Tiesha Reid
Newark,DE
Summary
Dynamic customer service professional recognized for consistently achieving high levels of customer satisfaction and enhancing team performance. Expertise in managing customer interactions with a focus on prompt issue resolution and effective communication. Committed to fostering collaborative team environments while adapting to the evolving demands of the workplace. Proficient in conflict resolution, ensuring reliable outcomes and maintaining strong relationships with clients and colleagues.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Personal Care Connector
AmeriHealth Caritas of Delaware
07.2021 - Current
- The Personal Care Connector (PCC) is a high-touch, extremely effective service specialist, responsible for supporting the daily operations of Medicare Member Services (Personal Service Program), integrated care management, authorizations and utilization management program interventions
- The PCC handles daily routine calls from Members & Providers in accordance with metric and performance requirements, identifies members with Care Gaps/HEDIS related health conditions and assists them in accessing care through Plan benefits and community resources. Showing leadership qualities towards other three Personal Care Connectors
- Provide problem resolutions and educational materials to members.
- Performed various administrative tasks by filing, copying and faxing documents.
- Researched issues and took appropriate action to resolve issues within turnaround time requirements and quality standards.
- Connected patients with appropriate community resources, enhancing their overall well-being and support network.
Medical Assistant/ Endocrinology
Christiana Care Health System
09.2019 - 07.2021
- Outpatient pre registration and registration
- Obtained client medical history, medication information, symptoms, and allergies.
- Performing administrative and clinical duties in Endocrinology
- Downloading sugar meters and performing blood sugar tests and A1C in office
- Educated patients about Diabetes, medications, procedures and physician's instructions
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
Certified Medical Assistant
Christiana Care Go Health
09.2020 - 01.2021
- Performing intakes with patients, different clinical testing, and different urgent care situations. I also perform administrative duties including checking in patients, verifying insurances, and taking co payments.
- Implemented improvements in workflow processes that led to increased productivity amongst staff members.
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Directed patients to exam rooms, fielded questions, and prepared for physicians
- Assisted with routine checks and diagnostic testing by collecting and processing specimens.
- Prepared lab specimens for diagnostic evaluation.
Enrollment Specialist
Christiana Care Health System
04.2019 - 05.2019
- Handled new enrollments by entering customers' data and reviewing information
- Conversed with people from different cultures daily, providing high level of respect and patience with each interaction
- Explained eligibility details and affordability options to patients with kindness and respect
- Reviewed criteria for different aid programs to determine eligibility for various applicants
Patient Service Representative
Delaware Imaging Network
08.2018 - 04.2019
- Provided outstanding scheduling, call center service to new and long-standing customers by attending closely to concerns and developing solutions
- Inputted information from customer calls and onsite service visits into the company's system using Radnet
- Developed exceptional attendance record with special attention to punctuality and preparation to work upon arrival
- Verified test that require Authorizations for patients
- Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
- Verified insurance eligibility and coverage for patients.
Education
High School Diploma -
North Rose Wolcott High School
06.2000
Medical Assistant Certification -
Sanford Brown Institute
11-2007
Skills
- Experience with EMR implementation
- Health insurance verification expertise
- Service excellence
- Proficient in active listening
- Problem-solving skills
- Detail-oriented data management
Certification
- Registered Medical Assistant
- Certified Medical Assistant
- BLS Certification
Timeline
Personal Care Connector
AmeriHealth Caritas of Delaware
07.2021 - Current
Certified Medical Assistant
Christiana Care Go Health
09.2020 - 01.2021
Medical Assistant/ Endocrinology
Christiana Care Health System
09.2019 - 07.2021
Enrollment Specialist
Christiana Care Health System
04.2019 - 05.2019
Patient Service Representative
Delaware Imaging Network
08.2018 - 04.2019
Medical Assistant Certification -
Sanford Brown Institute
High School Diploma -
North Rose Wolcott High School
Personal Information
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