Taziaya Graves
jackson,MS
Summary
Senior Medicaid Claims Specialist with extensive experience in claims processing and provider enrollment at Alliance Revenue Partners. Demonstrated ability to ensure HIPAA compliance while providing exceptional client service. Proficient in navigating state Medicaid portals and skilled in high-volume data entry, enhancing efficiency and accuracy in claims management.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Senior Medicaid Claims Specialist
Alliance Revenue Partners
04.2022 - Current
- Managed complex out-of-state Medicaid claims for hospitals and physician groups, verifying eligibility and authorization across multiple state programs.
- Tracked progress of provider enrollment applications for hospitals and physicians through payer systems.
- Verified Medicaid eligibility using state portals, ensuring accurate provider credentialing processes.
- Researched unapplied cash discrepancies and submitted corrected data to cash posting team for timely resolution.
- Delivered responsive client communication, resolving inquiries while maintaining compliance with HIPAA regulations.
Patient Account Representative - Medicaid Department
Trinity Billing Services
Jackson, MS
02.2020 - 03.2022
- Verified eligibility and authorization for Medicaid patients across multiple states.
- Assisted in document collection and upload for provider enrollment and credentialing.
- Monitored payment status and submitted reconciled reports to cash posting teams.
- Maintained updated account statuses and payer communications across multiple software platforms.
Medical Billing Clerk (Intern)
Jackson Family Clinic
Jackson, MS
05.2019 - 01.2020
- Assisted billing staff with Medicaid data entry and claim preparation for accurate processing.
- Maintained up-to-date patient information through diligent updates and verification.
- Filed provider documentation to facilitate credentialing and enrollment processes.
- Shadowed billing specialists to gain insights into CPT/ICD-9 coding and HIPAA compliance principles.
Education
Associate of Science - Nursing
South College
Knoxville, TN06-2026
High School Diploma -
Lanier High School
Jackson, MS01.2017
Skills
- Medicaid claims processing
- Authorization and eligibility verification
- Provider enrollment and credentialing
- Payment reconciliation
- ICD-9, CPT, and HCPCS expertise
- HIPAA and FDCPA compliance
- High-volume data entry
- Microsoft Office proficiency
- Client service and communication
- Electronic health records management
- State Medicaid portal navigation
- EHR systems expertise (Epic, Kareo, eClinicalWorks)
- Fast and accurate data entry
Certification
- HIPAA Compliance Training, Completed 2023
- Medicaid Claims & Billing Workshop, Completed 2022
Timeline
Senior Medicaid Claims Specialist
Alliance Revenue Partners
04.2022 - Current
Patient Account Representative - Medicaid Department
Trinity Billing Services
02.2020 - 03.2022
Medical Billing Clerk (Intern)
Jackson Family Clinic
05.2019 - 01.2020
Associate of Science - Nursing
South College
High School Diploma -
Lanier High School
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