TIARA HENDERSON
Canton,MS
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
10
10
years of professional experience
Work History
Provider Relations Specialist
Blue Cross Blue Shield of MS
Flowood, MS
01.2018 - Current
- Generated reports summarizing findings from investigations into potential violations of contractual obligations or regulatory requirements by network providers.
- Ensured that all required documents are completed accurately prior to submitting them for approval or processing.
- Provided training sessions to providers regarding billing procedures, coding standards, and other administrative topics.
- Assist individuals regarding how best to provide needed documents and evidence required.
- Perform claim or appeal related work by providing comprehensive claim or appeal status updates using mandatory scripting requirements
- Process change of address requests, establishment of, or change to direct deposit banking information, burial allowance claims, dependency claim.
- Initiate inquiries to resolve errors, delays, or other problems in obtaining benefits.
- Collaborated with team members to identify process improvement opportunities that could increase efficiency or reduce costs.
- Assisted customers in navigating the online portal for self-service requests.
- Participated in training sessions as needed to stay current on industry trends and best practices related to Provider Services Representative duties.
- Generated regular reports outlining key metrics such as total number of claims processed per month, average turnaround time for processing claims.
- Analyzed reports generated from the system to ensure timely submission of claims and accurate reimbursement amounts.
- Processed claims and coordinated with providers, payers, and other third parties as necessary.
- Maintained up-to-date knowledge of products and services offered by the company.
- Ensured all provider contracts were properly executed before initiating services or payment arrangements.
- Kept records of customer interactions or transactions, thoroughly recording details of inquiries.
- Prevented key account losses by researching discrepancies and correcting problems.
Team Leader
Comcast
Jackson, MS
07.2014 - 01.2018
- Identified areas of improvement within the sales process.
- Created incentives programs to motivate employees to reach their targets.
- Conducted regular meetings with team members to review goals and objectives.
- Recognized employee achievements and rewarded top performers.
- Developed and implemented strategies to increase sales performance.
- Developed strategies to improve customer experience and increase loyalty.
- Assisted in the development of strategies aimed at improving long-term customer loyalty.
- Provided detailed reports on customer feedback and retention metrics for management review.
- Conducted customer service surveys to identify areas of improvement in customer retention.
- Created and maintained a database of customers for tracking purposes.
- Implemented new technologies and processes designed to improve the overall customer experience.
- Worked closely with sales team members to ensure successful onboarding of new clients.
- Collaborated with other departments to develop promotional campaigns aimed at increasing retention rates.
- Resolved escalated issues from customers in a timely manner.
Education
Master of Science - Health Administration
Belhaven University
Jackson, MS07-2024
Bachelor of Science - Health Administration
Jackson State University
Jackson, MS05-2018
Skills
- Policy Interpretation
- Provider relationship management
- Attention to Detail
- Problem-solving aptitude
- Training development
- Organizational Skills
- Training leadership
- Problem-solving abilities
- Decision-Making
- Time management abilities
- Complaint Handling
- Policy Development
- Active Listening
- Effective Communication
Affiliations
c
Community Service
- Stew Pot
- Rosie Garden
- Get Ready to Run
- Diabetes Walk
Timeline
Provider Relations Specialist
Blue Cross Blue Shield of MS
01.2018 - Current
Team Leader
Comcast
07.2014 - 01.2018
Master of Science - Health Administration
Belhaven University
Bachelor of Science - Health Administration
Jackson State University
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