TESSA BARLOW-COLVIN
Summary
Highly motivated and goal oriented, with excellent communications and time management skills. Ability to build rapport with all levels of management. Accustomed to successfully managing multiple priorities. Strong communications skills, written and verbal. Ability to multitask with strong analytical capabilities. Demonstrated ability to interact with internal and external Senior Leadership. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Insurance Verification Specialist
HCA
01.2022 - 03.2024
- Responsible for timely and accurate verification of insurance for outpatient Surgery and notifying patients of their estimated out of pocket amount due prior to surgery
- Liaison for facility, patients, and physician's office staff
- Obtain preauthorizations and referrals for services
- Assisted with the development of new policies and procedures
- Interpreted managed care contracts
- Assised staff level employees with compliance of the department policies and procedures
- Assisted with training of new employees, and other duties.
Benefit Installation Specialist
United Health Care
02.2002 - 02.2019
- Maintained cases on the TOPS system
- Loaded new business, renewals and made plan changes
- Researched and analyzed standard coding and instruction documents
- Responded to maintenance items as requested
- Configured the coding of USS cases on applicable systems
- Tested changes to benefits utilizing the testing Macros
- Participated in Special Projects as required
- Conducted validation checks to ensure benefits in the claim payment systems were coinciding with the Plan Benefits
- Coached employees and provided feedback to managers and trainers
- Acted as a Liaison with client services and made recommendation on training needs
- Received, gathered and analyzed Benefit Data and built benefits in the system according to information received from the Client Managers
- Made recommendations to implement improved processes
- Created and Maintained team building functions.
Client Liaison
NCO Financial Systems
08.2002 - 01.2006
- Prepared and distributed reports to clients including monthly, quarterly, and yearly reports reflecting work statuses, improvements, and referrals
- Communicated with clients by telephone, email, and onsite
- Completed trip reports after important meetings with clients and submitted applicable reports to the appropriate manager or supervisor
- Reviewed and distributed contractual referrals, ensuring accuracy
- Ensured compliance with all applicable Federal, State, and Local laws and regulations and company policies and procedures
- Made recommendations to management to implement improved processes.
Education
Medical Secretary Certification -
Elcentro Business College
Dallas, TXAssociate of Business -
Bradford Business College
Dallas, TXSkills
- Database Administration
- Adaptable and Flexible
- Insurance Verification
- Collaboration and Teamwork
- Patient Rapport
- Adaptability
- Policy Interpretation
- Accuracy and Precision
- Insurance Authorizations
- Patient Eligibility Requirements
- Medical Terminology
- Teamwork and Collaboration
- Understanding of medical terms
- Data entry proficiency
- Attention to Detail
- Excellent Communication
- Organizational Skills
- Database Management
- Interpersonal Skills
- Patient Scheduling
- Claims Processing
- Coordination and Scheduling
- Insurance Billing
- Time Management
- Reliability
- Prior authorization processing
- Problem-Solving
- Adaptability and Flexibility
- Critical Thinking
- Documentation Review
- Patient Database Maintenance
- HIPAA Compliance
- Patient confidentiality
- Written Communication
- Task Prioritization
- Payment Scheduling and Collection
- Customer Relationship Management
- Patient Data Abstracts
- Eligibility Determination
- Decision-Making
- Problem-solving abilities
- Communication and Interpersonal Skills
- Patient Communication
- Healthcare Industry Knowledge
- Process evaluation
- Insurance Coverage Verification
- Data Verification
- Patient contact
- Self Motivation
- Organization and Time Management
- Documentation and Correspondence
- Document Management
- Relationship Building
Certification
Certified Medical Claims Examiner, Richland College, Dallas, TX
Timeline
Insurance Verification Specialist
HCA
01.2022 - 03.2024
Client Liaison
NCO Financial Systems
08.2002 - 01.2006
Benefit Installation Specialist
United Health Care
02.2002 - 02.2019
Medical Secretary Certification -
Elcentro Business College
Associate of Business -
Bradford Business College
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