TOI DAVIS
Tampa,Florida
Summary
Results-oriented professional with a proven track record in account resolutions, consumer access, claims processing, and customer service. Adept at managing complex responsibilities and achieving measurable results. Seeking an executive role that leverages my expertise in healthcare administration, claims management, and customer relations.
Overview
7
7
years of professional experience
Work History
Account Resolutions
Acclara Solution
10.2023 - Current
- Successfully reduce outstanding account receivables by 20%, implementing efficient resolution strategies
- Collaborate with cross-functional teams to streamline billing processes, resulting in a 15% decrease in billing errors
- Implement a customer-focused approach, improving customer satisfaction scores by 25%
- Conduct training sessions for new account resolution staff, enhancing team competence by 15%.
- Demonstrated critical thinking in activities requiring analysis, investigation, and/or planning with strong problem solving and analytical skills.
Consumer Access Specialist Sr.
Advent Health Systems
12.2022 - 10.2023
- Managed patient registration processes, achieving a 98% accuracy rate
- Implemented a new patient verification system, resulting in a 20% reduction in registration errors
- Led a team of 15 specialists in providing excellent customer service, maintaining a 95% patient satisfaction rate
- Developed and executed training programs, improving team efficiency by 18%..
Claims Representative
Leading Edge Administrators
01.2022 - 12.2022
- Processed and adjudicated medical insurance claims with an accuracy rate of 99.5%
- Successfully negotiated with healthcare providers to resolve complex claims issues, reducing disputes by 18%
- Conducted training sessions for new claims processing staff, improving team productivity by 20%
- Implemented automation tools, reducing claims processing time by 25%.
- Provided timely and accurate communication, information gathering, and rendering decisions on claims . Communicate with a variety of constituents (claimants, doctors, nurses, employers, and attorneys) to gather information relevant to rendering decisions based on the provisions of the policy.
- Learned to develop an action plan and identify the Likely Claim Progression including identifying the return to work potential. Utilize CMG which provides an overview of high level topics, factors to consider in the administration of claims, and examples of claim situations.
Customer Service Representative II
Centene Corporation, Inc.
09.2018 - 01.2022
- Resolved complex customer inquiries, maintaining a 98% satisfaction rate
- Streamlined customer service processes, resulting in a 20% reduction in average resolution time
- Collaborated with product development teams to address recurring issues, leading to a 12% decrease in customer complaints
- Conducted training sessions for new customer service representatives, improving team efficiency by 15%.
Senior Process Executive
Cognizant Technology Solutions
11.2016 - 09.2018
- Oversaw end-to-end processes, achieving a 25% increase in operational efficiency
- Developed and implemented process improvements, resulting in a 15% reduction in errors
- Conducted training sessions for new hires, enhancing team competence by 20%
- Collaborated with clients to optimize workflows, improving overall client satisfaction by 18%.
Education
Certificate in Diploma in Medical Administrative Assisting -
Everest College
Chicago, Illinois08.2009
Skills
- Leadership
- Technical Proficiency
- Communication
- Problem-Solving
- Adaptability
- Customer Service
- Analytical Thinking
- Project Management
- Healthcare Administration
- Management
- Claims Processing
- Attention to Detail
- Remote Communication
- Time Management
- Data Security
- Technical Support
Timeline
Account Resolutions
Acclara Solution
10.2023 - Current
Consumer Access Specialist Sr.
Advent Health Systems
12.2022 - 10.2023
Claims Representative
Leading Edge Administrators
01.2022 - 12.2022
Customer Service Representative II
Centene Corporation, Inc.
09.2018 - 01.2022
Senior Process Executive
Cognizant Technology Solutions
11.2016 - 09.2018
Certificate in Diploma in Medical Administrative Assisting -
Everest College
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