Tiajuana Forbes
Coral Springs
Summary
Experienced in medical office administration, patient support, and insurance coordination with over 4 years of hands-on experience. Skilled in appointment scheduling, EMR systems, Medicaid approvals, and legal/PIP billing. Thrives in fast-paced environments, known for remaining calm under pressure and attention to detail. Seeking a new opportunity to bring healthcare knowledge, strong communication skills, and passion for helping others to a team that values reliability and growth.
Overview
5
5
years of professional experience
Work History
Patient Care Coordinator
Aries Physical Therapy
01.2025 - 06.2025
- Managed front desk operations, including high-volume appointment scheduling and provider calendars
- Verified insurance benefits, communicated with carriers, and coordinated billing for legal and PIP-related cases
- Handled patient intakes, medical records, faxes, and correspondence with law offices and referring physicians
- Supported revenue cycle by ensuring timely submission of documentation for both standard and accident-related patients
- Provided exceptional patient service and maintained HIPAA-compliant data entry in EMR systems
- Coordinated patient scheduling and managed appointments to optimize clinic efficiency.
- Communicated effectively with patients regarding treatment plans and insurance verification processes.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
Client Service Team Lead
MySpot
03.2023 - 12.2024
- Oversaw pediatric therapy scheduling and maintained communication with patients' families
- Managed clinic email, performed data entry, billing, and basic coding
- Coordinated with therapists to maintain accurate treatment plans and improve clinic flow
- Trained new team members and supported front-desk operations in a fast-paced environment
Patient Advocate (Onsite at Broward Health)
Elevate Patient Financial Solutions
05.2023 - 11.2023
- Helped uninsured patients apply for Medicaid and financial assistance
- Maintained accurate and confidential documentation
- Coordinated with hospital staff to ensure timely approvals and treatment access
- Provided bedside support and linked patients with community care resources
- Educated patients on financial assistance programs to enhance accessibility and understanding.
- Conducted follow-up calls to ensure resolution of patient inquiries and satisfaction with services provided.
- Provided emotional support to patients and families during challenging medical situations, fostering trust and rapport.
- Negotiated payment plan arrangements with medical billing departments on behalf of the patients experiencing financial hardship.
Escalation Specialist – Team Lead
NationsBenefits
01.2023 - 05.2023
- Resolved complex customer service issues in a high-volume call environment
- Led and coached a small team to improve performance metrics
- Documented case resolutions and escalated trends for quality improvement
Member Care Representative
NationsBenefits
11.2020 - 11.2022
- Delivered exceptional customer service support to health plan members
- Assisted with product orders, benefit questions, and account management via multi-line phone systems
- Educated members on benefits and services to enhance understanding and utilization.
- Resolved member inquiries through effective communication and problem-solving techniques.
Education
Associate's Degree - Hospitality Management
Florida Atlantic University
Boca Raton, FL12.2020
High School Diploma - undefined
Homestead High School
Homestead, FL01.2019
Skills
- Patient Scheduling & Intake
- Medical Records & Fax Management
- Insurance Verification & PIP Claims
- EMR / EHR Systems
- HIPAA Compliance
- Front Desk & Multi-Line Phones
- Medical Billing Support & CPT Coding
- Legal/Accident Case Documentation
- Customer Service & Communication
- Microsoft Outlook & Office Suite
- Team Leadership & Training
- Medicaid Application Support
- Critical thinking skills
- HIPAA compliance
- Appointment scheduling
- Organizational skills
- Customer service
- Patient care coordination
- Office administration
- Administrative and office support
Languages
English
Timeline
Patient Care Coordinator
Aries Physical Therapy
01.2025 - 06.2025
Patient Advocate (Onsite at Broward Health)
Elevate Patient Financial Solutions
05.2023 - 11.2023
Client Service Team Lead
MySpot
03.2023 - 12.2024
Escalation Specialist – Team Lead
NationsBenefits
01.2023 - 05.2023
Member Care Representative
NationsBenefits
11.2020 - 11.2022
High School Diploma - undefined
Homestead High School
Associate's Degree - Hospitality Management
Florida Atlantic University
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