Summary
Overview
Work History
Education
Skills
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Timeline
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TAMINKA MCLUCAS

Frisco

Summary

Expert in patient access operations with extensive experience. Proven ability to oversee front desk functions, ensure precise patient record management, and foster effective communication within healthcare teams. Strong problem-solving and multitasking skills complemented by a solid grasp of medical terminology and health insurance policies. Achievements include significant improvements in operational efficiency and heightened patient satisfaction.

Overview

17
17
years of professional experience

Work History

Payment Poster

Angels of Care Pediatric Home Health
10.2024 - Current
  • Accept payments and process billing statements
  • Keep track of payment deposits from patients and insurance reconciling details
  • Prepare payment batches
  • Conduct audits for billing cycles
  • Assess explanation of benefits (EOBs) from insurance companies
  • Keep accurate billing records and report any discrepancies to accounting

Patient Access Representative

Emerus Baylor Scott & White
Aubrey
07.2022 - 11.2024
  • Supervise and coordinate daily activities of patient service personnel to ensure efficient workflow.
  • Enhance department financial performance through budget management and careful expense monitoring.
  • Foster staff retention and satisfaction by setting clear expectations and providing timely performance feedback.
  • Oversee charting processes, significantly improving accuracy with the implementation of a new EMR system.
  • Ensure regulatory compliance by rigorously enforcing organizational policies and standards.
  • Collaborate with supervisors on talent acquisition by providing recruitment support and hiring recommendations.
  • Prepare detailed reports highlighting operational metrics and forecasting departmental needs.
  • Assist patients by verifying insurance coverage, explaining benefits, and clarifying financial responsibilities.
  • Manage department communications by answering calls and delivering courteous, informative assistance.
  • Escalate customer complaints and critical issues promptly to supervisors for timely resolution.
  • Calculate estimated appointment costs through thorough research of medical treatments, tests, and medications.

Senior Surgery Scheduler and PAR

PSN Affiliates
Plano
08.2020 - 10.2023
  • Optimized department productivity through strategic resource allocation and operational planning.
  • Scheduled pre-operative visits, surgical procedures, and post-operative follow-ups using EMR systems.
  • Developed scheduling templates adopted by multiple schedulers and departmental teams to streamline workflows.
  • Managed daily operations and resolved challenges to minimize downtime and enhance efficiency.
  • Created detailed daily and monthly production plans aligned with operational demands.
  • Trained new employees on company policies, procedures, and role-specific responsibilities to ensure consistent performance.
  • Provided patient education on cost estimates, collected deposits, and prepared documentation for future financial liabilities.
  • Organized and scanned patient reports, consent forms, and charts into electronic records for accuracy and accessibility.
  • Reviewed pre-operative requirements, including labs, cultures, and medical clearances, to ensure procedure readiness.
  • Collaborated closely with the pre-authorization team to secure insurance benefits for scheduled surgeries.

Patient Access Representative

Solis Mammography
Frisco
07.2020 - 07.2022
  • Accurately registered patients by entering demographic and insurance information into the ERAD (Radiology Information System).
  • Scheduled and coordinated follow-up appointments to ensure continuity of patient care.
  • Verified insurance coverage and collaborated with insurance providers to facilitate billing and claims processing.
  • Collected and securely processed patient co-payments and any additional financial responsibilities.
  • Assessed patient financial information to determine payment plans and eligibility for financial assistance programs.
  • Assisted patients in accessing necessary healthcare services to address their medical needs.
  • Ensured completeness and accuracy of patient data for documentation in the EMR system.
  • Managed patient flow by registering individuals, routing documentation, and escorting them to procedure areas.
  • Handled sensitive documents such as advanced directives, powers of attorney, and advanced beneficiary notices with confidentiality.

Lead Insurance Verification Specialist

Akumin
05.2018 - 07.2020
  • Developed indicators to monitor and evaluate work quality.
  • Observed team performance to provide feedback to management for discipline and performance evaluations.
  • Coordinated employee schedules according to availability and assisted with shift coverage.
  • Assigned tasks to team members based on individual strengths and promoted teamwork-driven environment to meet goals.
  • Gave technical guidance and interpreted policies and procedures to assist employees in performing functional tasks.
  • Reviewed accounts daily to determine areas in need of improvement and strategies for correcting faults.
  • Investigated and resolved complaints and appeals relating to errors in claim processing for completed services.
  • Maintained detailed knowledge of insurance coding information to accelerate processing of patient claims.
  • Explained fees and patient financial responsibility, informing patients of existing balances due.
  • Completed and processed insurance documentation and other claim forms.

