TERRI LINN
SPRING HILL,TN
Summary
Highly focused and results-oriented professional with a proven track record of supporting complex, deadline-driven operations. Proactive in addressing issues in their initial stages, enabling smooth project execution. Excels in developing and maintaining detailed procedural processes that reduce redundancy and enhance accuracy and efficiency, consistently streamlining workflows to contribute to achieving organizational objectives and optimizing overall performance. Thrives in fast-paced environments, demonstrating a strong commitment to delivering high-quality results complemented by attention to detail and strategic thinking. Drives success through improved processes and targeted execution.
Overview
15
15
years of professional experience
Work History
Anchor Team Specialist/CSOC III
NaviHealth
10.2016 - Current
- As part of my role, I successfully manage contracts for MVP Home Health and UHC Home Health, ensuring seamless operations and compliance
- I play a pivotal role in the team by training both new and existing members on Home Health processes, imparting valuable insights and keeping everyone up-to-date with procedural changes
- Additionally, I step up as a team lead in the absence of a supervisor, demonstrating my ability to take charge and maintain operations effectively
Records Integrity Coordinator
NaviHealth
04.2014 - 10.2016
- In my role, I undertook a range of crucial responsibilities
- These included liaising with Skilled Nursing Facilities (SNF) to confirm member admissions, updating member statuses in the Case Management (CM) Tool, and ensuring accurate contact details on all forms sent to SNFs
- I was also responsible for generating and sending provider approval letters, as well as general member approval letters, both to the SNFs and to individual members via mail
- My expertise extended to maintaining meticulous records and details within the CM Tool
- I proficiently utilize networked computer systems such as Case Management Tools, Excel, and Print2Fax in the execution of my duties
- Furthermore, I am adept at extracting and analyzing reports and data, providing valuable insights for informed decision-making
- My role extended to training new and existing team members on SHF processes, facilitating seamless integration and knowledge dissemination
- An integral aspect of my position was collaborating closely with the Compliance Team to ensure the adherence of CMS requirements in our letter handling processes
- This partnership ensured accuracy and compliance in all aspects of our operations
Customer Service Representative
Zero Chaos
02.2013 - 12.2013
- In my capacity as a dedicated Customer Service Representative (CSR) for the State of Tennessee contract, I seamlessly handled a variety of tasks to ensure exceptional customer experiences
- One of my core responsibilities involved addressing inbound calls from both members and providers
- I skillfully inputted data, offering accurate and timely assistance with a strong focus on delivering a high level of customer service
- My interactions were consistently characterized by courtesy and professionalism, setting a positive tone for each engagement
- I adeptly managed a wide range of inbound customer service inquiries and issues through both telephone and email channels
- My ability to accurately record communications, even in situations requiring deviation from standard screens, scripts, and procedures, ensured effective problem resolution and customer satisfaction
- Central to my role was the utilization of computerized systems such as Embrace, Track Via, and Oracle
- I relied on these systems for call tracking, information gathering, troubleshooting, and assessing customer needs
- Leveraging my deep understanding of our programs, I confidently explained various offerings and, when suitable, recommended alternative products or services to meet individual needs
- Overall, my dedication to delivering exceptional service, along with my technical proficiency and adaptability, enabled me to contribute positively to customer satisfaction and the overall success of the State of Tennessee contract
Office Manager
Berger Chiropractic
08.2010 - 12.2011
- In my capacity, I consistently offered unwavering support and expertise by conducting thorough assessments and devising comprehensive plans that cater to individual patient needs
- The process involved meticulous implementation and holistic evaluation to ensure each patient's unique requirements are met
- One of my core duties revolved around managing various aspects of patient insurance
- This included proficiently running and verifying insurance information, and then effectively communicating insurance benefits to patients
- I also handled the administrative side of insurance, such as filing HiCF forms and processing payments
- I was entrusted with the vital task of determining and accurately entering diagnostic and procedural chiropractic codes
- This precise coding ensured proper documentation and billing accuracy, contributing to streamlined operations
- A crucial element of my role involved aiding patients in comprehending their chiropractic treatment plans
- This empowerment ensured they receive optimal care and encouraged their active involvement in the healing process
- Furthermore, I played a pivotal role in maintaining a seamless schedule for patients, all while ensuring meticulous patient file management in strict adherence to HIPAA regulations
- Through these responsibilities, I upheld a commitment to delivering excellent patient care, operational efficiency, and adherence to privacy standards, contributing significantly to the overall success of the healthcare practice
Education
ASSOCIATE OF APPLIED SCIENCE -
St. Louis Community College
Skills
- Microsoft Office Systems
- QuickBooks
- Windows Operating System
- Attention to detail
- Organized
- Result driven
- Deadline oriented
Timeline
Anchor Team Specialist/CSOC III
NaviHealth
10.2016 - Current
Records Integrity Coordinator
NaviHealth
04.2014 - 10.2016
Customer Service Representative
Zero Chaos
02.2013 - 12.2013
Office Manager
Berger Chiropractic
08.2010 - 12.2011
ASSOCIATE OF APPLIED SCIENCE -
St. Louis Community College
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