Tammeron T Shields
San Antonio,TX
Summary
Results-oriented professional with a strong work ethic and exceptional interpersonal skills, adept at thriving in fast-paced environments. Demonstrates adaptability and a quick-learning ability, consistently delivering high-quality work under pressure. Proven track record in rapidly mastering new skills and navigating change effectively. Committed to continuous learning and embracing new challenges to drive organizational success.
Overview
19
19
years of professional experience
1
1
Certification
Work History
IBO
Csp Resource Solutions LLC/ LiveOps
San Antonio, USA
08.2017 - Current
- I work in a work-from-home call center, taking inbound calls for multiple clients regarding customer service, payroll assistance, tax assistance, and other duties.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Contributed innovative ideas and solutions to enhance team performance and outcomes.
- Worked successfully with a diverse group of coworkers to accomplish goals and address issues related to our products and services.
- Worked with cross-functional teams to achieve goals.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Maintained updated knowledge through continuing education and advanced training.
- Assisted with customer requests and answered questions to improve satisfaction.
- Collaborated closely with team members to achieve project objectives and meet deadlines.
- Identified the needs of customers promptly and efficiently.
- Utilized advanced technical skills and expertise to troubleshoot complex problems and implement solutions.
- Exceeded customer satisfaction by finding creative solutions to problems.
- Provided support and guidance to colleagues to maintain a collaborative work environment.
- Conducted comprehensive research and data analysis to support strategic planning and informed decision-making.
- Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
Licensed Health Insurance Agent
Teleperformance USA/ Gohealth
09.2024 - 12.2024
- Company Overview: Work from Home Call Center - Licensed Health Insurance Agent
- Handle and carefully respond to all inbound and outbound customer inquiries
- Provide excellent customer service through active listening
- Work with confidential customer information and treat it sensitively
- Aim to resolve issues on the first call by being proactive, patient, empathetic, and understanding
- Appropriately communicate with customers, exercising retention efforts if needed
- Identify customers who are comparison-shopping and inquiring about contract terms, assisting the customer with the correct price plan
- Compassionately handle sensitive situations surrounding healthcare needs, education, and prevention planning
- Work from Home Call Center - Licensed Health Insurance Agent
Pediatric LVN
Pediatric LVN MSN Home Health
San Antonio, USA
10.2008 - 09.2010
- Specialized in pediatric home care for ventilator-dependent patients, where duties included gastrointestinal feedings and medication administration.
- Worked one-on-one with patients and family members in a home care teaching environment.
- Provided client care per physician's orders, utilizing general nursing theory, skills, and techniques through direct patient care.
- The Plan of Care involves exercising strong decision-making and judgment skills and working with an interdisciplinary team in weekly case conferences to ensure top-notch quality outcomes for clients who can function autonomously and possess effective time-management skills.
- Provided direct patient care by taking vital signs, administering medications and treatments, and providing wound care.
- Monitored patient progress, reported changes to the physician, and provided education to families regarding medical conditions.
- Maintained accurate medical records for each patient utilizing electronic health record systems.
- Assessed patient needs for additional services such as social work or home health aides.
- Conducted physical assessments of patients regularly.
- Collaborated with other healthcare providers, including physicians, nurses, and specialists, to coordinate optimal patient care plans.
- Ensured compliance with all state laws governing nursing practice standards.
- Provided emotional support to patients and their families during difficult times.
- Responded quickly to life-threatening situations, using appropriate interventions based on established protocols.
- Administered prescribed medications or started intravenous fluids, noting times and amounts on patient charts.
Health Coach LVN
Heathway's Inc
San Antonio, USA
11.2008 - 01.2010
- Accurately and efficiently conduct medical record review services.
- Scan relevant components of the medical record to support reviews performed.
- Upload scanned medical records daily, maintain communication lines with the Outcomes advocate, and complete required training, testing, and quality assessments.
- Communicate effectively and professionally with care provider offices, clinics, hospitals, and other clinical facilities.
- Travel to medical facilities in a specified area of the region, from home, to complete review services.
- Abide by all HIPAA, and associated patient confidentiality requirements.
- Provided education about the importance of healthy eating, physical activity, sleep, stress management, and other lifestyle factors.
- Assessed clients' current diet and lifestyle habits to identify areas for improvement.
- Encouraged clients to establish realistic short-term and long-term goals related to nutrition and lifestyle changes.
- Developed action plans tailored to each client's needs including specific steps to improve dietary quality and increase physical activity levels.
- Provided emotional support throughout the coaching process by listening attentively without judgment or criticism.
LVN Contractor
OMV Medical Staffing BAMC
San Antonio, USA
01.2006 - 12.2009
- Job duties include team nursing, patient assessments, cardiac arrhythmia monitoring, IV and medication administration, patient teaching on cardiac care and procedures, wound care, and discharge teaching.
- Utilized the internal operating system for lab, radiology entry, and results.
- Assisted in the admission, discharge, and transfer of patients.
- Provided direct patient care by taking vital signs, administering medications and treatments, and providing wound care.
- Performed routine diagnostic tests such as EKGs, urinalysis, and blood draws.
- Monitored patient progress, reported changes to the physician, and provided education to families regarding medical conditions.
- Maintained accurate medical records for each patient utilizing electronic health record systems.
- Assessed patient needs for additional services such as social work or home health aides.
- Ensured compliance with all state laws governing nursing practice standards.
- Instructed patients on proper self-care techniques, such as medication administration, nutrition management, and disease prevention strategies.
- Collaborated with other healthcare providers, including physicians, nurses, and specialists, to coordinate optimal patient care plans.
