Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tiara Brown

Arlington,TN

Summary

Detail-oriented individual with extensive experience in data entry and claim processing. Known for accuracy in record management, call handling, and commitment to improving operational efficiency. Prepared to contribute to team success through exceptional customer service and problem-solving skills.

Overview

17
17
years of professional experience

Work History

Medicare Customer Service Representative

General Dynamics IT
Hattiesburg, Mississippi
09.2024 - 03.2026
  • Cultivated empathetic relationships, earning multiple awards for exceeding call handling times, call control, and standard call center operation metrics.
  • Addressed beneficiary concerns with empathy, resolving problems swiftly and ensuring customer satisfaction.
  • Resolved discrepancies and errors in beneficiary accounts, providing clear, step-by-step instructions for resolving issues, including denied claims.
  • Followed scripts for covered and non-covered services, durable medical equipment, and web account navigation.
  • Responded proactively to peak call volumes, system outages, irate callers, and spontaneous script changes, removals, and updates.

Data Specialist

General Dynamics IT-BCRC
Hattiesburg, Mississippi
01.2021 - 08.2024
  • Updated caller demographics, ensuring accuracy of beneficiary records for compliance and effective service delivery.
  • Prevented denied claims and delays by accurately updating and coordinating primary and secondary payers, beneficiary demographics, liability information, and third party insurances.
  • Verified identities and processed correspondences, facilitating timely transfer of Medicare reimbursement inquiries to Recovery Department.

Insurance Coordinator and Discharge Clerk

Forrest General Hospital
Hattiesburg , MS
02.2009 - 07.2014
  • Served as first point of contact for patients, families, and emergency room staff, facilitating effective communication and support.
  • Verified identity and insurance benefits, collected signed HIPAA forms, and obtained consent to treat forms.
  • Accurately filed insurance claims in the correct order of primacy, and submitted claims to clearinghouses, and insurance companies for payment.
  • Collected co-insurances and copays, initiated self-pay arrangements to streamline payment processes and ensure financial compliance.

Education

High School Diploma -

Petal High School
1145 MS-42 Petal, MS 39465
05-2003

Skills

  • Claim processing
  • Customer service
  • Problem resolution
  • Data entry
  • Record management
  • In-office and call center efficiency

Timeline

Medicare Customer Service Representative

General Dynamics IT
09.2024 - 03.2026

Data Specialist

General Dynamics IT-BCRC
01.2021 - 08.2024

Insurance Coordinator and Discharge Clerk

Forrest General Hospital
02.2009 - 07.2014

High School Diploma -

Petal High School
Tiara Brown