Summary
Overview
Work History
Education
Skills
Certification
Personal Information
Timeline
Generic

Tasha Nelson

Galva,IL

Summary

Dedicated professional seeking opportunity to expand skills and contribute to company success. Considered hardworking, ethical and detail-oriented with more than 10 years in healthcare as well as customer service.

Overview

8
8
years of professional experience
1
1
Certification

Work History

Community Health Worker

CVS/AETNA
Galva, US
03.2023 - 08.2024
  • Delivered culturally and linguistically appropriate community health services to clients.
  • Maintained and updated client records with plans, notes, appropriate forms and related information.
  • Assisted clients with transportation to and from appointments.
  • Referred community members to needed health services.
  • Conducted at-home visits and consultations with medicaid community members.
  • Educated communities on widespread health issues, service providers and external resources.
  • Identified and reached out to community members at high risk for physical and mental health issues.
  • Provided emotional support to clients dealing with challenging health conditions or personal crises.
  • Conducted home visits to assess clients' health needs and provide support.
  • Assisted clients in accessing healthcare services by providing referrals and appointment scheduling.
  • Collected, analyzed and reported on community health data.
  • Maintained accurate client records in compliance with privacy regulations.
  • Helped identify and engage patients most likely to benefit from community health support.
  • Identified community issues and developed strategies to proactively close service gaps.
  • Collaborated with local organizations to promote health initiatives and programs.

HRA scheduler

Cigna
Chicago, US
08.2022 - 03.2023
  • Conducted regular schedule risk assessments to identify potential issues.
  • Managed patient records and updated necessary information in electronic health record systems.
  • Tracked no-shows and cancellations, making necessary adjustments to future scheduling practices as needed.
  • Maintained daily appointment schedules for multiple physicians or healthcare providers within facility.
  • Ensured compliance with privacy regulations by maintaining confidentiality of patient information at all times.
  • Handled incoming calls from patients and answered questions related to their scheduled appointments or general inquiries about facility's services.
  • Coordinated with medical professionals to determine availability and ensure appropriate scheduling practices.
  • Communicated appointment confirmations and reminders to patients via phone calls or emails.
  • Prioritized urgent appointment requests based on medical necessity and provider availability.
  • Assisted patients with rescheduling or canceling appointments as needed.
  • Monitored waitlists for desired appointment slots and contacted patients when openings became available.
  • Updated physician schedules regularly, taking into account vacations, conferences, or other factors affecting availability.
  • Scheduled and participated in staff meetings to discuss development for providing quality service.
  • Received, answered, and responded to telephone calls.
  • Maintained privacy and confidentiality of patients in compliance with policies and regulations.

Provider Service Relations

First Source LLC
Detroit, US
07.2021 - 07.2022

Assisted healthcare providers with inquiries related to member eligibility, benefits, and claims processing.

  • Kept abreast of industry news, regulations, and best practices relevant to providing exceptional service to healthcare providers.
  • Maintained accurate provider data within organization's database.
  • Handled escalated issues from providers requiring additional research or intervention from higher-level staff.
  • Conducted outreach to providers for credentialing and re-credentialing purposes.
  • Contributed ideas for enhancing relationships with healthcare providers during team meetings or brainstorming sessions.
  • Facilitated communications between providers and various departments within organization.
  • Resolved provider concerns by researching and analyzing relevant information in timely manner.
  • Served as liaison between providers and other internal departments such as billing, claims, authorizations, etc., ensuring efficient communication flow.
  • Educated providers on company policies, procedures, and systems through training sessions or webinars.
  • Determined charges for services requested, collected deposits and payments, or arranged for billing.
  • Gathered and verified required customer information for tracking purposes.
  • Documented all call information according to standard operating policies and procedures.
  • Navigated multiple computer systems and utilized search tools to find information.
  • Analyzed call volume and average call time to monitor performance and productivity.

RCM

Acosta Sales & Marketing
Galesburg, US
10.2020 - 09.2021
  • Merchandising at Walmart stores in my area.
  • Implemented and executed plan-o-grams in-line with store presentation guidelines.
  • Verified proper shelf locations by checking style numbers, bin locations, and product documentation.
  • Maintained organized merchandise displays with regular cleaning and recovery.
  • Performed comprehensive stock checks to maximize product sales.
  • Prioritized task load with minimal supervision and sound judgment.
  • Adapted tagging, rotating, and product placement methods based on individual retailer requirements.
  • Prioritized stock replenishment according to product demand and availability.
  • Developed merchandising plans for seasonal changes, holidays, and special events.
  • Participated in team meetings to discuss sales targets, merchandising strategies, and store updates.
  • Kept props in pristine condition with touch-ups and protective coatings.

