Tarnisha D. Pressley
Gresham,OR
Summary
Seeking a career opportunity to utilize skills and abilities as a full-time Manager. 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. Proficient in using independent decision-making skills and sound judgment to impact company success positively. Dedicated to applying training, monitoring, and morale-building abilities to enhance employee engagement and boost performance.
Overview
6
6
years of professional experience
Work History
Department Manager
The Oregon Clinic
03.2022 - Current
- Communicated with managers of other departments to maintain transparency.
- Created and enforced department policies, procedures, and standards to establish productivity and quality.
- Assisted Director with budgeting, project management, reporting, and implementing clinic initiatives.
- Contact insurance carriers or provider representatives/vendors when necessary to proactively solve issues and build effective relationships to eliminate roadblocks
- Kept employee workloads fair and balanced to achieve objectives while maintaining high job satisfaction.
- Evaluated employee performance and conveyed constructive feedback to improve skills for 21 employees.
- Responsible for maintaining and updating Centricity tables and files including codes, insurances, referring providers, and reference materials utilized by Centricity PM users.
Department Supervisor
The Oregon Clinic
11.2020 - 03.2022
- Builds strong department accountability through transparency and by working with Manager/Director to create a safe and respectful environment.
- Acts as liaison between department and specialty clinics.
- Established workflow processes, monitored daily productivity, and implemented modifications to improve personnel's performance.
- Delivered performance reviews, recommending additional training or advancements.
- Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
- Hired, managed, developed, and trained staff; established and monitored goals; conducted performance reviews and administered salaries for staff.
- Managed a team of 21 employees, delegated tasks, and held each employee accountable for completing assignments.
- Oversaw employee performance, corrected problems, and increased efficiency to maintain productivity targets
Financial Counselor
The Oregon Clinic
04.2019 - 11.2020
- Interprets and communicates out of pocket expenses to patients and completes financial assistance applications as needed
- Establishes and monitors payment plans, problem-solve missing or misapplied deposits and review for collections.
- Collaborate with internal stakeholders to develop workflow procedures on daily tasks.
- Conducted interviews with patients and family members and answered questions regarding insurance benefits.
- Identified healthcare resources and programs for patients unable to meet financial obligations.
- Liaised between patient, doctor and insurance provider to smooth claims processes.
Account Receivable Rep
The Oregon Clinic Insurance
11.2017 - 04.2019
- Interpret doctor notes to determine appropriate coding for appeals with insurance companies.
- Post missing EOB adjustments, bill secondary insurance, and resolve payment issues, such as lost or misapplied payments.
- Problem-solve insurance denials, appeal as necessary, and work with provider relations to resolve unsettled claim issues.
- Verified orders by comparing names and quantity of items packaged with shipping documents
Education
Bachelor of Science - Healthcare Administration
Warner Pacific University
Portland, OR12.2021
ICD-10/CPT Coding Concepts -
Concorde Career Institute
Portland, OR06.2006
Skills
- First Anesthesia, Athena, Medical Manager, CPU, EPIC, Coderyte, Realmed, Availity, Centricity
- Computer knowledge: MS Word, Excel, Outlook, PowerPoint – 45wpm - Ten Key by touch
- EOB Reconciliation, Appeals, Claims Submission, CMS-1500, Dental Claims
- Change Management
- Able to multi-task in high-pressure environments and adapt communication skills to specific environments
- Friendly / Compassionate / Trustworthy / Team Player
- Motivational Leadership / Employee Empowerment
- Staff Development
- Goals and Performance
- Policy and Procedure Adherence
- Departmental Activities
Timeline
Department Manager
The Oregon Clinic
03.2022 - Current
Department Supervisor
The Oregon Clinic
11.2020 - 03.2022
Financial Counselor
The Oregon Clinic
04.2019 - 11.2020
Account Receivable Rep
The Oregon Clinic Insurance
11.2017 - 04.2019
Bachelor of Science - Healthcare Administration
Warner Pacific University
ICD-10/CPT Coding Concepts -
Concorde Career Institute
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