Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tazia L Prater

Columbus,OH

Summary

Brand Statement A diligent, positive, creative individual committed to high performance. Passionate in collaborative team efforts to enhance department operations and provide exceptional customer service. Proven natural leadership skills and an effective communicator who easily establishes a strong and trusting rapport with colleagues and customers. Seeking to leverage a wide spectrum of IT knowledge and tech skills. Utilize my data entry and extensive excel background. Prospective data analyst looking for a company in which I can grow in experience and leadership. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

12
12
years of professional experience

Work History

Provider Claims Rep/ Data Entry

Firstsource Solutions
01.2022 - Current
  • Assist providers with status on claims
  • Answer any questions they have regarding claims and authorizations
  • Provide appeals status to providers for denied claims
  • Worked productively in fast-moving work environment to process large volumes of claims.
  • Analyzed and addressed escalated claims to resolve issues quickly.
  • Collaborated with internal departments and external vendors to achieve fast resolution of claims.
  • Followed up with customers on unresolved issues.
  • Researched and analyzed complex claims to determine next steps and possible outcomes.
  • Updated claims system to track claim status and provide relevant information to other department.
  • Developed in-depth understanding of insurance policies and procedures to give accurate recommendations to suit clients' needs.
  • Maintained accurate and up-to-date records of claim information for future reference.
  • Examined reports, accounts, and evidence to determine integrity and accuracy of information.
  • Interviewed policyholders to verify information and obtain additional details.
  • Investigated accidents or incidents to determine cause and extent of damages.
  • Prepared and presented detailed reports to management on claims issues to aid in decision making.
  • Monitored and managed claim expenses to control costs and maximize profitability.
  • Generated, posted and attached information to claim files.
  • Checked documentation for accuracy and validity on updated systems.
  • Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
  • Maintained confidentiality of patient finances, records, and health statuses.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Verified client information by analyzing existing evidence on file.
  • Prepared insurance claim forms or related documents and reviewed for completeness.
  • Posted payments to accounts and maintained records.
  • Processed and recorded new policies and claims.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
  • Collected premiums and issued accurate receipts.
  • Determined appropriateness of payers to protect organization and minimize risk.
  • Notified insurance agents and accounting departments of policy cancellations and changes.
  • Coordinated with contracting department to resolve payer issues.
  • Communicated verification and authorization status updates with Type department to facilitate decision-making for patient admissions and insurance coverage.
  • Reviewed outstanding requests and redirected workloads to complete projects on time.
  • Communicated effectively with staff members of operations, finance and clinical departments.
  • Modified, updated and processed existing policies.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Calculated adjustments, premiums and refunds.

Data Entry Specialist

Square Janitorial
07.2021 - Current
  • Completed data entry tasks with accuracy and efficiency.
  • Compiled data and reviewed information for accuracy prior to input.
  • Reviewed and updated client correspondence files and database information to maintain accurate records.
  • Maintained files, records and chronologies of entry activities.
  • Identified data entry errors and reported to necessary departments.
  • Corrected data entry errors to prevent duplication or data degradation.
  • Managed workflow scheduling, data entry, and accuracy verification for large data projects.
  • Sent completed entries for evaluation and final approval.
  • Entered numerical data into databases with speed and accuracy using 10-key pad.
  • Scanned documents and saved in database to keep records of essential organizational information.
  • Managed documents by organizing forms, making photocopies, filing records, preparing correspondence, and creating reports.
  • Compiled and verified accuracy and sorting information to prepare source data for computer entry.
  • Evaluated source documents to locate needed information.
  • Searched, extracted and interpreted information to determine correct input procedure.
  • Produced monthly reports with advanced Excel spreadsheet functions.
  • Corrected data entry errors to prevent later issues such as duplication or data degradation.
  • Coded and processed applications into required electronic formats.
  • Built and maintained tracking databases for variety of measuring aspects.
  • Communicated with supervisors and colleagues to process data quickly and resolve discrepancies.
  • Verified accuracy of data entered into system to produce error-free reports.
  • Organized, sorted, and checked input data against original documents.
  • Entered data into various computer systems accurately using Microsoft Office Suite.
  • Resolved discrepancies in data entry activities for accurate, complete jobs.
  • Followed established procedures to enter and process data correctly.
  • Secured and protected data from unauthorized access by complying with security protocols.
  • Sorted documents and maintained organized filing process.
  • Collated and organized data entry documents into filing systems for easy access.
  • Developed data entry policies and procedures in compliance with company standards.
  • Created and maintained data entry logs to track data entry activities.
  • Developed and maintained databases to store customer information.
  • Used computer software to store and retrieve data.
  • Updated and maintained customer information, documents and records.
  • Checked for accuracy by verifying data and records.
  • Followed data entry protocols, rules and regulations.
  • Managed and organized documents for data entry tasks.
  • Created spreadsheets for more efficient recordkeeping.
  • Preserved customer confidence and protected operations by keeping information confidential.
  • Analyzed current data records to provide detailed reports.
  • Utilized techniques for increasing data entry speed.
  • Compared transcribed data with source document to detect and correct errors.
  • Assisted with developing data entry processes.
  • Kept optimal quality levels to prevent critical errors and support team performance targets.
  • Developed and implemented data entry operations.
  • Conducted audits of existing data entry processes.

