Summary
Overview
Work History
Skills
Timeline
Generic

Taquila Ramsey

Houston,Texas

Summary

Detail-oriented and efficient professional with extensive experience in laboratory operations, patient services, and administrative support. Proven ability to manage high-volume workflows with accuracy and precision. Committed to maintaining operational excellence and supporting organizational goals through proactive decision-making, technical expertise, and a patient-focused approach.

Overview

9
9
years of professional experience

Work History

Associate Clinical Data Entry Operator

Natera, Inc
01.2024 - Current
  • Conducted high-volume data entry of patient information with precision, maintaining an average of over 110 entries per hour.
  • Performed quality assurance checks for team operations, ensuring alignment with clinical laboratory standards.
  • Trained in oncology and women’s health processes, applying specialized knowledge to support accurate sample handling and data integrity.
  • Supported team success by taking on additional responsibilities and contributing to process improvements.
  • Regularly utilized various technologies to access and safeguard patient health information (PHI) in compliance with organizational training and regulatory requirements.

ENGAGEMENT CENTER REP I

Advocate Aurora Health
04.2023 - 01.2024
  • Provided seamless patient support by coordinating between the Engagement Center and practice sites, adhering to established protocols and policies.
  • Handled inbound and outbound calls, utilizing critical thinking to resolve patient inquiries, schedule appointments, and follow up as necessary.
  • Scheduled patient appointments, managed cancellations, reschedules, and additions, ensuring efficient coordination of clinic schedules.
  • Collected and verified demographic and insurance information, ensuring accuracy in compliance with government and third-party payer requirements.
  • Facilitated referrals to providers by completing essential forms and updating medical records with current demographic and insurance information.
  • Routed patient care appropriately by determining the level of care required, including triaging, scheduling, and submitting medication refill requests.
  • Delivered excellent customer service, meeting or exceeding departmental standards as evidenced by patient post-call surveys.
  • Performed administrative duties such as faxing, updating medical records, managing files/databases, and compiling data for reports.

INBOUND CONTACT REPRESENTATIVE 2

Humana Pharmacy
04.2022 - 04.2023
  • Respond to and resolve, on the first call, customer service inquiries and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence.
  • Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to select the best benefit plan options, maximize the value of their health plan benefits and choose a quality care provider.
  • Effective communication helps drive health awareness with patients through Rx Education and targeted quarterly campaigns.
  • Contact care providers (doctor's offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance.
  • Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
  • Responsible for researching and resolving payment issues.

INBOUND CONTACT REPRESENTATIVE

Humana Pharmacy
10.2021 - 04.2022
  • Maintains a comprehensive understanding of member benefits, covered benefits, limitations, exclusions, policies and procedures, computer screens and code definitions, and maintains current awareness of plan changes and developments.
  • Records details of inquiries, comments or complaints, transactions, or interactions and takes actions in accordance with it.
  • Serve as a customer advocate in problem resolution and follow through.
  • Handles calls and correspondence (electronic and written) regarding pharmacy benefit inquiries from providers (pharmacy/physician) and members.
  • Verify insurance coverage in order to process patient prescription orders in a timely manner, Identify, review, and research credit balance accounts, potential refunds, adjustments, payment transfers, etc., to bring the account balance to zero.
  • Document calls within a call tracking system using established protocols to ensure resolutions are clear, concise, and accurate.

COLLECTION SPECIALIST

CardWorks
10.2019 - 06.2020
  • Provide quality customer service to secure payment arrangements for customers who are past due on their credit card accounts.
  • Display exceptional verbal and written communication, negotiation and active-listening skills, as well as the ability to easily establish rapport and credibility with a variety of customers.
  • Evaluates customer records and recommends that accounts be closed, credit limit reduced or extended, or collection attempted, based on earnings and savings data, payment history, and purchase activity of the customer.
  • Manually dials, skip traces or utilizes automated dialer to communicate with customers and make payment arrangements to meet or exceed established goals to include balances saved, pay-by-phones collected and call quality.
  • Uses computer to enter payment arrangements into care systems.

CUSTOMER SERVICE REP

CVS Caremark
09.2015 - 02.2017
  • Handle all patient requests in an attempt to ensure timely and accurate account payment for outstanding balances while demonstrating excellent customer service.
  • Receive inbound calls from patients with questions regarding bills.
  • Resolve patient issues that may have resulted from incorrect or incomplete information.
  • Work closely with all internal departments to address patient billing questions.

Skills

  • File and Database Management
  • Insurance Verification and Billing Processes
  • Data Entry and Documentation Accuracy
  • Electronic medical record systems
  • Administrative and Clerical Procedures
  • Quality Assurance and Process Improvement
  • Electronic Medical Records (EMR) Management
  • Patient Scheduling and Appointment Coordination

Timeline

Associate Clinical Data Entry Operator

Natera, Inc
01.2024 - Current

ENGAGEMENT CENTER REP I

Advocate Aurora Health
04.2023 - 01.2024

INBOUND CONTACT REPRESENTATIVE 2

Humana Pharmacy
04.2022 - 04.2023

INBOUND CONTACT REPRESENTATIVE

Humana Pharmacy
10.2021 - 04.2022

COLLECTION SPECIALIST

CardWorks
10.2019 - 06.2020

CUSTOMER SERVICE REP

CVS Caremark
09.2015 - 02.2017

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