Tiara Clark
Pittsburgh,PA
Summary
Experienced Provider Advocate skilled in medical billing and claims processing. Resolves provider inquiries efficiently while ensuring accuracy in high-volume settings. With over 7 years in healthcare support, effectively manages case volumes and maintains compliance in billing and claims.
Overview
13
13
years of professional experience
Work History
Provider Advocate
UPMC
Pittsburgh, PA
04.2018 - 01.2026
- Reviewed and processed medical claims and billing adjustments to ensure accuracy and compliance
- Resolved provider portal access and technical issues to facilitate uninterrupted service for providers
- Assisted providers with billing, coding, and reimbursement questions to enhance understanding and streamline claims
- Provided direct support to providers for their inquiries, promoting efficient resolutions
- Maintain accuracy while managing high daily case volume
Customer Service Representative
UnitedHealth Group
Pittsburgh, PA
05.2017 - 03.2018
- Managed high-volume inbound and outbound member calls to ensure timely support
- Schedule medical appointments and coordinate primary care services
- Explain benefits, coverage and health plan options to members
- Addressed billing concerns and processed insurance card requests to enhance member satisfaction
- Updated member records and linked members with community resources for improved access to services
Crew Member
GetGo Gas Station
Pittsburgh, PA
09.2013 - 01.2016
- Processed customer transactions via point-of-sale systems, ensuring swift service.
- Maintained cleanliness and organization of checkout areas and merchandise displays.
- Handled cash, credit, and debit transactions with high accuracy and security.
- Prepared ingredients and assembled dishes according to established recipes.
- Managed inventory and restocked supplies to maintain optimal stock levels.
Crew Member
Parkhurst Dining
Pittsburgh, Pennsylvania
08.2012 - 03.2014
- Served food and beverages to guests in a timely manner.
- Addressed guest inquiries and delivered exceptional customer service to enhance satisfaction.
- Coordinated multiple tasks simultaneously, ensuring accuracy and quality of service during busy events.
- Collaborated with kitchen staff to coordinate meal timing and service flow.
- Trained new staff on service protocols and event setup procedures.
- Maintained inventory of serving supplies and reported shortages promptly.
- Configured event layouts by arranging tables and chairs per specifications to optimize guest experience.
Education
GED -
Career Connections Charter School
Pittsburgh, PA10-2015
Skills
- Medical billing
- Claims processing
- Benefits verification
- Provider relations
- Medical coding
- Quality assurance
- Regulatory knowledge
- Effective communication
- Time management
- Problem solving
- Conflict resolution
- Customer advocacy
- Customer service
- Customer relations
- Data entry
- Time management
- Adaptability in service
- Daily reporting
- Technical support
- Cash handling
- Point-of-sale operation
- Appointment scheduling
- Cleaning and sanitizing
- Time management
Timeline
Provider Advocate
UPMC
04.2018 - 01.2026
Customer Service Representative
UnitedHealth Group
05.2017 - 03.2018
Crew Member
GetGo Gas Station
09.2013 - 01.2016
Crew Member
Parkhurst Dining
08.2012 - 03.2014
GED -
Career Connections Charter School