Tia White
Jackson ,GA
Summary
Successful at efficiently handling client inquiries, billing and administrative tasks. Familiar with contracts and other documents affecting billing processes. Prepares professional, polished statements, and business correspondence.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Enrollement/Billing Specialist
Cigna
09.2023 - Current
- Prepares and reviews claims to ensure billing accuracy according to payor requirements.
- Pursues collection activities to obtain reimbursement from payors. Contacts payor to request overrides, retro authorizations, additional documentation, window extensions, etc. to ensure invoice has necessary elements for reimbursement or to work rejected claims (denial).
- Frequent follow up with payers and/or patients on outstanding accounts.
- Responds to billing inquiries and questions relating to patient accounts.
- Frequently uses phone/email/portal communications with patients and payors.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency
Central Support Operations Technician
United Healthcare
09.2022 - 09.2023
- Manage inbound and outbound telephone communication in a professional manner and according to productivity and quality standards.
- Process inbound and outbound data and communication (i.e. faxes, emails and electronic communication) according to productivity and quality standards.
- Enter, review and or verify member information in the nH Coordinate care management platform and communicate approved pertinent information with healthcare providers and/or team as needed.
- Enter required data into database accurately and in a timely manner.
- Complete administrative documentation for member records including but not limited to dis- enrollment, transitioning, creating authorization shells, attaching documents (i.e. medical records), and logging therapy information.
- Assist in a smooth coordination of members care between health providers and the health plan.
- Establish relationships and communicate, when appropriate, to providers, clients and/or field/care management staff as defined by departmental policy and process.
- Triage inbound calls manage member inquiries/requests and resolve or escalates to appropriate health plan personnel.
- Run and/or review reports to monitor assigned team duties are completed.
Member Service Representative
Kaiser Permanente
02.2020 - 09.2022
- Answer and documents all incoming contacts to determine their nature and to respond to complex calls related to specialized product lines or queues.
- Responds professionally to inquiries from internal/external customers. Initiates contact with the appropriate Health Plan, medical group and facility personnel to obtain information relevant to the concern or inquiry as needed.
- Evaluates data to determine and implement the appropriate course of action to resolve the complaint and/or coordinate service recovery. Documents according to procedure.
- Follows established procedures to meet customer/member needs. Required to effectively interact with diverse work units and relevant organizational departments. Has substantial understanding of the assigned skills and applies knowledge and skills to complete a wide range of tasks.
- Able to understand relevant policies, processes and customers. Assist the department in meeting customer needs and reaching department expectations.
- Promotes, ensures and provides customer service to internal/external customers by demonstrating skills which are consistent with the organizations philosophy of providing extraordinary customer relations and quality service.
Administrative Coordinator
Clayton County Sheriff's Office
05.2015 - 07.2018
- Collaborated closely with department heads for strategic planning purposes while ensuring their alignment with overall organizational goals.
- Developed strong working relationships with vendors, negotiating favorable contract terms while ensuring timely delivery of goods or services.
- Improved customer satisfaction through prompt and professional handling of inquiries and concerns.
- Maintained a well-organized filing system to ensure easy access to important records and documents.
- Organized successful events by overseeing logistics, managing vendors, and coordinating promotional efforts.
- Managed calendars, scheduled appointments, and coordinated travel arrangements for senior staff members.
Education
Associate of Arts - Human Resources Management
Gwinnett Technical College
05.2025
Skills
- Billing systems and software
- HIPAA Compliance
- Denial Management
- Customer Engagement
- Claims Processing
- Customer Service
- Data Entry
- Problem-solving abilities
- Problem Resolution
- Complaint Handling
- Active Listening
- Payment Processing
- Administrative Support
- Microsoft Office Suite
Certification
- Licensed Personal Lines Agent - Expiration Date 07/31/2024
Timeline
Enrollement/Billing Specialist
Cigna
09.2023 - Current
Central Support Operations Technician
United Healthcare
09.2022 - 09.2023
Member Service Representative
Kaiser Permanente
02.2020 - 09.2022
Administrative Coordinator
Clayton County Sheriff's Office
05.2015 - 07.2018
Associate of Arts - Human Resources Management
Gwinnett Technical College
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