Tina L. Douglas
Dallas,Texas
Summary
Dynamic professional with extensive experience in customer service and claims processing within the healthcare sector. Known for fostering positive relationships, effectively communicating, and maintaining accurate documentation to enhance operational efficiency and client satisfaction.
Overview
19
19
years of professional experience
Work History
Teacher Assistant I
Dallas Independent School District
Dallas, USA
08.2016 - Current
- Help the teacher supervise students throughout the day, inside and outside the classroom, including the hall, lunchroom, auditorium, gym, and playground.
- Tutored students individually and in small groups, reinforcing learning objectives and enhancing academic performance.
- Assisted in conducting intensified learning experiences for students, allowing the teacher to focus on instruction.
- Maintained discipline during teacher's absence, ensuring a productive learning environment.
- Help the teacher keep administrative records and prepare required reports.
- Assist the teacher in the management of students’ arrival and departure times.
- Keep the teacher informed of special needs or problems of individual students.
- Executed additional tasks to support daily operations.
- Participated in staff-development training to improve job performance.
FULL-TIME H.I.P.P.Y (Home Instruction for Parents of Preschool Youngsters) Home Instructor
Dallas Independent School District
Dallas, USA
09.2013 - 08.2016
- Conducted weekly in-home visits with families, modeling HIPPY curriculum to enhance school readiness.
- Attended monthly group meetings at participating campuses, facilitating learning activities for individual children in small and large groups.
- Assist and participate in all HIPPY activities with families, such as field trips and outdoor learning experiences.
- Participated in mandatory weekly team building and training sessions focused on the HIPPY curriculum.
- Documented parent home visits and attendance daily, maintained accurate family records, and submitted required reports and documentation timely to comply with district, funders, and HIPPY USA requirements.
- Recruit, collect family data, and documents required for enrollment from families with children ages 3, 4, and 5-year-olds to participate in the HIPPY Program while maintaining an appropriate caseload.
Claim Benefit Specialist
Aetna Life Insurance
Dallas, USA
08.2007 - 08.2013
- Reviewed and adjudicated CHIP, Perinate, Parkland, and Aetna Medicaid claims following processing guidelines to ensure compliance and accuracy.
- Researched claim issues and resolved them by promptly responding to providers through written correspondence, enhancing communication and resolution efficiency.
- Assisted other departments with issues related to patients' health information, maintaining confidentiality while facilitating solutions.
Education
Studying For A Degree (In Progress) - Psychology
Mountain View College
Dallas, TX05-2028
High School -
South Oak Cliff
Dallas, TX05-1985
Skills
- Classroom management
- Medical Terminology
- ICD-9 Coding
- CPT-4 Coding
- Microsoft Word
- Microsoft PowerPoint
- Data Entry
- Typing
- 10-Key by Touch
Accomplishments
- Demonstrated skills to maintain order in a sometimes highly charged, changeable environment with favorable results.
- Demonstrated problem-solving skills, which enabled me to research customer concerns thoroughly, resulting in customer satisfaction and retention.
- Met stringent production schedules to maintain compliance with regulatory agencies, reducing or eliminating all fines.
Personal Information
Citizenship: U.S. Citizen
Timeline
Teacher Assistant I
Dallas Independent School District
08.2016 - Current
FULL-TIME H.I.P.P.Y (Home Instruction for Parents of Preschool Youngsters) Home Instructor
Dallas Independent School District
09.2013 - 08.2016
Claim Benefit Specialist
Aetna Life Insurance
08.2007 - 08.2013
Studying For A Degree (In Progress) - Psychology
Mountain View College
High School -
South Oak Cliff