Tamika Stevens
Pearland,Texas
Summary
Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Senior Claims Representative
Higher Ops-Texas Children's Health Plan
06.2023 - 08.2023
- Reviewed and processed medical, dental, vision claims for accuracy and completeness.
- Negotiated with providers to resolve discrepancies on claims payments.
- Resolved complex customer issues in a timely manner to ensure customer satisfaction.
- Investigated customer inquiries regarding claim status or payment accuracy.
- Performed quality assurance audits of claims processing activities.
Telephone and Schedule Coordinator
Eye Center Of Texas
Bellaire , TX
03.2015 - 12.2020
- Developed and maintained schedules for multiple departments and locations.
- Created, updated, and tracked project plans to ensure all tasks were completed on time.
- Utilized scheduling software to manage resources and track progress of projects.
- Assigned tasks to team members in accordance with their skillsets and availability.
- Analyzed data from past projects to identify areas for improvement in current initiatives.
- Organized meetings, events, and conferences based on availability of personnel and resources.
- Maintained and organized important files such as purchase orders and invoices.
Him Analyst Clerk II
Harris County Hospital District
Houston , TX
01.2005 - 02.2010
- Management of charts with proper release form for patient care and medical staff
- Health Information Management including but limited to acquiring, analyzing and protecting digital and traditional medical information medical information
- Chart tracking, bar coding and assembly of patient daily discharge records
- Training incoming and existing staff members on various HIM reports
- Assist physicians with completion of medical records deficiencies
- Compiling and filing data
Education
GED -
Houston Community College
Houston, TX06-2022
Some College (No Degree) - Medical Billing And Coding
National Institute of Technology
Houston, TXSome College (No Degree) - Certified Outpatient Coder
Life Changing
Houston, TXSome College (No Degree) - Certified Risk Adjustment Coder
Life Changing
Houston, TXSkills
- Microsoft Office
- Medical Records
- Medical Manager
- Human Relations
- Medical Software
- Anatomy and Physiology
- 3M Coding
- ICD-9CM Coding
- Introduction to Insurance I
- Principals of Insurance I&2
- Electronic Medical Records
- Insurance Verification
- Microsoft Word
- CPT
- Epic
- HIPAA
Certification
Certified Outpatient Coder
Certified Risk Adjustment Coder
Languages
English
Professional
References
References available upon request.
Timeline
Senior Claims Representative
Higher Ops-Texas Children's Health Plan
06.2023 - 08.2023
Telephone and Schedule Coordinator
Eye Center Of Texas
03.2015 - 12.2020
Him Analyst Clerk II
Harris County Hospital District
01.2005 - 02.2010
GED -
Houston Community College
Some College (No Degree) - Medical Billing And Coding
National Institute of Technology
Some College (No Degree) - Certified Outpatient Coder
Life Changing
Some College (No Degree) - Certified Risk Adjustment Coder
Life Changing
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