Tashiara Brashear
1600 N Park St. Lithia Springs,GA
Summary
Effective Medical Claims Processor with strong background building rapport with providers to discuss claim status or claim denials. Driven performer equipped to handle multiple administrative tasks effectively. Exemplary worker with highly investigative skills when processing claims.
Overview
6
6
years of professional experience
Work History
Customer Support Specialist
Converge Technology
11.2022 - 03.2024
- Developed strong relationships with clients, resulting in repeat business and positive feedback.
- Delivered exceptional customer service experiences by maintaining a positive attitude, active listening skills, and empathetic responses to customer concerns.
- Managed a high volume of inbound calls while maintaining excellent call quality standards and adhering to established procedures through the Epic system
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Claims Processor
MMC
11.2021 - 02.2024
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
- Reviewed applications and supporting documents to verify claims eligibility and accuracy.
- Completed assignments using multiple source documents to verify data or used additional information to do the work
- Managed workload and priorities to meet claims processing meet deadlines.
- Followed up on pending documents involving analysis
- Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
Case Management Specialist
Cinch
09.2022 - 10.2022
- Managed a caseload of diverse clients, successfully addressing their unique needs while maintaining high standards of service delivery.
- Maintained accurate records and documentation, ensuring compliance with regulatory requirements and facilitating seamless audits.
- Facilitated timely transitions between care settings by coordinating with healthcare providers, families, and insurance companies.
- Created well-written, effective care plans appropriately matching needs of clients following standards and guidelines of funders, contractors and governmental regulations.
Customer Service Representative
Adecco
10.2021 - 12.2021
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
Medical Assistant
Aurora Medical Center
07.2018 - 03.2020
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Obtained client medical history, medication information, symptoms, and allergies.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Performed medical records management, including filing, organizing and scanning documents.
- Documented vital signs and health history for patients in clinic and hospital environments.
- Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
- Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
Education
MBA - Healthcare Management
Herzing University
12.2018
BBA - Healthcare Management
Herzing University
08.2017
Associate of Science - Medical Assistant
Sanford Brown
11.2011
Skills
- Complaint Handling
- Customer Relationship Management (CRM)
- CRM Software
- Call center experience
- Salesforce
- Claims analysis
- Data entry proficiency
- Claims review
- ICD-10 Coding Familiarity
- Prior Authorization Process
Timeline
Customer Support Specialist
Converge Technology
11.2022 - 03.2024
Case Management Specialist
Cinch
09.2022 - 10.2022
Claims Processor
MMC
11.2021 - 02.2024
Customer Service Representative
Adecco
10.2021 - 12.2021
Medical Assistant
Aurora Medical Center
07.2018 - 03.2020
MBA - Healthcare Management
Herzing University
BBA - Healthcare Management
Herzing University
Associate of Science - Medical Assistant
Sanford Brown
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