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
ICD 10 Coding
Financial accounting
Eligibility Verification
Customer service support
Media relations
Marketing and sales
Communications support
Information gathering and analysis
PR strategy development
Social media marketing
Problem-Solving
Timeline
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