Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tenika Lamons

El Paso,TX

Summary

Seasoned Lead Medical Support Assistant that worked for Medical Hospitals, and Clinics, adept in patient data entry and administrative support. Proven track record in enhancing customer service and streamlining service schedules, boasting a history of leadership and strong interpersonal relationships. Expert in HIPAA compliance and adept in multi-department collaboration for optimal patient care.

Overview

21
21
years of professional experience

Work History

Lead Medical Support Assistant

William Beaumont Army Hospital
08.2014 - 12.2023
  • Entered data into databases accurately while ensuring accuracy of information entered.
  • Scanned documents into computer systems using appropriate software applications.
  • Ensured compliance with HIPAA regulations when collecting, entering, and storing private patient information.
  • Provided leadership and guidance to junior medical support staff, training them in office procedures and protocols.
  • Collaborated closely with other departments within the organization to ensure seamless operations.
  • Organized meetings between physicians and other healthcare professionals as needed.
  • Utilized excellent interpersonal skills to build strong relationships with patients, physicians, and other healthcare professionals.
  • Resolved customer service inquiries in a timely manner while demonstrating exceptional customer service skills.
  • Advises patients of alternate Health care on TRICARE. Capable of looking up lab results, radiology reports, medication summaries, and making telephone consults.
  • Proficient in booking appointments by phone and in person for the clinic, referrals, self-referrals, physical therapy, optometry, hearing, immunization, Soldier Readiness Program(SRP)- Warrior Transition Unit (WTU) soldiers, Behavioral Health patients with the proper protocols, and with assisted in the Exceptional Family Member Program (EFMP) for family members who has a diagnosed a chronic illness
  • Increased efficiency in handling emergency situations by developing an effective triage process based on patient needs assessment.
  • Supported the development of staff training programs to enhance team performance and improve service quality.
  • Reduced administrative errors through meticulous attention to detail in documentation management processes.

Medical Support Assistant (OA)

HQs US AMEDDAC Bamberg Health Clinic
08.2012 - 05.2014
  • Provided compassionate support, addressing patient concerns and inquiries in a professional manner.
  • Maintained strict confidentiality, adhering to HIPAA regulations while handling sensitive patient information.
  • Maintained a high degree of professionalism and composure in high-stress situations, ensuring the well-being of patients and staff alike.
  • Improved patient satisfaction by efficiently scheduling appointments and managing phone lines.
  • Organized meetings between physicians and other healthcare professionals as needed.
  • Utilized excellent interpersonal skills to build strong relationships with patients,physicians, and other healthcare professionals
  • Resolved customer service inquiries in a timely manner while demonstrating exceptional customer service skills.


• Register or update patient demographic information in the mini registration to ensure data base system is always current and accurate. Responsible for checking patients in for appointments and verifying their identity.


• Inform patients of other health care, telephone numbers, clinic hours, complaint procedures, transportation, and medical record requirements. Advises patients of alternate Health care on TRICARE. Capable to look up lab results, radiology reports, medication summaries, and make telephone consults.


• Responsible for answering multi-line phone calls and securing appointments for patients in (Composite Health Care System. (CHCS ). Revised telephone recorded message after same day appointments are booked to inform patients that the Patient Appointment System is closed and includes the appropriate instructions as to when patient can call back for the next available appointment.


• Responsible and proficient in booking appointments for the clinic, referrals, self-referrals, physical therapy, optometry, hearing, immunization, Warrior Transition Unit (WTU) soldiers, and the proper protocols for Behavioral patient and managing referrals.


• Assisted in The Exceptional Family Member Program (EFMP) paperwork(DD5888 and 7426 forms) for family members who has a diagnosed physical, intellectual, or emotional condition.


  • Assisted wherever I was needed.

CLAIMS ADUDITOR PROCESSOR

BIENVIVIR SENIOR HEALTH SERVICES
08.2009 - 04.2012
  • Maintained a high level of accuracy in reviewing and verifying claim information to ensure proper reimbursement.
  • Utilized problem-solving skills to identify issues that could affect payment or processing of claims.
  • Reviewed denied claims in order to determine if additional information was needed before resubmission or appeal process can be initiated.

Claims Auditor Processor

FORESIGHT TPA INC.
03.2003 - 12.2008
  • Identified fraudulent activities by conducting detailed audits on suspicious claims, protecting company resources.
  • Participated in ongoing professional development opportunities to stay current on industry trends, enhancing personal skill set and benefitting the organization.
  • Improved customer satisfaction by providing timely and accurate feedback on submitted claims, facilitating a positive experience.
  • Enhanced claim accuracy by meticulously reviewing and auditing claim submissions.
  • Interacted regularly with peers and management to pursue continuous improvement of facility operations and promote teamwork-focused environment.
  • Maintained a high level of accuracy in reviewing and verifying claim information to ensure proper reimbursement.
  • Utilized problem-solving skills to identify issues that could affect payment or processing of claims.
  • Reviewed denied claims in order to determine if additional information is needed before resubmission or appeal process can be initiated.

Education

Certificate - Medical Billing, Coding, And Front Desk Operations

International Business College
El Paso
08.2021

High School Diploma -

Stephen F. Austin Hight School
El Paso, TX
06.1994

Skills

  • HIPAA Compliance Knowledge
  • Critical thinking abilities
  • Staff Training and Development
  • Insurance Verification
  • Knowledge of ICD-9, HCPC, CPT connections and guidelines
  • Knowledge of Medicare and Medicaid payment rules
  • Claims Adjudication software
  • Medical Manager, Word Perfect, MS Excel, MS Word, MS Access
  • Record Management (filing) Medisoft for Windows
  • Billing for hospital; DME, Surgery, Anesthesia, Physicians services, Medicare and Medicaid billing

Timeline

Lead Medical Support Assistant

William Beaumont Army Hospital
08.2014 - 12.2023

Medical Support Assistant (OA)

HQs US AMEDDAC Bamberg Health Clinic
08.2012 - 05.2014

CLAIMS ADUDITOR PROCESSOR

BIENVIVIR SENIOR HEALTH SERVICES
08.2009 - 04.2012

Claims Auditor Processor

FORESIGHT TPA INC.
03.2003 - 12.2008

Certificate - Medical Billing, Coding, And Front Desk Operations

International Business College

High School Diploma -

Stephen F. Austin Hight School
Tenika Lamons