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
Portland, OR
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
Portland, OR (Remote)
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
Portland, OR
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
Portland, OR
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