HR Assistant

Robert HalfApril
01.2021 - 08.2022
  • Assist with filing new hire and termination paperwork
  • Assist with working spreadsheets to accurately report occupied and vacant positions
  • Using analytical skills to process updates and assure information is accurate
  • Assist with loading new hire information into Sage accounting software and P4C
  • File away workers compensation claims
  • Documented human resources records and maintained confidentiality of sensitive personal information.
  • Responded to inquiries by answering telephone calls, in-person questions and emails.
  • Updated Human Resources Information System (HRIS) database, maintained data accuracy and assisted with system changes.
  • Maintained office supplies, distributed mail and processed invoices for payment.
  • Oversaw and managed hiring process and assisted human resources.
  • Supported coordination of benefits open enrollment activities and process.
  • Reviewed and screened applicant resumes to identify qualified candidates.
  • Partnered with management team to coordinate on-boarding and off-boarding processes.
  • Coordinated and set up meeting materials, presentations and audiovisual systems.
  • Performed internal and external audits and research and administrative reviews of programs and plans to support HR administration.
  • Conducted new hire orientation to verify completion of appropriate paperwork, recording information on human resources database.
  • Filed paperwork, sorted, and delivered mail and maintained office organization.
  • Monitored employee attendance and performance to verify punctuality and absences, addressing issues in accordance with company policies and procedures.
  • Organized new employee orientation schedules for new hires.
  • Processed employee termination paperwork at direction of supervisory staff.
  • Created and completed personnel action forms for hires, terminations, title changes and terminations.
  • Delivered friendly assistance with new hires throughout interviewing and hiring process.
  • Answered and redirected incoming phone calls for office.
  • Coordinated employee training programs to improve productivity and performance.
  • Screened applicant resumes and coordinated both phone and in-person interviews.
  • Administered compensation, benefits, and performance management systems at direction of supervisor.
  • Developed and implemented policies and procedures to use for recruitment, employee relations and benefits administration.
  • Applied mediation and collaboration to successfully resolve employee complaints and grievances.
  • Analyzed and reported on employee turnover rates to assess reasons and make recommendations for improvement.
  • Coordinated itineraries and scheduled appointments for human resources staff.
  • Responded to employee inquiries regarding benefits and other HR topics.
  • Scheduled and coordinated interviews between hiring managers and potential candidates.
  • Set up orientations and initial training for new employees.
  • Processed documentation for employee actions such as new hires, grievance resolutions and terminations.
  • Participated in recruitment and selection process for new hires.
  • Updated and maintained employee attendance records.
  • Compiled employee records from individual departments to maintain central files.
  • Tracked various statistics and kept detailed records to support human resources department.
  • Helped employees register for benefits programs using online portals.
  • Developed and maintained HR policies and procedures.
  • Checked references for potential candidates.
  • Assisted with creating employee handbooks and manuals.
  • Created job descriptions on boards for vacant jobs.
  • Aided staff with employee performance review paperwork and documentation.
  • Conducted exit interviews with terminated employees.
  • Participated in job fairs to recruit new talent.
  • Studied research and trends on best practices in HR field.
  • Converted employee status from temporary to permanent.
  • Monitored and analyzed employee satisfaction survey results.
  • Coordinated employee relocation processes.

