TENISHA GUIDO
St. Louis,MO
Summary
Professional in healthcare administration with strong background in managing authorization processes. Adept at ensuring compliance, streamlining workflows, and mitigating risks. Consistent track record of fostering team collaboration and achieving results in dynamic environments. Skilled in navigating complex systems, prioritizing tasks, and maintaining high standards of accuracy and efficiency.
Overview
7
7
years of professional experience
Work History
Warehouse Operator
Westside Personnel Services
09.2024 - Current
- Managed the receipt, inspection, storage, retrieval, and dispatch of goods following established protocols consistently throughout tenure as Warehouse Operator.
- Loaded, unloaded, and moved material to and from storage and production areas.
- Checked packages and merchandise for damage and notified vendors.
PATIENT SERVICE AGENT
Mercy
11.2021 - 08.2024
- Answered multiple phones lines, faxed and filed confidential documents while performing data entry accurately and thoroughly for all notes and conversations per patient
- Demonstrated customer service, while helping 80-100 patients daily with scheduling, health insurance, and billing issues exceeding contact center expectations via remotely
- Ensured prompt, efficient, and correct call resolution and patient issues and concerns about billing
CLERK
TForce Freight
05.2022 - 11.2022
- Managed invoices and performed data entry functions with handheld device and office equipment
- Processed billing invoices for central and local offices and answered customer inquiries relating to rate quotes and appointments
- Worked with others to solve moderately complex problems to ensure correct inventory issues
BILLING REPRESENTATIVE/CLAIMS PROCESSOR
Above All & Aerotek
04.2018 - 05.2022
- Also obtained and documented patients’ medical insurance via NextGen system
- Worked effectively with medical payers such as Medicare, Medicaid, and commercial insurances to obtain timely and accurate payments.
- Performed prompt documentation retrieval, reviewed, compilation, and submission ensuring payment in prompt manner
EXTERNSHIP
Saint Louis Pathology Associates
03.2018 - 05.2018
- Ensured patients demographics and insurance verification, and insurance referral for services along with data entry
- Sorted and filed medical records into patient’s accounts; distributes labs and summaries into physician’s inbox
- Processed and researched reasons for denial of claims, Prior Authorizations and Explanation of Benefits
Education
Master of Science - Healthcare Administration
ST. LOUIS COLLEGE OF HEALTH CAREERS
St. Louis, MO09.2021
Bachelor of Science - Healthcare Administration
ST. LOUIS COLLEGE OF HEALTH CAREERS
St. Louis, MO11.2019
Associate of Applied Science - Professional Medical Billing
ST. LOUIS COLLEGE OF HEALTH CAREERS
St. Louis, MO03.2018
Skills
- Call center experience
- Medical terminology
- Insurance verification
- Prior authorization process
- Patient referrals
- Electronic health records proficiency
Timeline
Warehouse Operator
Westside Personnel Services
09.2024 - Current
CLERK
TForce Freight
05.2022 - 11.2022
PATIENT SERVICE AGENT
Mercy
11.2021 - 08.2024
BILLING REPRESENTATIVE/CLAIMS PROCESSOR
Above All & Aerotek
04.2018 - 05.2022
EXTERNSHIP
Saint Louis Pathology Associates
03.2018 - 05.2018
Bachelor of Science - Healthcare Administration
ST. LOUIS COLLEGE OF HEALTH CAREERS
Associate of Applied Science - Professional Medical Billing
ST. LOUIS COLLEGE OF HEALTH CAREERS
Master of Science - Healthcare Administration
ST. LOUIS COLLEGE OF HEALTH CAREERS
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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