Summary
Overview
Work History
Education
Skills
Timeline
Tarenia Carthan

Tarenia Carthan

Douglasville,GA

Summary

Strong leader with over 10 years of experience in customer service. A problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency while using independent decision-making skills and sound judgment to positively impact company success. Encouraging manager and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance.

Overview

17
17
years of professional experience

Work History

District 3 Commissioner

Douglas County BOC
01.2019 - 02.2024
  • Implemented procedures to ensure quality customer service from both vendors and staff when dealing with the public including management of approximately 30 incoming calls, emails and inquiries per day
  • Facilitated cross-functional team collaborations for increased innovation in problem-solving efforts.
  • Created policies and procedures that improved overall operations and reduced redundancies in workflows.
  • Developed and executed strategic plans to guide the organization towards its long-term goals.
  • Provided leadership in crisis management situations, effectively resolving issues and mitigating risks.
  • Utilized advanced analytics tools to identify trends and patterns that informed future decision making within the organization.
  • Negotiated contracts with vendors to secure favorable terms while maintaining high-quality products or services.
  • Built strategic partnerships with external organizations to expand reach and increase impact on key stakeholders.
  • Oversaw budget formulation, monitoring, and reporting, ensuring optimal allocation of resources.
  • Monitored compliance with legal requirements, minimizing potential liabilities for the organization.
  • Championed diversity initiatives to create an inclusive work environment where employees felt valued and respected.
  • Implemented data-driven decision-making practices for continuous improvement across the organization.
  • Launched quality assurance practices for each phase of development

Consultant Medical Specialist

Elohim
05.2009 - 12.2018
  • Coordinated, verified, and validated that all needed documentation is on file for all providers
  • Conducted assessments to ensure providers were under correct insurance plans for proper patient placement and billing
  • Ensured follow-up on outstanding items and disputes for payments on mitigation of unnecessary Risk Management issues
  • Managed client relationships through regular check-ins and updates on project progress.
  • Liaised with customers, management, and sales team to better understand customer needs and recommend appropriate solutions.
  • Improved client satisfaction by effectively managing multiple projects and consistently meeting deadlines.
  • Coordinated insurance benefits, payment, reimbursable codes, and diagnosis alignment from Op-notes when necessary to ensure proper billing.
  • Evaluated client needs and expectations, establishing clear goals for each consulting engagement.
  • Delivered outstanding service to clients to maintain and extend relationship for future business opportunities.

Medical Billing Manager

Atlanta West GI
07.2009 - 01.2012
  • Electronic claim filing and EOB payments & posting
  • Medicare/Medicaid/Private insurance billing including secondary and out of network invoices
  • Updated records as needed to ensure audits of information, licenses, insurance, and fee schedule payments
  • Vetted business policies and procedures for continuity and resolve denials of UB 04 Billing for Ambulatory Surgical Services
  • Reviewed billing problems, researched issues, and resolved concerns.
  • Trained and mentored staff on procedures, compliance requirements, and collections techniques.
  • Reduced errors and discrepancies in invoicing by closely monitoring billing data and conducting regular audits.
  • Worked with customers to develop payment plans and bring accounts current.
  • Performed testing for billing modules, enhancing new functionality and process improvements.
  • Posted payments into billing system to clear open obligations.
  • Streamlined medical billing processes by implementing efficient collections and documentation methods.

Business Office Billing/Precert Specialist

Southeastern Gyn-Oncology
03.2007 - 06.2009
  • Input Daily Charges for EHR and insurance claim submissions for patient billing and collections
  • Complete follow-up through reimbursement Billed Chemotherapy and TPN Charges
  • Pre-cert and Bill Surgical Procedures utilizing UB-04 and ICD-10 and HCPCs codes
  • Cross train front Office Personnel to schedule patient appointments
  • Maintain and Bill Patients statements and followed-up on outstanding insurance balances
  • Followed all company policies and procedures to deliver quality work.
  • Developed strong client relationships through consistent communication and attentive service.
  • Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.
  • Interpreted clients' needs and introduced services to fit specific requirements.
  • Attended training programs to deepen professional skillset and assisted in training fellow associates on existing and new training programs.
  • Oversaw daily operations of a busy office environment, ensuring tasks were completed efficiently and accurately.

Education

BS Health Human Services -

Atlanta Christian College, East Point, Ga
06.2011

CIS Associate Degree -

West Central Technical College, Douglasville
05.2007

Some College (No Degree) -

Cisco Certified Networking Associate- Metro Atlanta Cisco Group, Atlanta, GA

Skills

  • Organizational Leadership
  • Government relations
  • Social Media
  • Legislative affairs
  • Proposal Writing
  • Crisis Management
  • Budget Administration
  • Customer Service
  • Computer Skills
  • Decision-Making
  • Professional and Courteous

Timeline

District 3 Commissioner - Douglas County BOC
01.2019 - 02.2024
Medical Billing Manager - Atlanta West GI
07.2009 - 01.2012
Consultant Medical Specialist - Elohim
05.2009 - 12.2018
Business Office Billing/Precert Specialist - Southeastern Gyn-Oncology
03.2007 - 06.2009
Atlanta Christian College - BS Health Human Services,
West Central Technical College - CIS Associate Degree,
Cisco Certified Networking Associate- Metro Atlanta Cisco Group - Some College (No Degree),
Tarenia Carthan