Customer service associate/ Pharmacy

Walgreens
Kewanee, US
04.2020 - 06.2020
  • This position is only Temporary due to pandemic
  • Interacted with customers, promoting excellent service and experiences to generate repeat business.
  • Enhanced customer satisfaction with fast, knowledgeable service.
  • Handled exchanges, returns and refunds.
  • Escalated complex cases to appropriate teams or managers for resolution.
  • Worked flexible hours, including weekends and holidays, as needed by business.
  • Collaborated with team members to improve overall customer experience.
  • Handled difficult situations while maintaining professionalism and empathy.
  • Offered solutions to problems by identifying root cause of issue.
  • Addressed and resolved customer concerns and complaints.
  • Participated in regular training sessions to stay updated on product changes and policy updates.
  • Processed customer orders and returns accurately.
  • Resolved customer complaints in timely and satisfactory manner.
  • Tracked personal performance metrics to ensure goals were met or exceeded.

Patient Access Scheduler

R1 RCM
Galesburg, US
01.2019 - 05.2020
  • Work with patients and doctors'/ nurses to schedule and register patient for Radiology, Respiratory, Vascular, and Cardiac Services and procedures.
  • CPT/ ICD 10/ HCPCS codes to determine if services or procedure meets medical necessity
  • Inbound and outbound calls daily
  • Fax orders for procedures to appropriate departments or to doctors office.
  • Verified patient demographic information and updated it in electronic health records (Epic)
  • Navigated various software programs including appointment scheduling, electronic health records, and insurance verification systems.
  • Participated in department meetings to discuss process improvements and share best practices.
  • Verified insurance eligibility, referral authorization and financial education.
  • Maintained compliance with HIPAA regulations to safeguard patient privacy.
  • Ensured compliance with hospital policies regarding patient registration and data entry accuracy.
  • Answered incoming phone calls and provided assistance to callers with questions or concerns.
  • Scanned medical records and processed Release of Information forms.
  • Scheduled appointments for patients based on provider availability and patient preferences.
  • Transcribed physician notes, detailing diagnosis or recommendations.
  • Transmitted medical records and correspondence on behalf of patients and practitioners.
  • Scheduled x-rays and lab work for patients.

Care giver

Aperion Care
Galesburg, US
10.2018 - 05.2020
  • Used initiative to respond quickly in emergency situations.
  • Kept rooms clean and ready to meet individual needs.
  • Promoted independence while assisting with personal hygiene needs.
  • Changed bed linen regularly to help prevent skin irritation.
  • Reported unusual behavior for improved care continuity.
  • Built friendly rapport with patients and delivered personalized care.
  • Recorded patient heart rate, pulse, and blood pressure.
  • Helped patients to complete routine exercises to build mobility.
  • Documented care actions, vitals, and orders in company software.
  • Prepared patients for treatments, visits, and social activities.
  • Offered support, companionship, and stimulation with conversation and recreation.
  • Worked alongside registered nursing staff and followed care plans.
  • Assisted physical therapists with exercises and rehabilitation activities for patients recovering from injuries or surgeries.
  • Conducted routine checks on bedridden patients to prevent bedsores or other complications.
  • Participated in ongoing education opportunities to stay current with best practices in nursing assistance.
  • Documented patient care by recording observations, interventions, and outcomes in medical records.

CNA - Certified Nursing Assistant

Good Samaritan Society
Prophetstown, US
11.2016 - 12.2018
  • Changed bed linen regularly to help prevent skin irritation.
  • Documented care actions, vitals, and orders in company software.
  • Used initiative to respond quickly in emergency situations.
  • Reported unusual behavior for improved care continuity.
  • Recorded patient heart rate, pulse, and blood pressure.
  • Prepared patients for treatments, visits, and social activities.
  • Offered support, companionship, and stimulation with conversation and recreation.
  • Promoted independence while assisting with personal hygiene needs.
  • Performed wound care tasks such as cleaning, dressing changes, and monitoring healing progress.
  • Demonstrated strong teamwork skills by collaborating effectively with colleagues across disciplines.

Education

High school or equivalent -

Galva Jr./Senior High School
Galva, IL
06-2007

Skills

  • CNA
  • CPT, ICD-10, ICD-9, HCPCs
  • HCPCs
  • Medical Scheduling
  • Insurance Verification
  • Medical Office Experience
  • Hospital Experience
  • Medical Terminology
  • Epic, Collective Medical, Salesforce, Dynamo
  • Customer service
  • Software troubleshooting
  • Typing
  • Communication skills
  • Organizational skills
  • EMR Systems
  • HIPAA Guidelines
  • Microsoft Office proficiency

Certification

  • CPR/First Aid
  • Certified Nursing Assistant (CNA)
  • Driver's License

Personal Information

Work Permit: Authorized to work in the US for any employer

Timeline

Community Health Worker

CVS/AETNA
03.2023 - 08.2024

HRA scheduler

Cigna
08.2022 - 03.2023

Provider Service Relations

First Source LLC
07.2021 - 07.2022

RCM

Acosta Sales & Marketing
10.2020 - 09.2021

Customer service associate/ Pharmacy

Walgreens
04.2020 - 06.2020

Patient Access Scheduler

R1 RCM
01.2019 - 05.2020

Care giver

Aperion Care
10.2018 - 05.2020

CNA - Certified Nursing Assistant

Good Samaritan Society
11.2016 - 12.2018
  • CPR/First Aid
  • Certified Nursing Assistant (CNA)
  • Driver's License

High school or equivalent -

Galva Jr./Senior High School
Tasha Nelson