Teya Baker
Winchester,TN
Summary
Eligibility Representative with Accredo Health Group, Proven problem-solving and effective communication skills, fostering collaboration and positive team culture. Skilled in data-driven decision-making and multitasking, ensuring seamless operations and patient satisfaction.
Overview
15
15
years of professional experience
Work History
Eligibility Representative
Accredo Health Group
08.2022 - Current
- Evaluated patient eligibility for benefits and services, ensuring compliance with policies and regulations.
- Processed claims and documentation accurately to expedite approvals and minimize delays.
- Collaborated with healthcare providers, pharmacy and patients to gather necessary information for eligibility determination.
- Maintained detailed records of eligibility decisions and communicated outcomes effectively to patients.
- Assisted in resolving complex eligibility issues by researching policy guidelines and applying problem-solving skills.
- Managed high-volume caseloads while maintaining strict adherence
- Utilized data-driven decision-making strategies to make informed recommendations on complex cases.
- Reduced errors in eligibility determinations through meticulous attention to detail and rigorous quality control measures.
- Balanced responsibilities as an Eligibility Representative with ongoing education pursuits or additional roles within the organization, demonstrating strong time management skills and dedication to continued professional growth.
- Contributed positively to team culture by actively participating in collaborative problem-solving efforts.
- Trained new Eligibility Representatives in Care Central.
- Currently participate in the Care Central Pilot Program.
- Current member of the Engagement team.
- Assist with watching lead emails and running hourly reports.
Certified Medical Assistant
Complete Care
04.2011 - 08.2022
- Administered patient care, including taking vital signs and preparing patients for examinations.
- Assisted physicians with medical procedures, ensuring compliance with safety protocols.
- Managed electronic health records, maintaining accurate patient information and documentation.
- Provided patient education on treatment plans and medication usage to enhance understanding.
Education
Medical Assistant
Remington College
Nashville, TN04-2011
Skills
- Client relationship building
- Healthcare industry
- Policy interpretation
- Confidentiality
- Effective communication skills
- Telephone etiquette
- Programming
- Social services
- Applicant engagement
- Eligibility procedures
- Microsoft office
- Data entry
- Documentation and reporting
- Teamwork and collaboration
- Problem-solving
- Customer service
- Time management
- Attention to detail
- Multitasking Abilities
- Reliability
- Critical thinking
- Active listening
- Adaptability and flexibility
- Decision-making
Timeline
Eligibility Representative
Accredo Health Group
08.2022 - Current
Certified Medical Assistant
Complete Care
04.2011 - 08.2022
Medical Assistant
Remington College