Tamika Rosemond
Baytown,TX
Summary
Patient Representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service.
Overview
14
14
years of professional experience
Work History
Patient Access Associate
Houston Methodist
02.2020 - Current
- Obtain and record accurate demographic and insurance information
- Explain the consent forms, obtain signatures on the forms and respond to any questions in a professional manner
- Consistently take the necessary steps to ensure that protected health information remains private and confidential, according to the HIPPA guidelines
- Collect payments based on pre-determined information
- Perform insurance verification to determine out of pocket expense for services
- Meets goals set by the department (e.g., registration error rate, productivity/activities per hour, etc.)
Grievance & Appeals Analyst I - Remote
Anthem/Amerigroup
02.2020 - 06.2021
- Received the sales allegation complaints (written and verbal), acknowledges receipts as needed, set up the case files in the MCAG database
- Developed the case files and issues resolution based in the review conducted and attach the completed cases files in the appropriate database
- Utilize guidelines and review tools to conduct extensive research for grievance issue(s)
- Completed the review process, presented to Medicare Compliance for finalization and performed the necessary feedback to the appropriate areas on all cases with findings for process improvements
- Rendered determination on assigned cases and completion of the respective written communication documents to convey determination.
Customer Service Representative I - Remote
Anthem/Amerigroup
02.2020 - 06.2021
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Answered constant flow of customer calls with minimal wait times.
- Updated account information to maintain customer records.
- Responded to customer requests for products, services, and company information.
General Manager – Title loans & Personal Loans
TitleMax
08.2014 - 04.2019
- Utilized company programs to manage associates included, training, motivating, evaluating, coaching and team development.
- Verified confidential information and provide alternative financial credit to customers with qualified collateral or documents
- Executed plans to increase positive sales, store growth and profit.
- Reviewed expired accounts and communicate with customers to promote timely payments.
- Monitored and reported weekly, monthly and quarterly on performance and financial information.
- Set specific goals for store performance and customer satisfaction promoting positive customer reviews, mobile app referrals, and notification of maximization of account funds availability.
- Managed inventory at auctions, verbal or by email with (or to) individuals (e.g Keys, title, sales and title documents.)
- Responsible for expeditious reimbursement of open/closed cash registers, performing task as counting money, balancing cash draws, and making deposits.
Acceptance Now - Store Manager
Rent-A-Center
11.2010 - 08.2014
- Provided leadership and guidance to coworkers.
- Organized and followed up on all coworkers to meet needs of the store daily activity including scheduling.
- Utilized company programs to manage coworkers included, training, motivating, evaluating, coaching and developing people.
- Completed appropriate paperwork to ensure customer receives merchandise and partnership store receives payment.
- Executed plans to increase sales and conversion percentage.
- Reviewed expired accounts and communicated with customers to promote timely payments.
- Monitored and reported weekly, monthly and quarterly on performance and financial information.
Customer Service Representative - Assistant Manager
Rent-A-Center
11.2010 - 08.2014
- Ensured a quote is given to the customer during the 3’p process (Identification, Phone, Residency, Employment Income and at least to References.)
- Documented collections calls in High Touch.
- Collected payments internally and externally to keep rental customers current, seek resolution to delinquent account that will allow customers to remain current.
- Responsible for expeditious reimbursements, open/closed cash registers, performing task as counting money, balancing cash draws, and making deposits
- Performed other clerical duties, file organization, computer skills including spreadsheets, mathematical computation, while using Internet and High Touch.
Education
Associate Of Applied Science -
Kingsborough Community College of The City University of New York
Brooklyn, NY01.2009
Diploma -
Brooklyn Academy High School
Brooklyn, NY01.2004
Skills
- Excellent Leadership Skills
- Complaint Handling & Resolution
- High Call Volume & Multi-Task
- Superb Documentation Skills
- Proficient in Various Software
- HIPAA Compliance
- Patient confidentiality
- Claims Processing
- Patient Registration
- Insurance Verification
- Payment Processing
- Medical terminology knowledge
- Records Management
- Pre-Admission Request
- Resolving Problems
Training
- Experienced Program: CensiTrac, TMHP, Epic, LassPass, Availity, Compass, Marx, GBD Facets, ACMP, VAM, Maces, Medisys, BDS, Workforce, DocHub, Verint, COS, Outlook, BOD, OLS, SalesForce, UltiPro, Concur, Lexis Nexis, Excel, Microsoft Word.
- Various office equipment (e.g. conference phones, computers, fax, and printers).
Timeline
Patient Access Associate
Houston Methodist
02.2020 - Current
Grievance & Appeals Analyst I - Remote
Anthem/Amerigroup
02.2020 - 06.2021
Customer Service Representative I - Remote
Anthem/Amerigroup
02.2020 - 06.2021
General Manager – Title loans & Personal Loans
TitleMax
08.2014 - 04.2019
Acceptance Now - Store Manager
Rent-A-Center
11.2010 - 08.2014
Customer Service Representative - Assistant Manager
Rent-A-Center
11.2010 - 08.2014
Associate Of Applied Science -
Kingsborough Community College of The City University of New York
Diploma -
Brooklyn Academy High School
Similar Profiles
Sanjana SureshSanjana Suresh
Intern at Houston Methodist , Baylor Medical Center- HoustonIntern at Houston Methodist , Baylor Medical Center- Houston
Sally SheahanSally Sheahan
Lead Mammography Technologist at Houston Methodist Clear Lake, Houston, TXLead Mammography Technologist at Houston Methodist Clear Lake, Houston, TX
Brenda RodriguezBrenda Rodriguez
Financial Counselor at Houston Methodist Willowbrook MethodistFinancial Counselor at Houston Methodist Willowbrook Methodist
Brittany ChildsBrittany Childs
Patient Access Representative at Houston MethodistPatient Access Representative at Houston Methodist
Suzanne LumusSuzanne Lumus
Patient Registration Specialist at Family First Emergency RoomPatient Registration Specialist at Family First Emergency Room