Taneiyah Adams
Frisco,USA
Summary
Compassionate and detail-oriented Administrative and Patient Support professional with 6+ years of experience supporting healthcare operations in fast-paced, high-volume environments. Skilled in managing asynchronous, case-based workflows across secure messaging, email, chat, fax, and ticketing systems. Experienced in patient triage, care coordination, scheduling, and documentation with EHR platforms while maintaining strict HIPPA compliance.
Overview
8
8
years of professional experience
Work History
Customer Service Representative
PNC Bank
03.2026 - Current
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
Patient Support Specialist
Prosearch
09.2025 - 02.2026
- Maintained accurate patient records, ensuring data confidentiality and HIPAA compliance.
- Served as a liaison between patients, families, physicians, and other healthcare professionals to facilitate clear communication.
- Conducted thorough insurance verification and pre-authorization tasks, minimizing billing errors and disputes.
- Enhanced patient satisfaction by providing exceptional support and addressing concerns promptly.
Radiology Scheduler
Carenet Health
11.2024 - 08.2025
- Worked closely with referring physicians'' offices to coordinate timely referrals for diagnostic imaging services, expediting patient care when necessary.
- Coordinated radiology appointments for multiple departments, ensuring optimal resource utilization.
- Managed high call volumes efficiently while maintaining a professional demeanor and providing exceptional customer service to both internal staff members and external callers alike.
Medical Claims Processor
CareNow Urgent Care
10.2022 - 11.2024
- Assessed medical claims for compliance with regulations and corrected discrepancies.
- Reduced errors in claims submissions through meticulous attention to detail and thorough review processes.
- Resolved discrepancies between billed amounts and allowed charges promptly by working closely with both providers and payers, minimizing delays in payment processing times.
- Stayed current on industry trends and changes in insurance policies, enabling accurate interpretation of coverage details for various plans.
Claims Adjuster
CVS Healthcare
09.2020 - 12.2022
- Examined claims forms and other records to determine insurance coverage.
- Answered customer questions regarding deductibles.
- Verified insurance claims and determined fair amount for settlement.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
Claims Specialist
PrideStaff
11.2018 - 08.2020
- Followed up with customers on unresolved issues.
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Collaborated with underwriting teams to identify trends in claim activities, contributing to more accurate risk assessment and pricing.
- Enhanced accuracy of claim assessments by adopting advanced analytical tools, leading to more informed decision-making.
Education
Associate - Criminal Justice
Southern University At Shreveport
Shreveport, LAHigh School Diploma -
Southwood High School
Shreveport, LA05-2016
Skills
- Patient & Provider Communication
- Case & Queue Management
- Patient Triage & Intake Processing
- Electronic Health Record (EHR) Management
- Data Entry & Member Report Generation
- Google Suite, Slack, Video Conferencing Tools
- HIPPA Compliance & PHI Handling
- Insurance & Benefits Verification
- Empathy & Active Listening
- Cross-Functional Team Collaboration
Timeline
Customer Service Representative
PNC Bank
03.2026 - Current
Patient Support Specialist
Prosearch
09.2025 - 02.2026
Radiology Scheduler
Carenet Health
11.2024 - 08.2025
Medical Claims Processor
CareNow Urgent Care
10.2022 - 11.2024
Claims Adjuster
CVS Healthcare
09.2020 - 12.2022
Claims Specialist
PrideStaff
11.2018 - 08.2020
Associate - Criminal Justice
Southern University At Shreveport
High School Diploma -
Southwood High School