Tamisha Taylor
Denton
Summary
Detail-oriented and service-driven professional with over 15 years of experience in customer service, healthcare credentialing, and provider support roles. Expertise in managing high-volume communications, resolving service issues, and ensuring compliance with regulatory and organizational standards. Proven success in fast-paced environments such as retail healthcare, EAP, and workforce solutions, along with a strong understanding of HIPAA regulations, insurance verification processes, and data management systems, including CRM platforms and credentialing software. Recognized for professionalism, accuracy, and the ability to foster positive relationships with clients, providers, and internal teams.
Overview
21
21
years of professional experience
Work History
Operation Specialist
Shiftkey
07.2025 - 08.2025
- Demonstrates a professional, proactive work ethic, and establishes and maintains effective channels of communication with internal team members.
- Provides operational support and processes high touch credentials in accordance with the Shiftkey’s expectations.
- Assists BPO partners with escalations, questions and/or areas of concern.
- Maintains accuracy and efficiency for all credentialing functions and activities.
- Responds to internal and external customer inquiries with professionalism and anticipates potential issues and proactively acts to solve them.
- Researches customer escalations as necessary to provide fast and comprehensive feedback and/or resolution.
- Proactively reports potential roadblocks, barriers, or other issues to operations leadership.
- Identifies and escalates cases to leadership in a timely manner as necessary.
- Performs other duties as assigned by leadership.
Customer Support Specialist
FedEx
07.2009 - 07.2025
- Delivered high-quality customer service via phone, email, and live chat by resolving shipping inquiries, tracking issues, and account questions with professionalism and efficiency.
- Assisted customers with package tracking, delivery exceptions, claims processing, and shipping rates while ensuring compliance with company policies.
- Acted as a liaison between internal departments and customers to resolve escalated issues, coordinate reroutes and manage delivery changes.
- Entered and updated customer information and shipment data in CRM and logistics systems, maintaining accuracy and confidentiality.
- Educated customers on FedEx shipping options, online tools, and service features to improve satisfaction and promote self-service solutions.
- Monitored delivery schedules and proactively contacted customers in case of delays or issues, reducing complaints and improving the customer experience.
- Followed up on unresolved cases to ensure timely resolution and maintained service-level agreements (SLAs).
- Maintained up-to-date knowledge of FedEx services, policies, and software systems through ongoing training.
- Promoted new service offerings through targeted campaigns, driving substantial growth in customer acquisition and retention rates.
Provider Relations Specialist
ComPsych
01.2014 - 01.2021
- Served as the primary liaison between ComPsych and a nationwide network of behavioral health, medical, legal, and financial providers, ensuring quality service delivery and contract compliance.
- Recruited, onboarded, and credentialed new providers to support ComPsych’s Employee Assistance Program (EAP) and managed care services.
- Monitored provider performance through case feedback, utilization data, and quality assurance metrics; addressed issues through coaching, remediation, or network changes.
- Responded to provider inquiries regarding billing, reimbursement, credentialing, and portal usage, ensuring timely and accurate resolution.
- Collaborated with internal departments such as Clinical Services, Claims, and IT to resolve provider-related concerns and improve service efficiency.
- Maintained up-to-date records in ComPsych’s provider database, including licenses, certifications, and insurance documentation.
- Participated in audits and compliance reviews to ensure adherence to HIPAA and industry standards.
- Supported strategic network expansion initiatives based on geographic need, client contracts, and clinical requirements.
- Streamlined communication processes between clients and teams, enhancing service delivery and achieving measurable improvements in client satisfaction.
Patient Care Coordinator
Med Hospital
01.2005 - 01.2008
- Scheduled and coordinated patient appointments for medical consultations, lab tests, and minor procedures, ensuring smooth workflow and minimal wait times.
- Verified patient insurance coverage, processed pre-authorizations, and confirmed eligibility to prevent billing issues and coverage lapses.
- Registered new and returning patients, accurately entering personal and insurance details into the hospital’s database while maintaining strict HIPAA compliance.
- Provided clear instructions to patients regarding lab work, imaging, and minor procedures, ensuring they understood pre-appointment requirements and next steps.
- Facilitated patient intake processes, ensuring thorough documentation and enhancing patient satisfaction through attentive service.
Senior Unemployment Insurance Consultant
Equifax
01.2005 - 01.2008
- Investigated and resolved issues efficiently, maintaining a client-focused approach.
- Produced detailed and accurate documentation for case resolution.
- Provided excellent customer service by establishing a rapport with clients and state agencies.
- Received and prioritized claims, questionnaires, determinations, and other unemployment-related data.
- Analyzed individual case information by reviewing data accessed through the PC, from investigative telephone calls or document images, to determine if the facts warrant a response.
- Used details regarding an employee’s separation provided by the client, interpreted and applied state laws and regulations in response to unemployment documents.
- Responded to a customer or state agency with all pertinent details within the timeframe allowed by the state or departmental procedures.
- Initiated timely telephone calls, faxes, or emails to customers to obtain, document, or pass along needed information.
- Analyzed data trends in unemployment claims to identify areas for process enhancement, leading to noticeable gains in efficiency.
Education
High School Diploma -
Craigmont High School
Memphis, TN05.2004
Skills
- Patient Care
- Time Management
- Data Entry
- HIPAA Compliance
- Medical Terminology
- Epic EMR
- Microsoft Office
- Zendesk
- Claims Processing
- Customer Service
- Social Media Management
- Project Management
- Insurance Verification
- Healthcare Administration
- Medical Records
- Troubleshooting
- Complaint Resolution
- Project management
- Cross-functional communication
- Planning and coordination
- Operational efficiency
Timeline
Operation Specialist
Shiftkey
07.2025 - 08.2025
Provider Relations Specialist
ComPsych
01.2014 - 01.2021
Customer Support Specialist
FedEx
07.2009 - 07.2025
Patient Care Coordinator
Med Hospital
01.2005 - 01.2008
Senior Unemployment Insurance Consultant
Equifax
01.2005 - 01.2008
High School Diploma -
Craigmont High School
Similar Profiles
Miski AnwarMiski Anwar
CNA/Home Health Aide at SHIFTKEYCNA/Home Health Aide at SHIFTKEY
Tiffany QuintanaTiffany Quintana
Cna at ShiftkeyCna at Shiftkey
Inna GoldenInna Golden
Certified Nursing Assistant at ShiftkeyCertified Nursing Assistant at Shiftkey
Jhonattan MarJhonattan Mar
Navy Recruiter at US NavyNavy Recruiter at US Navy
Bernard BenjaminBernard Benjamin
Supervisor at Dominica Air & Sea Ports AuthoritySupervisor at Dominica Air & Sea Ports Authority