Tawanda M. Boyd
Brooksville,FL
Summary
Experienced in training and communication, dedicated to driving professional development and adding value to a team. Passionate about fostering growth, bringing fresh perspective, and generating innovative ideas. Excited to collaborate with dedicated individuals for success and positive impact. Ready for a new opportunity to showcase talents and contribute to a thriving work environment.
Overview
28
28
years of professional experience
Work History
UM COORDINATOR WFH
AdventHealth
Tampa, FL
09.2024 - Current
- Authorization & Review: Obtaining pre-certifications, performing concurrent reviews for continued stays, and reviewing treatment plans for medical necessity.
- Documentation & Communication: Maintaining accurate records, communicating with insurance companies, and liaising between clinical teams, intake, and billing.
- Compliance & Audit: Ensuring adherence to insurance policies and regulatory standards, and managing the appeals process for denials.
- Data Management: Collecting and analyzing utilization data to improve resource efficiency
Admissions Coordinator
Springbrook Behavioral Health
Brooksville, FL
03.2024 - 03.2025
- Coordinated admission processes to ensure compliance with regulatory standards and organizational policies.
- Streamlined application review procedures, enhancing efficiency and reducing processing time for new applicants.
- Developed and maintained relationships with external referral sources to facilitate patient admissions and support services.
- Implemented training programs for staff on admissions protocols, improving team performance and knowledge retention.
Clinical Onboarding Support Specialist WFH
Envision Healthcare
TN
12.2021 - 06.2024
- Adhered to established workflow protocols during clinician onboarding.
- Draft clinician employment agreements using contract request forms.
- Managed preparation and tracking of contractual amendments, addenda, memoranda, letters, and other legal documents.
- Send legal documents to providers utilizing DocuSign.
- Coordinated interactions between provider, Operations, Legal, HR, IT, Payroll, Recruitment, and Executives for onboarding and current staff.
- Ensured timely tracking of provider I-9 documentation and addressed delays promptly.
- Maintain provider records in the hiring system throughout their employment with the company
- Triage questions and concerns for new and existing providers regarding contracts, pay related inquiries
- Initiate and maintain payroll/ tax start-ups and acquisitions
- Identified and communicated suspected breaches of company procedures.
- Obtains clarification of policy whenever necessary and may use the resources available through the Compliance
Logistics Coordinator WFH
Matrix Medical
Largo, FL
07.2021 - 06.2023
- Utilized systems mapping tools and resources to design optimal routing for provider schedules.
- Resolved providers' scheduling issues by implementing effective solutions.
- Executed effective communication strategies to manage member appointments and enhance provider productivity.
- Optimized scheduling and reassignment of member appointments to reduce drive time.
- Optimized appointment scheduling to enhance route efficiency.
- Logged all incoming and outgoing calls utilizing internal computer system.
- Executed follow-up calls to inform providers and members of updated information.
UM Care Coordinator – TEAM LEAD WFH
CareCentrix
Tampa, FL
02.2010 - 02.2021
- Conducting comprehensive training course about 2-4 weeks. Including topics such as phone etiquette, verifications, authorizations, eligibility, arranging home health care as well as medical equipment.
- Managed and refreshed audit data for team, identifying coaching opportunities in phone, processing, and procedures.
- Evaluated performance metrics to offer constructive feedback.
- Supports cross-functional process improvement
- Recommend retraining
- Mentor Coordinators
- Oversaw complaint resolution process for payers and providers.
General Manager
U Store It
Bloomfield, Ct
01.2007 - 12.2008
- Office administration
- Data entry
- Handling incoming/outgoing calls
- Account Payable/Receivable
- Marketing
- Bookkeeping
- Budgeting
- Collections
Customer Service Representative
St. Francis Hospital
Hartford, CT
01.2002 - 12.2007
- Office administration
- Handling incoming/ outgoing calls
- Greeting patients
- Data entry
- Schedule appointments
- Insurance verification/ authorizations
- Referrals
Customer Service Representative
Blue Ridge Insurance
Simsbury, CT
01.2000 - 12.2002
- Handling incoming calls
- Accounts receivable
- Batching checks
- Processing payments
- Data entry
Customer Service Representative
Yellow Cab Company
Bloomfield, CT
01.1998 - 12.2002
- Dispatched incoming calls for drivers via PC
- Managed pick-up and drop logs via MS Excel
- Data entry
Education
Medical Assistant Program - Paralegal studies
Branford Hall
Windsor, Ct01-2009
Business Management - undefined
Briarwood College
Southington, Ct01-1999
Skills
- Microsoft Excel
- IC Business Manager
- Microsoft Office
- Tableau Reader 83
- Web Ex
- Sales Force
- Epic
- DocuSign
- Jabber
- Finesse
- Teams
Timeline
UM COORDINATOR WFH
AdventHealth
09.2024 - Current
Admissions Coordinator
Springbrook Behavioral Health
03.2024 - 03.2025
Clinical Onboarding Support Specialist WFH
Envision Healthcare
12.2021 - 06.2024
Logistics Coordinator WFH
Matrix Medical
07.2021 - 06.2023
UM Care Coordinator – TEAM LEAD WFH
CareCentrix
02.2010 - 02.2021
General Manager
U Store It
01.2007 - 12.2008
Customer Service Representative
St. Francis Hospital
01.2002 - 12.2007
Customer Service Representative
Blue Ridge Insurance
01.2000 - 12.2002
Customer Service Representative
Yellow Cab Company
01.1998 - 12.2002
Medical Assistant Program - Paralegal studies
Branford Hall
Business Management - undefined
Briarwood College