Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tierra Corbin

Houston,TX

Summary

Highly-motivated professional 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. Seeking an opportunity to expand knowledge and skills as well as drive continuous improvement in the healthcare insurance industry.

Overview

7
7
years of professional experience

Work History

Provider Services Representative

United Healthcare Group
Houston, TX
06.2022 - Current
  • Successfully resolve complex data or discrepancies and or issues with member eligibility, coordination of benefits and claims.
  • Educate providers on coordination of benefits rules as well as Medicaid and Medicare guidelines and plan reimbursement policies.
  • Analyze and understand written correspondence from providers and other insurance companies including EOB (explanation of benefits), appeals request and medical records.
  • Use knowledge and expertise to conduct research and resolve various scenarios including claims, eligibility, and appeals.
  • Document contact interactions and maintain member records with clear and accurate information.
  • Consistently excel in department metrics and goals for productivity and customer satisfaction.

Customer Service Representative

Optum
Columbia, MD
01.2020 - 06.2022
  • Provided excellent customer service when making outbound calls to educate and promote available benefit programs and services to members.
  • Asked probing questions to determine service needs and accurately input information into electronic systems.
  • Gathered customer feedback through surveys and used the data to improve customer service.
  • Identified areas of improvement in customer service processes and suggested changes accordingly.
  • Mentored new team members and managed employee relationships.

Prior Authorization Specialist

Allcare Plus Pharmacy
Charlotte, NC
11.2018 - 11.2019
  • Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.
  • Reviewed prior authorization requests to ensure accuracy and completeness of required information.
  • Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
  • Collaborated with internal staff members to resolve discrepancies or issues related to prior authorizations.
  • Processed appeals in a timely manner as per policy guidelines.

Reimbursement Counselor

AmerisourceBergen
Charlotte, NC
10.2016 - 11.2018
  • Stayed compliant with HIPPA, healthcare regulations, insurance policies, and billing guidelines to ensure compliance and accuracy in reimbursement policies.
  • Verifying patient insurance coverage to ensure that services provided are covered the the plan.
  • Built a rapport with members and while educating them on medical billing, claims processes,and financial responsibilities.
  • Assist with projects assigned by management.

Education

Associate of Science - Health Information Technology

DeVry University
Downers Grove, IL

Skills

  • Professional Demeanor
  • Investigational & Problem Resolution skills
  • Product Education
  • Resilient in the face of change
  • Interpersonal Communication
  • Self starter
  • Detail-oriented
  • Natural leadership qualities

Timeline

Provider Services Representative

United Healthcare Group
06.2022 - Current

Customer Service Representative

Optum
01.2020 - 06.2022

Prior Authorization Specialist

Allcare Plus Pharmacy
11.2018 - 11.2019

Reimbursement Counselor

AmerisourceBergen
10.2016 - 11.2018

Associate of Science - Health Information Technology

DeVry University

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Tierra Corbin