Pricing Analyst

Cardinal HealthMay, Med Pricing Services
01.2016 - 02.2021
  • Work closely with customers to assure hospitals pricing is correct
  • Reach out to vendors to confirm correct contracts and help get customers connected to the correct contract so pricing is aligned
  • Manage contract pre-expiration process
  • Manage CAP reporting and resolution process
  • Track and communicate current alignment performance to customer and internal teams
  • Resolve pricing research requests for assigned customers
  • Administer and manage daily customer pricing discrepancies

Contracts and Pricing Coordinator

Cinga HealthCareDecember
01.2014 - 05.2016
  • Pharma Customer Master Data
  • Process high impact SharePoint request from various business segments
  • Communicate with our Salesforce team to ensure accuracy
  • Assist in creating substantial processes and document for team SOP’s
  • Monitors compliance with controls and drives resolution of complex exceptions
  • Apply specialized knowledge in timely processing pricing, contract and financial transactions metrics
  • Prioritize and organize workload while working independently within a team environment
  • Act as a mentor for new hires; teaching new processes and skills through the buddy checks and rounds
  • Collaborate with various internal stakeholders to gain consensus on business priorities and support in strategic initiatives
  • Communicate concerns of potential risk and proactively alleviate risk to the business while ensuring quality control guidelines are being followed daily

Prior Authorization Representative

Central Ohio CounselingMay
01.2012 - 12.2014
  • Assist doctors, nurses, office staff, patients, insurance companies, and pharmacists with completing a prior authorization to get medications covered
  • Provide status updates on cases and build cases to get the medications covered
  • Process incoming faxes from physician’s offices.

Express ScriptsNov
01.2013 - 07.2014
  • Benefit Coverage Review
  • Handle calls from members and physician offices requesting to appeal decisions for medication coverage
  • Process cost exceeds cases for pharmacists and inbound direct claims for reimbursement of funds members paid out of pocket for medications
  • Meet Medicare turnaround times and work with clients to get appeals approved.

Education

Associates of Science - Business Administration

Franklin University
2015

General Education -

Licking Heights High School
Pataskala, OH
05.2012

Skills

  • Achievements & Skills
  • Lean Six Sigma White and Yellow belt certified
  • Excel beginning and advanced courses completed
  • Experience with VLOOKUP’s, pivot tables, slicers, queries, etc
  • Tax Preparations
  • State revised and adminstrative codes
  • SOX Compliance
  • Audit Reviews
  • Financial Research
  • Regulatory Compliance
  • Service Coordination
  • Facility Maintenance
  • Resource Planning
  • Schedule Management
  • Event Coordination
  • Vendor Relationship Management
  • Contract Administration
  • Staff Management
  • Budget Planning
  • Supply Management
  • Workflow Planning
  • Administrative Management
  • Staff Scheduling
  • Business Correspondence
  • Database Administration
  • Payroll Oversight
  • Report Writing
  • Policy Management
  • Relationship Building
  • Strategic Planning
  • Scheduling
  • Negotiation
  • Business Administration
  • Policy and Procedure Modification
  • Vendor Relationships
  • Customer Satisfaction Evaluation
  • Time Management
  • Process Development
  • Data Entry
  • Company Representation
  • Equipment Purchase Planning
  • Presentation Design
  • Work Planning and Prioritization
  • Attention to Detail
  • Microsoft Office
  • Planning and Prioritization
  • Operational and Financial Reporting
  • Hiring and Terminations
  • Electronic Filing Systems
  • Personnel Needs Assessments
  • Sensitive Document Disposal
  • Active Listening
  • Critical Thinking
  • Quickbooks
  • Bookkeeping
  • Scheduling and Calendar Management
  • Flexible Schedule
  • Documentation and Control
  • Operational Improvements
  • Human Resource Management Software
  • Administrative Background

Timeline

Provider Claims Rep/ Data Entry

Firstsource Solutions
01.2022 - Current

Data Entry Specialist

Square Janitorial
07.2021 - Current

HR Assistant

Robert HalfApril
01.2021 - 08.2022

Pricing Analyst

Cardinal HealthMay, Med Pricing Services
01.2016 - 02.2021

Contracts and Pricing Coordinator

Cinga HealthCareDecember
01.2014 - 05.2016

Express ScriptsNov
01.2013 - 07.2014

Prior Authorization Representative

Central Ohio CounselingMay
01.2012 - 12.2014

Associates of Science - Business Administration

Franklin University

General Education -

Licking Heights High School

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Tazia L Prater