Summary
Overview
Work History
Education
Skills
Certification
Timeline
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Tenisha James

Tenisha James

Phoenix,AZ

Summary

Motivated Medical Representative with background supporting patient medical needs by verifying insurance, scheduling appointments, and organizing documents. Forward-thinking and resourceful with good interpersonal skills, strong attention to detail and upbeat mentality. Advanced abilities in healthcare billing and scheduling software.

Overview

6
6
years of professional experience
1
1
Certification

Work History

Medical Customer Service Representative

Cosmopolitan Communications
Phoenix, AZ
01.2020 - 03.2023
  • Explained medical terminology in non-complex terms o patients.
  • Adhered strictly to HIPAA regulations when handling confidential patient information.
  • Processed incoming referrals for new patients, verifying insurance information and scheduling appointments accordingly.
  • Performed clerical tasks such as filing paperwork, entering data into computer systems and managing electronic health records.
  • Provided support to physicians in the form of appointment scheduling, answering phones, verifying insurance coverage and handling other administrative duties as needed.
  • Transmitted medical records and other correspondence by mail, e-mail, or fax.

Medical Representative

Permera Blue Cross Blue shield
Chicago, Remote
01.2017 - 12.2022
  • Handled escalated customer service concerns to preserve customer satisfaction and maintain long-term business relationships.
  • Provided quotes on various types of insurance policies.
  • Advised customers on available coverage options that best fit their individual needs.
  • Navigated computer system to look up customer information and update policies.
  • Verified accuracy of customer data entered into the system.
  • Asked probing questions and offered solutions to resolve customer issues.
  • Facilitated payment processing for premium payments and renewals.
  • Used insurance rate standards to calculate premiums, refunds, commissions and adjustments.
  • Listened to and understood customers' needs, explained and discussed options and outlined best-fit services.

Education

Medical Office Administration - Medical Office Assistance

Brookline College - Phoenix
Phoenix, AZ
06-2009

Skills

  • Healthcare Insurance Knowledge
  • Stress Management Techniques
  • Appointment Scheduling
  • Eligibility Determination
  • Office Administration
  • Scheduling Appointments
  • Typing 35 WPM
  • Billing Support
  • Insurance Verification
  • HIPAA Guidelines
  • Electronic Medical Records
  • Inbound and Outbound Calling
  • Computer Proficiency
  • Active Listening

Certification

  • Certification In Medical Office Administration

Timeline

Medical Customer Service Representative

Cosmopolitan Communications
01.2020 - 03.2023

Medical Representative

Permera Blue Cross Blue shield
01.2017 - 12.2022

Medical Office Administration - Medical Office Assistance

Brookline College - Phoenix

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Tenisha James