TAMEKIA FATE
Winston-Salem,NC
Overview
6
6
years of professional experience
Work History
Claims Representative WFH Agent – (Remote)
Iqor /Benefit Verifications
Winston-Salem, NC
01.2024 - Current
- Worked productively in fast-moving work environment to process large volumes of claims.
- Followed up with customers on unresolved issues.
- Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
- Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.
- Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
- Conducted detailed assessments of claims documents, ensuring accuracy and completeness before submission for approval.
Customer Service Representative WFH Agent - (Remote)
Iqor /Benefit Verifications
Winston-Salem, NC
02.2022 - Current
- Manage inbound and outbound telephone calls, adhere to HIPAA regulations, provide excellent customer service, process information for various insurance carriers, and perform insurance verification.
Environmental Service Aide / Housekeeping
Novant Health Forsyth Medical Center
Winston-Salem, NC
03.2019 - 02.2022
- Complete cleaning tasks in hospital areas, ensure health standards are met, provide quality customer service, and respond to guest queries.
Education
Bachelor of Science Degree in Business Administration/ Management -
Strayer University
Associate of Science Degree in Health Sciences - Medical Administrative Assistant -
Ultimate Medical Academy
05.2018
Skills
- Problem solver; combines judgment and experience
- Strong verbal, written and interpersonal communication skills
- Able to make decisions based on facts and experience
- Experience with resource inventory
- Microsoft / MS Word
Key Qualifications
- Basic Coding Skills for ICD / CPT
- Third Party
- Medicare
- Medicaid
- HMO
- PPO
- Medical Terminology
- Claims Appeal Process
- Medical Administrative Assistant
- Patient Processing
- Patient Registration
- Medical Laws & Ethics
- Medical Records Management
- Release of Information
- HIPAA Compliance
- Medical Transcription
- Office Accounting
- Anatomy & Physiology
- Meaningful Use
- ICD-9
- ICD-10
- Billing Cycle
- CMS1500 Claim Form
Timeline
Claims Representative WFH Agent – (Remote)
Iqor /Benefit Verifications
01.2024 - Current
Customer Service Representative WFH Agent - (Remote)
Iqor /Benefit Verifications
02.2022 - Current
Environmental Service Aide / Housekeeping
Novant Health Forsyth Medical Center
03.2019 - 02.2022
Bachelor of Science Degree in Business Administration/ Management -
Strayer University
Associate of Science Degree in Health Sciences - Medical Administrative Assistant -
Ultimate Medical Academy