Tiarra Allen
San Antonio,Texas
Summary
Accomplished and detail-oriented professional with over 10 years of experience in the healthcare industry, adept at navigating various medical systems and managing inbound and outbound communications. Expertise in handling medical records, claims processing, and preauthorizations, complemented by a strong background in billing procedures. Proficient in electronic health record software and knowledgeable in medical terminology, including ICD-10 and CPT coding. Committed to upholding HIPAA regulations to ensure patient confidentiality and compliance.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Customer Service Representative
IBEX
San Antonio, TX
05.2023 - 02.2026
- Key Skills: Ability to handle inbound and outbound calls while documenting notes on what the member or provider is calling in regards too while keeping a positive mindset
- Responsibilities:
- -Handling inquiries, complaints, and service request with empathy and efficiency
- -Resolving billing issues, scheduling (medical transportation), and providing technical support
- -Managing interactions with phone, email, and chat.
- -Meeting metrics regarding average handle time, customer satisfaction scores and accuracy.
- -Adhering to HIPPA regulations for sensitive information.
- -Explaining charges on claims and prior authorizations.
- -Strong verbal and written communication skills.
Provider Hotline
MCNA Dental
San Antonio, TX
11.2018 - 11.2022
- Key Skills: Ability to take inbound calls regarding provider’s account.
- Responsibilities: Assisting new dental providers with registration, credentialing, issues, and network standards compliance.
- -Helping providers resolve billing questions and reducing administrative burdens for dental staff.
- -Supporting offices in assigning members to a Main Dentist within 30 days and assisting with referrals to specialist, which requires processing within 72 hours.
- -Clearly communicating with providers, staff, and sometimes patents.
- -Navigating provider portals.
- -Serving as the main contact for dental offices addressing claims, benefits, and policies.
Customer Care/Registrar
Woodbridge Hills Hospital
Potage, MI
03.2017 - 02.2018
- Key Skills: Ability to provide excellent customer service to patients regarding billing and scheduling appointments.
- Responsibilities:
- -Taking demographic information from patients.
- -Scheduling appointments for (women’s health, cardiology, and pediatrics etc.)
- -Sent fax over for verification of insurance
- -Made outbound calls to insurance company to verify patient information for appointments.
- -Dealt with billing inquiries
- -Abide by HIPPA regulations at all times.
- -Maintain a positive mindset with all inquiries from patients.
Telecommunications Operator
Charles Regional Medical Center
La Plata, MD
01.2015 - 11.2015
- Responsibilities:
- Operates Multi-line telephone consoles to answer, screen, and route high volume of incoming and outgoing and inter office calls promptly.
- -Announcing emergency codes (Code Red, Code Blue) and initiates alert notifications such as paging on call staff during emergencies.
- -Provided directory assistance to callers, locate patient information and maintain updated on call schedules for physicians and staff.
- -Adheres to HIPPA regulations regarding patient information and protocols.
- -Have clear concise and professional verbal communication skills.
- -Have the ability to remain calm and professional and efficient during emergency situations or high volume calls.
Education
Associates - Medical Assisting
Concord Career College
San Antonio, TX01-2020
Associates - Medical Billing and Coding
Ultimate Medical Academy
Clearwater, FL01-2014
High School Diploma - undefined
Joseph Wheeler High School
Marietta, GA01-2007
Skills
- Word, PowerPoint, Excel, Teams, Zoom, Microsoft office suite, adobe
- Data entry, Cerner, Medpac
- Active listening
- Customer service
- Critical thinking
- Call center experience
- Documentation
- Administrative support
- Multi-line phone talent
- Problem resolution
- Conflict resolution
- Computer proficiency
Accomplishments
- -Medial Billing and Coding Certificate
- -Medical Assistant Certificate
- -High School Diploma
- -Service Appreciation Award
- -Internship (Communicare)-Medical Assistant
- -CPR Trained
Certification
- Certified medical assistant, concord career college - 2020
- Certified billing and Coding-2014
Languages
Proficiency in English
Intermediate Spanish
Timeline
Customer Service Representative
IBEX
05.2023 - 02.2026
Provider Hotline
MCNA Dental
11.2018 - 11.2022
Customer Care/Registrar
Woodbridge Hills Hospital
03.2017 - 02.2018
Telecommunications Operator
Charles Regional Medical Center
01.2015 - 11.2015
Associates - Medical Billing and Coding
Ultimate Medical Academy
High School Diploma - undefined
Joseph Wheeler High School
Associates - Medical Assisting
Concord Career College
medical assistant
Measuring vital signs,blood pressure, administrating medications/injections, collecting lab specimen, assisting with exams, scheduling appointments and dealing with billing manners.