Tenille N Watt
Atlanta,GA
Summary
Healthcare professional with a background in grievances, claims analysis, insurance verification, and referral coordination. Supports accurate member resolution by gathering denial data, coordinating across departments, preparing productivity reports, and maintaining schedules and service-level goals.
Overview
24
24
years of professional experience
Work History
Senior Grievance Coordinator/Claims Analyst
CVS Health
03.2024 - Current
- Facilitated resolution of member grievances, ensuring timely and effective outcomes.
- Coordinated efforts across departments to successfully resolve claims.
- Compiled data for denial determinations and served as subject matter expert on workflows, appeals, complaints, and grievances.
- Research and resolved electronic Medicare Part D grievances.
- Collaborated with outside vendors to address and resolve member complaints.
- Leveraged expertise in Peoplesafe, GPS Production, MHK Nitro Production, The Source, and AE Tool to enhance operational efficiency.
Customer Service Coordinator/Referral Coordinator
Kaiser Permanente
12.2014 - 06.2024
- Handled inquiries for deductibles and specialized medical services.
- Responsible for collecting co-pays and past due balances.
- Managed and processed clinical referrals for internal and external specialties.
- Verified insurance and completed pre-authorization for Pediatric Medicaid Referrals and Kaiser members.
- Corresponded with Physicians to handle diagnosis and ICD coding corrections.
- Scheduled, tracked, and coordinated with outside facilities such as Emory & Northside for Radiology procedures.
- Created weekly productivity reports.
- Responsible for creating department schedules
- Event Planning
Administrative Assistant/Scheduling Coordinator
Emory Hospital
01.2016 - 12.2018
- Handled scheduling for EVS department 200 - 250 employees.
- Responsible for processing payroll for all employees.
- Assisted department leadership to establish set schedules to maintain staffing for 3 shifts for 24/7 work environment.
- Evaluated, monitored, and forecasted workload for hospital EVS department.
- Monitored department attendance and created required disciplinary action when required for department staff.
Communications Supervisor
American Medical Response, AMR
Stone Mountain, Georgia
06.2008 - 02.2014
- Answered emergency calls for public safety communications center.
- Tracked radio traffic and kept unit communications clear.
- Sorted incoming calls by urgency and passed critical details to responding crews.
- Supported daily operations across employer departments and frontline staff.
911 Communications Supervisor
Grady Healthcare System
Atlanta, GA
02.2003 - 06.2009
- Supervised Grady Healthcare emergency communications staff and daily call flow.
- Monitored 911 radios, phones, and dispatch systems for Grady operations.
- Coordinated emergency response with hospital security, EMS, and clinical teams.
- Reviewed incident logs and call records for Grady Communications compliance.
Education
Middle Level Education -
Georgia State University
01-2016
Psychology
Atlanta Metropolitan College
01-2009
Skills
- Grievance resolution and appeals processing
- Medicare Part D expertise
- Claims analysis and denial review
- Insurance verification and emergency dispatch
- Radio communications and CAD systems
- Call triage and public safety coordination
- Workforce scheduling and payroll administration
- Radio communications
- CAD systems
- Call triage
- Public safety coordination
- Workforce scheduling
- Payroll administration
Timeline
Senior Grievance Coordinator/Claims Analyst
CVS Health
03.2024 - Current
Administrative Assistant/Scheduling Coordinator
Emory Hospital
01.2016 - 12.2018
Customer Service Coordinator/Referral Coordinator
Kaiser Permanente
12.2014 - 06.2024
Communications Supervisor
American Medical Response, AMR
06.2008 - 02.2014
911 Communications Supervisor
Grady Healthcare System
02.2003 - 06.2009
Middle Level Education -
Georgia State University
Psychology
Atlanta Metropolitan College