Tanicia Turner
Fresno
Summary
Outgoing and friendly customer service representative with 8 years of experience providing exception customer service and maintaining a polite, friendly, and professional demeanor.
Overview
11
11
years of professional experience
Work History
Anesthesia Scheduler / Medical Biller
Pediatric Anesthesia Associates Medical Group
Fresno
06.2023 - Current
- Prepare, review and send patient statements
- Responsible for correcting, completing, and processing claims for all payer codes.
- Verify patient, insurance, billing and claim submission information for accuracy.
- Effectively navigate and utilize various healthcare provider software systems
- Provide information to the Billing & Appeals Specialists on claims that require written appeals.
- Understanding of CPT, ICD 10, HCPCS, and medical terminology/Medi-Cal billing/CCS
- Recognize basic coding denials and request appropriate action for correction or dispute.
- Coordinates specific scheduling requests for time and equipment with the global Director/OR Charge Nurse
- Distributes procedure schedules daily by email.
- Communicates with Anesthesia regarding surgery schedule to ensure coverage
- Respond to queries and requests for meetings.
- Assign Anesthesia physicians to operating rooms.
Patient Surgical Coordinator
Valley Children's Healthcare
Fresno
10.2024 - 08.2025
- Coordinate schedule development for anesthesilogist / physician availability patient requirements. limitations.
- Coordinates and distributes schedule(s), log(s), and / or reports) that may include, but not limited to, chart preparation, case conference readiness, and completion of administrative to appropriate parties in an accurate and timely manner.
Accounts Receivable Billing Specialist
cCARE
Fresno
07.2022 - 06.2023
- Research and reconcile discrepancies in invoices and purchase orders.
- Verify medical codes, eligibility, other insurance, authorizations, and account benefit plans.
- Process claims, Follow up with programs
- Maintain accounts payable files and/or Update and reconcile statements.
- Reconcile and post payments to accounts receivable ledger or accounting spreadsheet.
- Process debit/credit card and Prepare check for bank deposits, issue customer statements, aging reports, and other operating statements.
- Collect on accounts by sending bill reminders and communicating with different companies via phone, email, fax, and/or mail
Customer Service Representative
Covered California
Fresno
11.2020 - 06.2022
- Research, process, resolve, and respond to member, provider or beneficiary inquiries received via multiple contact methods regarding benefits, eligibility, materials forms, ID cards, PCP changes, complex inquiries and quality care issues.
- Enroll into health coverage or dental plans.
- Rerouting misdirected inquiries, educating new and existing members, providers, or beneficiaries concerning company policies and procedures and specific benefits through welcome calls and daily telephone inquiries and written correspondence.
Health Concierge
Aetna, CVS Health Company
Fresno
06.2019 - 06.2020
- Walk members through medical claims, further providing detail on CPT codes or hcpcs codes used to differentiate procedures done during a visit or billing session.
- Handles customer service inquiries and problems via telephone, internet or written correspondence.
- Assigned new doctors or medical groups under health plan
- Review/Route claims for additional processing
Front Desk
Days Inn
Fresno
10.2017 - 04.2019
- Daily tasks include answering phones, check in/check out, creating reservations, and creating housekeepers task list for the day.
- Checked rooms for deposit return.
- Familiar with morning, evening and night audit shifts.
- Worked in breakfast.
- Handles customer service inquiries and problems via telephone, internet to confirm customer details.
Customer Service Representative
Alorica
Fresno
09.2015 - 08.2016
- Responds to requests and calls from customers related to client specific programs and products.
- Resolve and deescalate issues of dissatisfied clients
- Maintains and updates customer information as necessary
Skills
- Customer service
- Computer literacy
- Microsoft word
- Microsoft excel
- Documentation review
- Communication skills
- Time management
- Excel
- Epic
- Salesforce
- Medical Terminology
- Medical Billing
- Medical Scheduling
Timeline
Patient Surgical Coordinator
Valley Children's Healthcare
10.2024 - 08.2025
Anesthesia Scheduler / Medical Biller
Pediatric Anesthesia Associates Medical Group
06.2023 - Current
Accounts Receivable Billing Specialist
cCARE
07.2022 - 06.2023
Customer Service Representative
Covered California
11.2020 - 06.2022
Health Concierge
Aetna, CVS Health Company
06.2019 - 06.2020
Front Desk
Days Inn
10.2017 - 04.2019
Customer Service Representative
Alorica
09.2015 - 08.2016