approach and commitment to excellence.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Patient Support Agent

Clean Slate Centers
09.2022 - Current


  • Educated patients on the importance of medication adherence, potential side effects, and strategies for managing any challenges that may arise during their recovery process.
  • Provided timely crisis intervention services when needed, effectively de-escalating tense situations and connecting patients with appropriate resources for additional support.
  • Improved patient recovery rates by providing individualized care and support throughout the addiction treatment process.
  • Facilitated strong relationships between patients, family members, and professional support networks to encourage long-term success in recovery efforts.
  • Assisted clients in addressing co-occurring mental health issues by connecting them with appropriate treatment providers and resources.
  • Supported successful transitions from inpatient to outpatient care by assisting with discharge planning and coordinating ongoing support services.
  • Delivered compassionate patient care, focusing on safety, comfort and emotional support.

Care Coordinator/ Ins. Verification Specialist

Great Expressions Dental Centers
10.2018 - 08.2021
  • Provided excellent customer service to patients and healthcare professionals while managing patient scheduling and registration.
  • Ensured compliance with all HIPAA regulations regarding patient privacy and confidentiality.
  • Registered patients by obtaining necessary and accurate financial and demographic information.
  • Created new patient charts to include personal and insurance information and reason for visit.
  • Demonstrated strong organizational skills by accurately entering patient information into the electronic health record system.
  • Provided exceptional customer service to patients, families, and healthcare providers by promptly responding to inquiries, addressing complaints, and resolving issues.
  • Answered questions from patients about their insurance plans or benefits related to treatments provided by the dentists office.
  • Received and processed payments for services rendered, including cash and credit transactions.
  • Verified insurance coverage for treatment procedures, collected co-payments and processed payments accurately.

Claims Representative

Allied Benefits Systems
04.2015 - 08.2018
  • Managed a high volume of incoming calls from customers, providing excellent customer service.
  • Maintained accurate and up-to-date records of claims processing activities..
  • Successfully resolved escalated claim issues to ensure customer satisfaction.
  • Processed and analyzed customer claims with accuracy and attention to detail.
  • Collaborated with internal departments and external vendors to resolve claims.
  • Developed in-depth understanding of insurance policies and procedures.
  • Evaluated insurance claims by conducting thorough investigations and analyzing policy coverage.
  • Verified financial and insurance information using appropriate database retrieval systems.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Developed strong relationships with insurance representatives, facilitating smooth communication channels for resolving inquiries or disputes.

Education

Associate In Science- Prerequisites Completed - Diagnostic Medical Sonography

South College
Atlanta, GA
06.2027

Diploma - Dental Assistant

United Education Institute
Morrow, GA
02.2018

Skills

  • Substance use screening
  • Appointment scheduling
  • Active listening
  • Medical documentation
  • Computer literacy
  • Emergency procedures
  • Patient care standards

Certification

  • Certified Dental Assistant
  • Certified Patient Care Assistant

Timeline

Patient Support Agent

Clean Slate Centers
09.2022 - Current

Care Coordinator/ Ins. Verification Specialist

Great Expressions Dental Centers
10.2018 - 08.2021

Claims Representative

Allied Benefits Systems
04.2015 - 08.2018

Diploma - Dental Assistant

United Education Institute

Associate In Science- Prerequisites Completed - Diagnostic Medical Sonography

South College

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