Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Tequilla Taylor

Parkville,MD

Summary

Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

11
11
years of professional experience
1
1
Certification

Work History

Coding and Billing Specialist

Beyond Therapy Behavorial Health, LLC
Pikesville , MD
07.2024 - Current
  • Coded diagnosis and procedures according to established guidelines.
  • Verified accuracy of billing information prior to submitting claims to insurance companies.
  • Provided support to colleagues by responding promptly to inquiries related to coding and billing issues.
  • Collaborated with clinical staff members on code assignments when necessary.
  • Ensured timely submission of all claims so that maximum reimbursement is received.
  • Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
  • Performed insurance verification, pre-certification and pre-authorization.
  • Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
  • Submitted claims to insurance companies.
  • Checked claims coding for accuracy with ICD-10 standards.
  • Reviewed prior authorization requests to ensure accuracy and completeness of required information.
  • Provided guidance to providers regarding the prior authorization process.
  • Responded promptly to inquiries from providers, patients and payers regarding status of prior authorization requests.
  • Processed appeals in a timely manner as per policy guidelines.
  • Assisted with developing policies and procedures related to prior authorizations.
  • Ensured compliance with state and federal regulations pertaining to prior authorizations.
  • Performed detailed medical reviews of prior authorization request, following established criteria and protocols.

Surgical Scheduler

Sinai Hospital of Baltimore
Baltimore , MD
10.2017 - Current
  • Responsible for scheduling and coordinating surgeries, procedures, and appointments for the operating room.
  • Organized patient records to ensure accuracy of information in the system.
  • Verified insurance eligibility and coverage prior to surgery.
  • Communicated with patients and family members to provide updates on scheduled dates and times of operations.
  • Coordinated with physicians' offices on scheduling changes or cancellations due to emergency cases or patient cancellations.
  • Ensured that all necessary documentation was completed accurately prior to surgery date.
  • Maintained detailed logs of patient information such as name, procedure type, insurance provider and estimated duration of operation.
  • Provided assistance with post-operative follow up visits when needed.
  • Reviewed daily OR schedule for accuracy before posting it publicly.
  • Managed incoming calls from physicians' offices requesting surgical services.
  • Collaborated with medical staff on creating a plan for efficient use of resources throughout the day.
  • Checked physician orders and schedule availability to make accurate appointments for tests and surgical procedures.
  • Used accurate procedure codes for billing purposes and to help operating teams be correctly prepared for each operation.
  • Organized patient medical records and worked with insurance company representatives to obtain authorization.
  • Conveyed information to patients about arrival times and preoperative procedures.
  • Booked surgeries according to physician volume and maintained prompt turnaround times.
  • Collaborated and established strong working relationships with physicians, supervisors and colleagues.
  • Checked patient insurance and collected pre-authorizations from providers.
  • Conducted quality assurance reviews on completed records associated with each case.

Medical Assistant/Administrative Assistant

Sinai Hospital of Baltimore
Baltimore , MD
10.2017 - 01.2024
  • Assisted physicians with patient care by taking vital signs, patient histories and preparing patients for examinations.
  • Provided assistance to medical staff in performing minor surgical procedures.
  • Maintained accurate medical records through filing, charting, transcription and data entry into electronic health record system.
  • Answered phones, scheduled appointments and managed patient flow while greeting visitors in a professional manner.
  • Ordered medical supplies, maintained inventory logs and restocked exam rooms when needed.
  • Organized patient charts before each day's clinic sessions began.
  • Collected samples from patients for laboratory testing purposes.
  • Ensured that all instruments used during exams were cleaned properly after each use according to established protocols.
  • Kept examination rooms clean, stocked with necessary supplies and prepared for incoming patients.
  • Registered new patients into practice management software program accurately entering demographic information.
  • Filed insurance claims forms in accordance with applicable regulations.
  • Scheduled appointments for patients via phone and in person.
  • Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
  • Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
  • Organized charts, documents and supplies to maintain team productivity.
  • Documented notes during patient visits.
  • Provided administrative support to the executive team, including scheduling meetings and managing calendars.

Medical Assistant/Phlebotomist

Jai Medical Center
Baltimore, MD
06.2014 - 10.2017
  • Assisted physicians with patient care by taking vital signs, patient histories and preparing patients for examinations.
  • Maintained accurate medical records through filing, charting, transcription and data entry into electronic health record system.
  • Answered phones, scheduled appointments and managed patient flow while greeting visitors in a professional manner.
  • Conducted EKGs, spirometry testing, audiograms and other diagnostic tests as requested by the physician.
  • Ensured that all instruments used during exams were cleaned properly after each use according to established protocols.
  • Organized charts, documents and supplies to maintain team productivity.
  • Answered phones, scheduled appointments, greeted patients and ordered supplies.
  • Collected, labeled and stored laboratory specimens properly prior to testing.
  • Performed venipuncture and other blood collection procedures according to established standards.
  • Assisted in the preparation of laboratory specimens for analysis and testing.
  • Maintained a clean, safe, and organized work environment.
  • Followed all safety protocols when handling hazardous materials.
  • Monitored inventory levels of supplies used in phlebotomy services.
  • Documented patient information into electronic medical records system.
  • Performed quality control tests on collected specimens.
  • Located veins suitable for puncture to draw blood using sterilized needles, vials and other equipment.
  • Collected specimens for drug screens, paternity tests and alcohol tests.
  • Performed basic laboratory tests such as urinalysis and blood glucose levels under direct supervision of a physician or registered nurse.

Education

Certification - Medical Assistant

Fortis Institute
Towson, MD
03-2013

High School Diploma -

Chesapeake High School
Baltimore, MD
06-2012

Some College (No Degree) -

Strayer University
Washington, DC

Skills

  • Payment posting
  • Revenue Cycle Management
  • Insurance Verification
  • Claims Processing
  • HIPAA Compliance
  • Data Entry
  • Appointment Scheduling
  • Administrative Support
  • Customer Service
  • Problem Resolution
  • Computer Proficiency
  • Payment Collection
  • Medical Billing
  • Phlebotomy

Certification

  • CPR Certification with American Heart Association
  • Basic First Aid

Timeline

Coding and Billing Specialist

Beyond Therapy Behavorial Health, LLC
07.2024 - Current

Surgical Scheduler

Sinai Hospital of Baltimore
10.2017 - Current

Medical Assistant/Administrative Assistant

Sinai Hospital of Baltimore
10.2017 - 01.2024

Medical Assistant/Phlebotomist

Jai Medical Center
06.2014 - 10.2017

Certification - Medical Assistant

Fortis Institute

High School Diploma -

Chesapeake High School

Some College (No Degree) -

Strayer University

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Tequilla Taylor