Tasha'e Singleton
Reimbursement Specialist
DeSoto,TX
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
6
6
years of professional experience
8
8
years of post-secondary education
Work History
Reimbursement Specialist
Smith & Nephew, Inc
Fort Worth, TX
05.2020 - Current
- Prevented delays and claim denials by correcting information prior to submission.
- Generated financial statements and reports detailing accounts receivable status
- Responded to customer concerns and questions on daily basis.
- Used data entry skills to accurately document and input statements.
- Guided office staff on how to effectively complete prior authorization forms and appeals documentation to achieve positive results.
- Created documents in accordance with payer guidelines and submitted to appropriate parties.
- Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
Insurance Verification Specialist II
Baylor Scott & White Medical Center
Dallas, TX
06.2018 - 03.2020
- Determined appropriateness of payers to protect organization and minimize risk.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Posted payments to accounts and maintained records.
- Communicated verification and authorization status updates with revenue cycling department to facilitate decision-making for patient admissions and insurance coverage.
Utilization Review Coordinator II
Humana
Dallas, TX
12.2016 - 05.2018
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Process and edit Routine, Retro & Urgent CHN treatment authorization requests according to the HIPAA Policy & Procedure.
- Responsible for obtaining authorization approvals from the appropriate physician assigned to that IPA.
- Answer all incoming calls with respect to general information regarding an authorization.
- Responsible for ensuring that all approval and modification letters are sent out. Modification letters are faxed occasionally, per the request of providers/specialists.
Education
Bachelor of Arts - Public Relations, Advertising, And Applied Communication
University of North Texas At Dallas
Dallas, TX 07.2020 - Current
Associate of Arts -
Tarrant County College District
Fort Worth, TX 06.2017 - 08.2019
High School Diploma -
Mansfield Summit High School
Arlington, TX 08.2011 - 05.2015
Skills
Data recording
undefinedTimeline
Bachelor of Arts - Public Relations, Advertising, And Applied Communication
University of North Texas At Dallas
07.2020 - Current
Reimbursement Specialist
Smith & Nephew, Inc
05.2020 - Current
Insurance Verification Specialist II
Baylor Scott & White Medical Center
06.2018 - 03.2020
Associate of Arts -
Tarrant County College District
06.2017 - 08.2019
Utilization Review Coordinator II
Humana
12.2016 - 05.2018
High School Diploma -
Mansfield Summit High School
08.2011 - 05.2015
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