- Ordered lab tests or imaging studies according to physician orders while ensuring the accuracy of documentation in the medical record system.
- Participated in team meetings to discuss patient progress and plan treatment goals accordingly.
- Responded quickly to life threatening situations using appropriate interventions based on established protocols.
- Administered intravenous fluids or medications when necessary under the direction of a physician or registered nurse.
- Educated patients about preventative measures for healthy living such as exercise routines, dietary guidelines and smoking cessation programs.
- Evaluated effectiveness of treatments by observing responses from patients during therapy sessions or after medication administration periods have elapsed.
LVN Clinical Advisor/Case Management
Cameron Tucker Personnel/ Humana Health Care
San Antonio, USA
01.2008 - 12.2008
- Collaborated with other healthcare providers in reviewing actual and proposed medical care and services against an established clinical review for criteria.
- The call center environment includes the issuance of a letter to providers if the service meets certification criteria, escalates to a manager or Medical Director for review if the service does not meet certification criteria, and may issue denial letters.
- Maintaining accurate system documentation and meeting documentation requirements established by the department.
- Using multiple computer systems to complete the work.
- Monitored patient progress, reported changes to the physician, and provided education to families regarding medical conditions.
- Maintained accurate medical records for each patient utilizing electronic health record systems.
- Assessed patient needs for additional services such as social work or home health aides.
- Conducted physical assessments of patients regularly.
- Collaborated with other healthcare providers, including physicians, nurses, and specialists, to coordinate optimal patient care plans.
- Instructed patients on proper self-care techniques, such as medication administration, nutrition management, and disease prevention strategies.
- Ensured compliance with all state laws governing nursing practice standards.
Medical Review Nurse/Case Manager
Aerotek Scientific/ The Scooter Store
San Antonio, USA
03.2007 - 08.2008
- My job duties were to review medical charts and identify correct ICD-9 and CPT codes for medical diagnoses that comply with Medicare guidelines, to qualify customers for power chairs and their accessories.
- Used Microsoft Word 2007, Excel 2003, Outlook Express, and the internal operating system for medical review and documentation.
- Reviewed medical records, claims, and other documentation to verify the accuracy and completeness of the information.
- Identified discrepancies in medical records, patient profiles, and other documents for further investigation.
- Guided providers regarding coding accuracy and compliance with regulations.
- Assessed clinical appropriateness of services rendered by providers according to established criteria.
- Analyzed clinical data from a variety of sources, including electronic health records, laboratory results, and physician notes.
- Evaluated the quality of care provided by healthcare professionals using evidence-based standards and guidelines.
- Conducted research on current trends in medical review practices to recommend best practices for organization use.
- Participated in case management activities, including patient education, discharge planning, and coordination of care across multiple settings.
- Performed retrospective reviews on claims submitted for payment to determine accurate reimbursement levels based on applicable policies and procedures.
- Facilitated communication between providers, payers, and other external entities involved in the medical review process.
Inbound Queue Associate/LVN
Aetna Healthcare Life Insurance
San Antonio, USA
11.2006 - 03.2007
- The nurse supports the pharmacy prescription drug program for customers nationwide, as well as works closely with the healthcare providers in handling drug pre-certification requests for non-formulary drugs.
- The Precertification Nurse evaluates criteria that need to be met before authorizing a drug to be covered that is not on the drug formulary.
- There is a great amount of interaction with physicians, other medical staff, pharmacists, and members.
- Maintained accurate medical records for each patient utilizing electronic health record systems.
- Collaborated with other healthcare providers, including physicians, nurses, and specialists, to coordinate optimal patient care plans.
- Ensured compliance with all state laws governing nursing practice standards.
- Actively participated in continuing education activities to stay abreast of the latest developments in nursing practices, procedures, and techniques.
- Coordinated with doctors and registered nurses to develop care plans for patients.
Education
Associate in liberal arts - Liberal Arts
St Phillips College
San Antonio12.2016
Associate in Pre-Nursing - Pre-Nursing
St Philip's College
San Antonio12.2016
Diploma in Vocational Nurse -
Galen College of Nursing
San Antonio01.1999
Skills
- Quality assurance
- Multitasking Abilities
- Clerical support
- Active listening
- Basic math
- Analytical thinking
- Team building
- Microsoft Office
- Google Drive
- Multitasking
- Written communication
- Time management
- Customer relations
Personal Information
Title: LVN
Certification
- LVN
- Licensed Life, Health and Accident Agent
Timeline
Licensed Health Insurance Agent
Teleperformance USA/ Gohealth
09.2024 - 12.2024
IBO
Csp Resource Solutions LLC/ LiveOps
08.2017 - Current
Health Coach LVN
Heathway's Inc
11.2008 - 01.2010
Pediatric LVN
Pediatric LVN MSN Home Health
10.2008 - 09.2010
LVN Clinical Advisor/Case Management
Cameron Tucker Personnel/ Humana Health Care
01.2008 - 12.2008
Medical Review Nurse/Case Manager
Aerotek Scientific/ The Scooter Store
03.2007 - 08.2008
Inbound Queue Associate/LVN
Aetna Healthcare Life Insurance
11.2006 - 03.2007
LVN Contractor
OMV Medical Staffing BAMC
01.2006 - 12.2009
- LVN
- Licensed Life, Health and Accident Agent
Associate in liberal arts - Liberal Arts
St Phillips College
Associate in Pre-Nursing - Pre-Nursing
St Philip's College
Diploma in Vocational Nurse -
Galen College of Nursing
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