Teion Colbert

Covington,GA

Summary

A results-driven and detail-oriented professional with solid experience in provider relations, medical intake processes, verification, and scheduling. Skilled in managing relationships with healthcare providers, ensuring accurate data verification, and coordinating appointments. Experienced in handling sensitive information according to HIPAA regulations, while consistently providing excellent customer service.

Overview

years of professional experience

Work History

Providers Relations /Intake Specialist (Team Lead)

Change Healthcare/Optum

Atlanta, Georgia

09.2016 - 11.2024

Coordinated risk review data collection, ensuring compliance with HEDIS standards and HIPAA regulations.
Retrieved patient medical records and charts from electronic health record systems, paper files, and other sources.
Facilitated open communication between providers and payers to address concerns and resolve issues efficiently.
Ensured accurate data entry and proper documentation of client information.
Supervised and trained team members on policies, procedures, and best practices to improve intake accuracy and efficiency.
Provided regular performance feedback and conducted evaluations to help team members meet organizational goals.

Verification Specialist (Part-Time/Remote)

Medquest

Atlanta, GA

05.2021 - 03.2023

Verified patient insurance coverage and eligibility for medical services by contacting insurance companies, reviewing insurance policies, and obtaining pre-authorizations when necessary.
Confirmed patient demographic and insurance information to ensure accurate billing and claims processing.
Advocated on behalf of patients to ensure timely approval for medically necessary treatments, procedures, and medications.
Handled complex cases by identifying issues in authorization processes and escalating them as needed to ensure resolution.
Documented prior authorization activities, including requests, authorization status, and communication with insurance companies.
Maintained detailed and accurate documentation of all insurance verification interactions, including phone calls, emails, and written communication, to ensure compliance and proper record keeping.

Scheduler

American Landscaping

, GA

08.2014 - 09.2016

Managed and coordinated appointment schedules for clients, to ensure timely and accurate bookings.
Worked closely with sales and operations teams to prioritize high-priority or urgent jobs.
Assisted with maintaining customer records and updated job statuses in the system to ensure accurate billing and follow up.
Kept track of inventory and equipment availability to ensure jobs were completed without delays.
Monitored weather conditions and rescheduled appointments as needed to avoid disruptions.
Updated scheduling software and databases with customer contact information, service histories, and feedback.

Education

Computer Science

Anne Arundel Community College

Arnold, MD

Skills

Excellent Communication Skills
Problem-Solving & Analytical
Relationship Building
Flexibility & Adaptability
Record Keeping
Software Proficiency

Detail Oriented
Scheduling
Documentation Management
Team work
Strong observational Skills

Software

Microsoft (Teams, word, excel, SharePoint, outlook, onenote, PowerPoint
Salesforce
Epic
Adobe
OPM
Change Healthcare
Avility

Timeline