Tameka Harris
Patient Access Representative
Houston,US
Summary
Dynamic and results-driven professional with extensive experience at United Health Services, excelling in customer service and healthcare systems navigation. Proven track record of maintaining a 95% member satisfaction score while effectively managing high-volume communications. Strong problem-solving abilities and advanced MS Office skills contribute to streamlined processes and enhanced service delivery.
Overview
11
11
years of professional experience
3
3
Certifications
Work History
Sr. Customer Service Representative (Remote)
United Health Services
03.2020 - 02.2025
- Reviewed and researched incoming healthcare claim calls rom providers and members, ensuring accurate processing of pricing, prior authorization, and applicable benefits. Maintained a 95% member satisfaction score.
- Managed a high volume of daily emails (100+), providing accurate information to members and internal stakeholders. Proactively resolved escalated claims by coordinating with providers, payers, and internal departments, leading to quick resolutions and satisfied members.
- Used CRM tools, various systems, and databases to analyze claims, check authorizations, and accurately document interactions, streamlining workflows and improving service quality.
Patient Access Representative
West Oaks Hospital
09.2017 - 02.2020
- Take care of patient registration by collecting demographic information, verifying insurance coverage, and obtaining prior authorizations. Collaborate with clinical staff to ensure a smooth and efficient patient flow. Schedule appointments and coordinate referrals to other healthcare providers.
- Effectively assisted patients with billing processes and payment resolutions, streamlined scheduling to reduce wait times by 15%, and managed over 30 daily customer interactions across in-person meetings, emails, and phone calls with professionalism and efficiency.
- Demonstrated excellent problem-solving skills by identifying potential bottlenecks within the registration process and implementing effective solutions to address them.
Research and Resolution Specialist (Hybrid)
Gexa Energy
09.2013 - 08.2017
- Streamlined resolution processes by establishing clear guidelines, leading to faster outcomes and improved customer satisfaction. Simultaneously, conducted in-depth analysis of recurring issues to develop proactive strategies, effectively minimizing future complaints and enhancing overall service efficiency.
- Implemented effective communication skills to deescalate high-tension situations, fostering positive relationships between customers and the company.
- Maintained detailed records of all interactions and resolutions for future reference and analysis purposes, improving overall efficiency in handling similar cases down the road.
Education
Associate of Science - Business Administration And Management
University of Phoenix
Phoenix, Arizona (Online) 05.2001 -
Skills
- Advanced MS Office skills
- Verbal and written communication
- Healthcare systems navigation
- HIPAA compliance
- Eligibility determination
- Strong empathy
- Customer service
- Multitasking and organization
- Email management
- Interpersonal skills
- Calm and professional under pressure
- Active listening
Accomplishments
- Improved Retention Rates: Successfully retained 95% of customer accounts by implementing follow-up strategies and resolving concerns efficiently.
- Enhanced Customer Satisfaction: Increased customer satisfaction scores by 15% through proactive issue resolution and personalized service.
Certification
Certified Customer Experience Professional
Timeline
Certified Customer Experience Professional
05-2023
Advanced Service Leadership Training Course
10-2021
(MOS) Microsoft Office Specialist Associate
06-2020
Sr. Customer Service Representative (Remote)
United Health Services
03.2020 - 02.2025
Patient Access Representative
West Oaks Hospital
09.2017 - 02.2020
Research and Resolution Specialist (Hybrid)
Gexa Energy
09.2013 - 08.2017
Associate of Science - Business Administration And Management
University of Phoenix
05.2001 -
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