Member Relations Subject Matter Expert

AllianceRX
Irving
07.2017 - 05.2018
  • Led team collaboration in planning efforts, reviewing policies, and evaluating industry standards to recommend best practices.
  • Conducted in-depth analyses and developed predictive models to support strategic decision-making.
  • Resolved complex business and functional challenges that posed risks to critical projects, ensuring smooth progress.
  • Performed daily account reviews to identify improvement opportunities and implement corrective strategies.
  • Monitored project timelines and milestones, providing technical guidance to maintain satisfactory progress.
  • Forecasted market trends and demand patterns to facilitate data-driven business planning.
  • Recommended process enhancements backed by evidence to optimize operational efficiency.
  • Oversaw internal systems and workflows to promptly detect and resolve operational issues.
  • Acted as a subject matter expert on governance frameworks and organizational decision-making processes.
  • Tracked and analyzed performance metrics to drive results across key business functions.
  • Compiled and presented weekly operational reports detailing successes and areas for improvement to senior management.

Senior Case Manager

Cardinal Health
Lewisville
09.2016 - 07.2017
  • Utilized resources to assess patient clinical, psychological and financial needs.
  • Responded to crisis situations to deescalate and handle severe mental health and behavioral issues.
  • Advocated for patients with payers to obtain coverage for needed services.
  • Conducted outreach, advocacy and rehabilitative services for regular cases and crisis intervention.
  • Uplifted and empowered clients while encouraging public safety and health.
  • Discussed obstacles to goal attainment with patient's family and providers to advocate for problem resolution.
  • Established clear administrative controls and processes to help staff meet short- and long-term organizational objectives.
  • Oversaw onboarding and integration of paid and volunteer staff to maintain confident, well-equipped workforce.
  • Directed training of permanent staff members and rotated volunteers to achieve best.
  • Evaluated staff performance to determine areas in need of improvement and encourage continuous development.

Front Desk Supervisor/manager on Duty

Residence Inn
Arlington
03.2008 - 03.2016
  • Oversaw payroll and employee scheduling and adjusted resource allocation to meet business needs.
  • Recruited, hired and trained staff to cultivate team-oriented atmosphere.
  • Trained associates in cash handling procedures and credit card transactions to maintain records accuracy.
  • Followed established company policies and enforced regulations to maintain compliance.
  • Reconciled budgetary issues with consistent audits and document reviews.
  • Observed staff performance and provided positive feedback for performance improvement.
  • Supervised front desk cash management, accepted and recorded vouchers and processed credit cards.
  • Responded to guest complaints by researching issues to develop most effective solutions and negotiate results.
  • Scheduled staff to provide adequate coverage and trained associates in effective guest relations skills.
  • Trained front desk staff on customer service excellence and conflict resolution tactics.

Education

HIGH SCHOOL DIPLOMA -

Coldsprings Oakhurst High School
Coldspring, TX

Skills

  • Employee evaluation and performance review
  • Medical billing and coding
  • Talent acquisition and recruiting
  • Cash handling and management
  • Customer relations and service
  • Program and project management
  • Guest relations and experience
  • EMR and EHR systems
  • Medical scheduling and records
  • Strategic planning and analysis
  • Crisis intervention and conflict management
  • Typing and documentation review
  • ICD-10 and ICD-9 coding
  • Quality assurance and process improvement
  • Insurance verification and revenue cycle management
  • Problem-solving and analytical thinking
  • Leadership and mentoring skills
  • Teamwork and motivation strategies

<Enter your own>

  • Willing To Relocate: Anywhere
  • Authorized To Work: US for any employer
  • Availability: Anywhere
  • Visa Status: Authorized to work in the US for any employer
  • Work Permit: Authorized to work in the US for any employer

Timeline

Payment Poster

Angels of Care Pediatric Home Health
10.2024 - Current

Patient Access Representative

Emerus Baylor Scott & White
07.2022 - 11.2024

Senior Surgery Scheduler and PAR

PSN Affiliates
08.2020 - 10.2023

Patient Access Representative

Solis Mammography
07.2020 - 07.2022

Lead Insurance Verification Specialist

Akumin
05.2018 - 07.2020

Member Relations Subject Matter Expert

AllianceRX
07.2017 - 05.2018

Senior Case Manager

Cardinal Health
09.2016 - 07.2017

Front Desk Supervisor/manager on Duty

Residence Inn
03.2008 - 03.2016

HIGH SCHOOL DIPLOMA -

Coldsprings Oakhurst High School

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