TEDRA SIMMONS
Atlanta,GA
Summary
Healthcare professional focused on enhancing patient satisfaction through effective problem resolution and adherence to HIPAA regulations. Manages high call volumes with professionalism and empathy, providing exceptional service to both patients and healthcare providers. Proven ability to maintain accurate records and streamline patient inquiries.
Overview
7
7
years of professional experience
Work History
Healthcare Call Center Representative
TEKsystems
Remote, Tx
10.2023 - 04.2026
- Handled high volume of 75 calls daily while providing exceptional service, ensuring patient needs were met promptly.
- Improved patient satisfaction by effectively resolving healthcare inquiries, fostering trust and loyalty.
- Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
- Maintained accurate patient records with diligent data entry and effective communication with healthcare professionals..
- Collaborated remotely with team members to achieve objectives and ensure seamless communication.
Medical Call Center Representative
WTW
09.2020 - 10.2023
- Demonstrated professionalism and empathy during challenging calls, offering emotional support while resolving patient concerns.
- Provided exceptional customer service, addressing inquiries from both patients and healthcare providers promptly and professionally.
- Guided patients in navigating complex healthcare systems, connecting them to available resources and support services.
- Enhanced patient satisfaction through effective front desk management and professional inquiry resolution.
- Worked remotely to assist patients with inquiries and support
Prior Authorization Specialist
Everise
11.2018 - 08.2020
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms
- Conducted audits of patient accounts to ensure accuracy, reduce errors, and safeguard revenue from billing discrepancies.
- Maintained accurate patient records through meticulous data entry and proactive communication with healthcare professionals.
- Streamlined patient registration process to enhance efficiency and decrease patient wait times.
- Worked remotely with team collaboration tools to ensure effective communication.
Education
GED -
West GA Technical College
Newnan, GASkills
- Customer Service
- Inbound and Outbound Calling
- Insurance Verification
- Efficient Documentation
- Patient Account Auditing
- Medical Billing Software
- ICD-10 proficiency
- HIPAA Compliance Knowledge
- Prior Authorization Process
- Appointment Scheduling
- Call Center Experience
- Data Entry and Analysis
Timeline
Healthcare Call Center Representative
TEKsystems
10.2023 - 04.2026
Medical Call Center Representative
WTW
09.2020 - 10.2023
Prior Authorization Specialist
Everise
11.2018 - 08.2020
GED -
West GA Technical College