Tayla Simmons
Des Moines,IA
Summary
Detail-oriented revenue cycle specialist with a systematic nature and good grasp of billing processes. Successful planner and problem-solver. Ready to apply several years' experience and take on a challenging role. Analytical and strategic thinker with a background in financial and investment analysis. Known for high productivity levels and the ability to efficiently complete tasks, ensuring accuracy and timely delivery of projects. Possess specialized skills in market research, risk assessment, and portfolio management. Excel at communication, problem-solving, and adaptability, making complex financial concepts understandable and actionable for diverse audiences.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Revenue Cycle Specialist
The Iowa Clinic P.C.
West Des Moines, IA
11.2023 - 05.2024
- Maintained current knowledge of insurance policies, procedures, regulations, and guidelines.
- Processed appeals related to denied or rejected claims in a timely manner.
- Conducted audits of medical records to ensure compliance with payer requirements.
- Analyzed claims data to identify trends in denials and rejections.
- Reviewed patient charts for accuracy prior to submitting claims for reimbursement.
- Monitored accounts receivables daily to determine appropriate follow-up action needed.
- Developed reports detailing billing activities, including payment trends and denial rates.
Account Executive
Innovation Refunds (Contract)
West Des Moines, IA
11.2022 - 05.2023
- Handle escalation issues regarding IRS letters and payments
- Answer questions and concern via email, mail or by phone to client inquires related to audits.
- Collaborated with cross-functional teams such as finance, operations, legal, and marketing to identify new opportunities for growth.
- Generated weekly reports on sales performance against targets for upper management review.
- Provided timely customer service support to resolve any issues quickly and efficiently.
- Developed and maintained relationships with key clients to ensure customer satisfaction.
- Maintained accurate records of all sales activities using CRM software systems.
- Analyzed customer data to develop targeted campaigns that increased customer loyalty and retention rates.
- Managed accounts by providing ongoing technical support after the sale was completed.
Annuity Analyst
Sammons Financial Group
West Des Moines, IA
02.2021 - 09.2022
- Process Annuity and Life Insurance applications.
- Review agent submitted documents for accuracy and to make sure they follow IRS and state guidelines
- Apply funds to account if we have cash with application account.
- Identified needs of customers promptly and efficiently.
- Maintained positive working relationship with fellow staff and management.
- Assessed company operations for compliance with safety standards.
- Utilized document management system to organize company files, keeping up-to-date and easily accessible data.
Suitability Representive
Athene Annuities
West Des Moines, IA
02.2019 - 07.2020
- Collaborated closely with team members to achieve project objectives and meet deadlines.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Exceeded customer satisfaction by finding creative solutions to problems.
- Updated and maintained databases with current information.
- Analyze the financials of the annuity applications to make sure that the product is suitable for the client
- Work on items in NIGO status
- Work closely with Compliance to make sure we are meeting the state and company regulations
- Collect data for researching
- Decline applications if product does not meet the financial criteria for the client's financial situation
Education
High School Diploma -
Roosevelt High School
Des Moines, IA05-2007
Skills
- Insurance Verification
- Writing reports
- HIPAA Compliance
- Collecting payments
- Analytical Problem Solving
- Insurance collaboration
- Revenue Cycle Management
- Medical Billing
- Verifying insurance
- Patient Registration
- Financial Counseling
- Claims review
- Payment posting
- Managing records
- Business Tracking
- Impact Assessment
- Client Relationship Development
- Professionalism
- Analyzing performance
- Financial Analysis
- Word Processing
- Relationship Building
- Decision-Making
- Analytical Skills
- Time Management
- Team building
- Problem-solving abilities
- Document Management
Certification
- Health and Life License
References
References available upon request.
Timeline
Revenue Cycle Specialist
The Iowa Clinic P.C.
11.2023 - 05.2024
Account Executive
Innovation Refunds (Contract)
11.2022 - 05.2023
Annuity Analyst
Sammons Financial Group
02.2021 - 09.2022
Suitability Representive
Athene Annuities
02.2019 - 07.2020
High School Diploma -
Roosevelt High School
- Health and Life License
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