Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

Takia Yarbrough

Spring,Texas

Summary

Experienced with resolving complex disputes and managing client relations. Utilizes conflict resolution techniques to address and solve issues efficiently. Track record of effective communication and problem-solving that enhances team performance and client satisfaction.

Overview

13
13
years of professional experience

Work History

Pharmacy Resolution Specialist

Centene
02.2024 - Current
  • Analyzed root causes of recurring issues to implement preventive measures, reducing the number of future complaints.
  • Maintained detailed records of all interactions and resolutions for future reference and analysis purposes, improving overall efficiency in handling similar cases down the road.
  • Assisted colleagues in navigating challenging situations by sharing expertise and offering guidance when requested or needed.
  • Managed high volumes of customer inquiries for efficient resolution, enhancing overall client experience.

Certified Nursing Assistant

Fleet Nurse
06.2020 - Current
  • Handle inquiries and resolve issues related to pharmacy benefits, claims, and prior authorizations.
  • Work with members, providers, and pharmacies to ensure accurate and timely processing of prescriptions.
  • Research complex situations, provide guidance, and escalate issues as necessary.
  • Improved patient satisfaction by providing compassionate assistance with daily activities, such as bathing, dressing, and feeding.
  • Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
  • Increased patient engagement by providing emotional support, companionship, and encouragement during challenging times.
  • Promoted a safe and clean environment by maintaining strict adherence to infection control protocols and sanitation standards.

Senior Resolution Specialist

Optum Insight
01.2019 - 06.2023
  • Conducting investigations into allegations of fraud, waste or abuse committed by clients against our company. Reviewing and researching evidence/documents to analyze the overall fact pattern of claim and synthesize data into a professional report with recommendations. Preparing and coordinating field assignments to obtain relevant evidence and information.

Certified Nurse Aide

St. John's Hospital
11.2014 - 04.2019
  • Provide patients with help walking, exercising, eating and moving in and out of bed. Turn and reposition bedridden patients. Bathe, groom, and shave patients. Transport patients to and from locations. Clean rooms and change linens.
  • Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
  • Evaluated patients to identify and address wounds, behavioral concerns, and medically relevant symptoms.

Patient Financial Service

Midway Corporate
02.2016 - 04.2019
  • Collected payments, applied adjustments, processed medical records, and managed insurance billing.
  • Maintained compliance with industry regulations, ensuring proper handling of sensitive patient data during the billing process.

Certified Nurse Aide

BrightStar Care
12.2012 - 04.2014
  • Performed light housekeeping duties including laundry linen changes sweeping vacuuming and mopping ensuring a clean and organized living space for patients.
  • Assisted clients with daily living activities, enhancing their independence and quality of life.
  • Assisted with meal planning and preparation according to dietary restrictions, meeting nutritional needs while adhering to personal preferences.

Education

Associate of Applied Science - Health Information Technician

Rasmussen University
Bloomington, MN
12-2025

Certificate - Medical Coding And Billing

Rasmussen University
Bloomington, MN
11-2024

Nurse Aide Certification -

Clinton Community College
Clinton, IA
01.2009

Skills

  • De-escalation techniques
  • Assertiveness
  • Conflict resolution skills
  • Document preparation

Accomplishments

    Dean’s List 2024-2025

    Honor Roll 2024-2025

    High GPA:3.81

Timeline

Pharmacy Resolution Specialist

Centene
02.2024 - Current

Certified Nursing Assistant

Fleet Nurse
06.2020 - Current

Senior Resolution Specialist

Optum Insight
01.2019 - 06.2023

Patient Financial Service

Midway Corporate
02.2016 - 04.2019

Certified Nurse Aide

St. John's Hospital
11.2014 - 04.2019

Certified Nurse Aide

BrightStar Care
12.2012 - 04.2014

Associate of Applied Science - Health Information Technician

Rasmussen University

Certificate - Medical Coding And Billing

Rasmussen University

Nurse Aide Certification -

Clinton Community College

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