Tomeka Clapp
Winston Salem,NC
Summary
Dynamic Patient Account Specialist with extensive experience at Eagle Physicians, adept in healthcare billing and compliance with HIPAA standards. Proven ability to enhance patient processing efficiency while delivering exceptional customer service. Skilled in electronic health records and committed to achieving timely collections, ensuring a seamless revenue cycle management.
Overview
17
17
years of professional experience
Work History
Patient Account Specialist
Eagle Physicians
Greensboro, NC
04.2022 - Current
- Worked directly with departments, clients, and management to achieve goals.
- Answer incoming calls promptly and make outgoing calls to patients about balance on account.
- Researched and updated Insurance, Patient demographics, Claims.
- Process payments accurately and securely other the phone.
- Handling revenue accounting and customer billing and tracking accounts receivable to ensure timely collections.
- Assist with Front Desk receptionist duties to create a welcoming atmosphere by greeting visitors and providing administrative support such as data entry and handing incoming and outgoing mail.
Customer Service Representative – Remote
PNC Bank | Call Center
Pennsylvania, PA
01.2020 - 03.2022
- Handle inbound and outbound telephone calls.
- Verify and process banking transactions.
- Maintain communication with customers and staff members via Avaya Communication System.
- Process transactions accurately and efficiently in accordance with established policies and procedures.
Healthcare Billing Specialist / Order Processing
LabCorp
Greensboro, NC
09.2016 - 10.2019
- Processed billing claims with various insurance companies and obtained diagnosis codes to bill insurance claims to insurance companies.
- Utilized an in-house EMR system to enter billing information into their company database.
- Communicated with physician offices to obtain diagnosis codes when necessary.
Health Advisor / Customer Service Representative
United Health Care
Greensboro, NC
03.2009 - 03.2016
- Answered incoming calls to help customers, pharmacies, and physicians with orders and reorders, benefits eligibility questions, and prescription status inquiries.
- Educated customers on benefits, use of plan, formulary, and status of claims or inquiries.
- Coordinated internal resolution of claims exceptions and other issues.
- Coached new hires and monitored floor activities when assigned.
Education
Associate of Science Degree - Health Sciences – Medical Administrative Assistant
Ultimate Medical Academy
Tampa, FL01.2017
Diploma - Medical Administrative Assistant
Ultimate Medical Academy
Tampa, FL01.2016
Skills
- Administrative skills in healthcare
- Expertise in medical terminology
- Efficient patient processing techniques
- Management of information release processes
- Proficient in electronic health records (EHR)
- Expertise in electronic medical records (EMR)
- Billing practices and coding knowledge
- Management of medical records systems
- Registration processes for patients
- ICD-10-CM coding introduction knowledge
- Compliance with HIPAA standards
- Understanding of anatomy and physiology concepts
- Skills in computer information systems usage
- Accuracy in medical transcription tasks
- Fundamentals of office accounting practices
- Principles of management in healthcare settings
- Healthcare revenue cycle
Key Qualifications
- Medical Administrative Assistant
- Medical Terminology
- Patient Processing
- Release of Information
- Electronic Health Records (EHR)
- Electronic Medical Records (EMR)
- Medical Billing
- Medical Records Management
- Patient Registration
- Introduction to ICD-10-CM Coding
- HIPAA Compliance
- Anatomy & Physiology
- Computer Information Systems
- Medical Transcription
- Office Accounting
- Principles of Management
- Medical Laws & Ethics
- Pathophysiology for Medical Office
- MS Office / MS Word
References
References available upon request.
Timeline
Patient Account Specialist
Eagle Physicians
04.2022 - Current
Customer Service Representative – Remote
PNC Bank | Call Center
01.2020 - 03.2022
Healthcare Billing Specialist / Order Processing
LabCorp
09.2016 - 10.2019
Health Advisor / Customer Service Representative
United Health Care
03.2009 - 03.2016
Associate of Science Degree - Health Sciences – Medical Administrative Assistant
Ultimate Medical Academy
Diploma - Medical Administrative Assistant
Ultimate Medical Academy