Tkai Ricks
West Monroe,LA
Summary
Developed critical thinking and analytical skills in high-volume insurance environment, seamlessly interpreting complex data and resolving issues. Proven track record of driving efficiency and accuracy in claims processing while collaborating with cross-functional teams. Seeking to transition into new field where these transferrable skills can contribute to operational success.
Overview
5
5
years of professional experience
Work History
Remote Healthcare Customer Experience specialist
Teleperformance- HNJH client
11.2022 - 02.2024
- Assess claim denials for accuracy and provide recommendations for necessary follow-up actions to rectify issues
- Facilitate changes to members’ primary care physicians and assist in locating suitable specialist doctors according to patient needs
- Manage inbound telephone inquiries regarding authorizations, eligibility, benefits, and claims, while fostering professional relationships with providers
Data Processor
Insight Global
11.2024 - 02.2025
- Ensured timely completion of projects by prioritizing tasks and efficiently managing time.
- Maintained high level of data security by adhering to company policies, protocols, and confidentiality requirements.
- Adhered to strict deadlines for completing assigned tasks while maintaining a high degree of accuracy in all work performed.
- Utilized established methods for data processing and analysis for consistency and accuracy.
- Provided essential support to survivors by assisting them in navigating FEMA assistance programs and resources.
- Managed logistics operations during disaster responses, ensuring proper distribution of resources to impacted areas.
- Assessed community needs post-disaster events, contributing valuable insights for long-term recovery planning efforts.
- Promoted a safe working environment by implementing safety protocols and monitoring compliance within the team.
- Located and corrected data entry errors and reported to management.
Patient Access Representative
Conway regional
03.2021 - 09.2022
- Improved patient experience by accurately managing registration and admissions procedures, maintaining confidentiality, and confirming insurance information to support revenue optimization
- Verified patient benefits and eligibility, calculated estimated patient financial responsibility, and communicated this information effectively to patients
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Maintained accurate patient records, contributing to a well-organized database for seamless information access across departments.
Remote call center representative
Infocision- St Jude’s children’s research
01.2020 - 02.2021
- Secured charitable contributions and managed transactions for goods and services, aiding in the organization’s fundraising initiatives
- Fulfilled various operational tasks, supporting departmental and institutional objectives while ensuring consistent attendance
- Handled escalated calls professionally, effectively resolving complex issues and ensuring client satisfaction at all times.
- Followed up with customers about resolved issues to maintain high standards of customer service.
- Delivered prompt service to prioritize customer needs.
Education
Phlebotomy Technician
12.2022
Associate of Applied Science - Health Sciences-Medical Office and Billing Specialist
05.2022
Skills
- Insurance policy knowledge
- Data entry and record keeping
- Medical Terminology
- Medical Practice Management System
- CPT & ICD-10 Coding
- Customer service & communication
- Analytical & problem-solving
- Negotiation techniques
- Insurance Policy Knowledge
- HIPAA Compliance
- Conflict resolution
Timeline
Data Processor - Insight Global
11.2024 - 02.2025
Remote Healthcare Customer Experience specialist - Teleperformance- HNJH client
11.2022 - 02.2024
Patient Access Representative - Conway regional
03.2021 - 09.2022
Remote call center representative - Infocision- St Jude’s children’s research
01.2020 - 02.2021
Southwest Medical Academy - , Phlebotomy Technician
Ultimate Medical Academy - Associate of Applied Science, Health Sciences-Medical Office and Billing Specialist
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