Tera Gordon Mcintyre
Matthews
Summary
Adept at navigating complex billing systems and enhancing customer satisfaction, my tenure at CareMetx showcased my ability to streamline claims processing and improve account management. Leveraging skills in medical coding and problem-solving, I consistently ensured regulatory compliance and efficient insurance verification, demonstrating a keen eye for detail and a commitment to excellence in customer service.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Reimbursement Specialist
CareMetx
Charlotte
12.2024 - 02.2025
- Resolved discrepancies between provider documentation and insurance plan requirements.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Gathered information to produce accounts payable reports for review.
- Verified clients' insurance claims coverage by coordinating with providers.
- Investigated complex cases involving multiple providers or incorrect coding issues.
Delivery Driver
Amazon
Charlotte
07.2022 - 05.2024
- I am responsible for the loading and unloading of my van
- Providing excellent customer service through out to residents and business customers we interact with daily
- I also currently have my dot certification as well
Benefits Verification Specialist
AmerisourceBergen with Lash Group
Fort Mill
11.2019 - 02.2020
- I was responsible for contacting the payers and verifying the patient's insurance
- Once verified I would setup the patient for copay assistance
Sales Floor Lead
Macy's
11.2017 - 02.2019
- I am responsible for doing opening and closing functions of the store
- Managing and creating schedules meal break forms
- Projecting reports for all fobs
- Managing 30 to 40 associates and assisting both customers and associates with any issues that requires an executive decision to be made
Senior Fraud Agent
Synchrony Financial
09.2015 - 08.2017
- I processed True Name Fraud Claim on credit card account that were opened fraudulently and cancel credit card applications that were pending
- Process lost stolen claim and send out replacement cards
- Handled section calls were the accounts that were block because of fraud activity
Customer Service Rep, Optum
Anthem Blue Cross & Blue Shield
11.2014 - 07.2015
- Assistant members with their Medicare Part D Prescription Drug Coverage
- Setup payment arrangements, Give quotes on the cost of their medication
- Transfer calls over to the correct department, resolve any issue the member was calling regards too
Price Change Supervisor
Macy's
03.2011 - 05.2014
- Responsible for doing all current price changes for the whole store
- Leading the support team in making sure that are being doing in a timely fashion
- Assist with setting the sale on a weekly basis
- Performed regular opening duties daily
Customer Service Specialist
Roses Discount Stores
Charlotte
04.2009 - 10.2009
- Process a variety of returns, let customer in dressing room, Zone and recovered women, men's and children department
Sales Associate, Accessories Department
Dillard's
09.2007 - 09.2008
- Perform opening and closing duties during my shift
- Assist with weekly markdowns in the Accessories Department, Set Plano grams up for new merchandise that comes into department
Hospitality Specialist
HMS Host Charlotte Douglas Airport
02.2007 - 09.2007
- It is my job to assist customers with excellent customer service, as they select their food from the self-service area of the restaurant
- Help the customers who would like to place carry out orders, assist in selling tee shirts, hats, and glasses
Sales Associate
Walmart
04.2006 - 11.2006
- Assist customers with custom made jewelry orders, perform opening and closing duties during the shift
- Conducted daily and nightly diamond and gold audit of jewelry sold in my department, Stock all new merchandise
Assistant Manager
Eckard Pharmacy
01.2005 - 03.2006
- Head Assistant of the customer service department, assisted cashier with the correct amount of change
- Light accounting and bookkeeping during checkout in the morning before store opened
- Responsible for counting down the tills at the end of the night before store closed
- Assist with putting up totes when the trucks came in
- Set the weekly sales ads performed price changes
- Was responsible for checking in all new merchandise that was brought in by the vendors on day to day basis
Education
ASSOCIATE - APPLIED SCIENCE MEDICAL ASSISTING
ECPI COLLEGE OF TECHNOLOGY
BEACH, VA, US05.2011
DIPLOMA - MEDICAL ASSISTING
ECPI COLLEGE OF TECHNOLOGY
Charlotte, NC06.2010
Associate - Medical Assisting
ECPI University
Virginia Beach, VA05.2010
ASSOCIATES - FOOD SERVICE CULINARY ARTS
JOHNSON & WALES UNIVERSITY
Charleston, SC05.2000
HIGH SCHOOL DIPLOMA - General Education
South Florence Highschool
Florence, SC06.1997
Skills
- BILLING
- CODING
- EXCEL
- MEDICAL TERMINOLOGY
- MEDICAL TRANSCRIPTION
- Retail Management
- Keyholder
- Fashion
- Key Holder
- SFDC
- Pre-Sales
- Customer Care
- Customer Service
- Call Center
- CSR
- Customer Support
- Sales Experience
- Multi-line Phone Systems
- Help Desk
- Troubleshooting
- Microsoft Office
- Typing
- Analysis skills
- Windows
- Documentation review
- Office Administration
- Medical Records
- Medical Billing
- Computer Networking
- Medical Coding
- HIPAA
- Time management
- Data entry
- Medical office experience
- Medical scheduling
- Claims processing
- Insurance verification
- Billing software
- Procedure coding
- Account management
- Regulatory compliance
- Data analysis
- Customer service
- Problem solving
- Attention to detail
- Communication skills
- Cross-functional collaboration
- Conflict resolution
Certification
- RMA, 10/01/23 to 01/01/24
- Non-CDL Class C, 10/01/23 to 01/01/24
- DOT certified
Personal Information
- Willing To Relocate: Anywhere
- Authorized To Work: US for any employer
Timeline
Reimbursement Specialist
CareMetx
12.2024 - 02.2025
Delivery Driver
Amazon
07.2022 - 05.2024
Benefits Verification Specialist
AmerisourceBergen with Lash Group
11.2019 - 02.2020
Sales Floor Lead
Macy's
11.2017 - 02.2019
Senior Fraud Agent
Synchrony Financial
09.2015 - 08.2017
Customer Service Rep, Optum
Anthem Blue Cross & Blue Shield
11.2014 - 07.2015
Price Change Supervisor
Macy's
03.2011 - 05.2014
Customer Service Specialist
Roses Discount Stores
04.2009 - 10.2009
Sales Associate, Accessories Department
Dillard's
09.2007 - 09.2008
Hospitality Specialist
HMS Host Charlotte Douglas Airport
02.2007 - 09.2007
Sales Associate
Walmart
04.2006 - 11.2006
Assistant Manager
Eckard Pharmacy
01.2005 - 03.2006
ASSOCIATE - APPLIED SCIENCE MEDICAL ASSISTING
ECPI COLLEGE OF TECHNOLOGY
DIPLOMA - MEDICAL ASSISTING
ECPI COLLEGE OF TECHNOLOGY
Associate - Medical Assisting
ECPI University
ASSOCIATES - FOOD SERVICE CULINARY ARTS
JOHNSON & WALES UNIVERSITY
HIGH SCHOOL DIPLOMA - General Education
South Florence Highschool
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