Telicia Bobo
Balch Springs,TX
Summary
With over two decades in the medical industry, primarily with United Healthcare, I've honed expertise in claim adjustments and team leadership, reducing case backlogs significantly. My background includes developing training materials and mastering OneNote and SharePoint, showcasing my blend of technical proficiency and ability to mentor and manage teams effectively.
Overview
17
17
years of professional experience
Work History
Corrected Claims
United Healthcare
Dallas, TX
01.2021 - Current
- Reviewed claims providers resubmitted for correction; determining whether further action is needed.
- Reduced case backlog by expediting resolutions.
- Prioritized and organized tasks to efficiently accomplish service goals.
Claims Adjustment Specialist
United Healthcare
Dallas, TX
03.2016 - 01.2021
- Investigated claims for provider services and member services to see if additional payments are needed.
- Interpreted insurance policy language to apply appropriate coverage.
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
- Calculated and authorized payment of claims within designated authority level.
OJT
United Healthcare
Dallas, TX
04.2017 - 11.2017
- Participated in the training and mentoring of new claims adjusters, sharing knowledge and expertise.
- Audited processed claims for accuracy.
- Worked effectively in team environments to make the workplace more productive.
- Collaborated closely with team members to achieve project objectives and meet deadlines.
Patient Access Representative
USMD/MCNT
Las Colinas, TX
06.2010 - 01.2016
- Responsible for entering daily charges for a large multi practice medical office as well as hospital charges for 23 providers.
- Responsible for daily chart prep verifying patient insurance and checking outstanding balances.
- Responsible for patient collections posting money to patient accounts.
- Processed medical records.
Site Supervisor
MCNT
Las Colinas, TX
10.2007 - 06.2010
- Managed a two-provider specialty, being instrumental in the growth and daily operations for the new providers.
- I was responsible for interviewing, hiring, and training new employees.
- Maintained a highly productive and high-performing office.
Education
Associate of Arts - Nursing
Sanford Brown Institute
Dallas, TX01-2005
High School Diploma -
East High
Wichita, KS01-1990
Un8
Skills
21 years in the medical industry
20 years of customer service
8 years OneNote, SharePoint, Omega
15 years supervision and training employees in an on the job setting and classroom setting
Ad hoc manuals for training new hires and medical
Objective
Having years of experience in supervision, training, and processing of claims, I am looking forward to new challenges to expand my career. I want to utilize my knowledge and experience to provide continuous growth within the company.
References
References available upon request.
Timeline
Corrected Claims
United Healthcare
01.2021 - Current
OJT
United Healthcare
04.2017 - 11.2017
Claims Adjustment Specialist
United Healthcare
03.2016 - 01.2021
Patient Access Representative
USMD/MCNT
06.2010 - 01.2016
Site Supervisor
MCNT
10.2007 - 06.2010
Associate of Arts - Nursing
Sanford Brown Institute
High School Diploma -
East High
Un8