Summary
Overview
Work History
Education
Skills
Work Availability
Accomplishments
Timeline
BusinessDevelopmentManager

TOMIKA KEELS

Charlotte,NC

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

16
16
years of professional experience

Work History

Insurance Follow up Rep II

Novant Health care
02.2022 - 10.2022
  • Ensured compliance with industry regulations through meticulous review of all submitted documents, reducing instances of rejected or denied claims.
  • Optimized workflow productivity through diligent organization and prioritization of daily tasks, resulting in swift resolution of outstanding issues.
  • Safeguarded patient privacy by adhering to HIPAA guidelines when handling sensitive personal information during claim follow-up processes.

AR Specialist

Ensemble Health Partners
04.2021 - 02.2022
  • Followed up on denials from insurance companies
  • Worked special reports assigned by management
  • Reported trends and issues with payors.
  • Performed targeted collections on past due accounts aged over 120 days.

Financial Counselor

Atrium Health– Charlotte, NC
02.2018 - 04.2021
  • Educated patients on Medicaid process and applied on patient’s behalf.
  • Worked with clients to develop personal recommendations for improvement of financial circumstances, reducing debt and increasing income.
  • Streamlined counseling processes by implementing efficient record-keeping systems and communication tools.
  • Liaised between patient, doctor and insurance provider to smooth claims processes.

Credit Specialist

Atrium Healthcare
06.2015 - 02.2018
  • Maintained accurate documentation of all credit-related activities, ensuring compliance with company policies and industry regulations.
  • Increased customer satisfaction, resolving disputes and offering payment solutions tailored to individual needs.
  • Obtained and reviewed credit reports, credit references, credit insurance and financial statements to establish credit limits for new accounts.

Follow Up Medicaid Representative

Atrium Healthcare
06.2012 - 06.2015
  • Investigated Medicaid claims to determine reasoning for claim denials
  • Completed additional projects within stringent deadlines
  • Verified eligibility prior to serviced being rendered.

Live Answer Coordinator OB/GYN Services

Atrium Healthcare
07.2008 - 06.2012
  • Answered incoming calls for multiple OB/GYN offices
  • Recorded detailed messages for nurses regarding prescription refills
  • Streamlined call handling processes for improved efficiency and reduced wait times.
  • Improved overall team performance by consistently meeting or exceeding individual call handling metrics.

Outreach Referral Specialist

Atrium Healthcare
01.2007 - 07.2008
  • Processed incoming phone calls on behalf of multiple specialties and family practices
  • Accurately documented messages and forwarded to triage nurses
  • Streamlined referral processes, leading to improved communication between healthcare providers and reduced wait times for patients.
  • Coordinated with other specialists on the team to provide comprehensive support for all aspects of patient care during the referral process.

Education

Education -

North Carolina State University
Raleigh, NC
01.2000

Education -

Livingstone College
Salisbury, NC
01.1999

Skills

  • HIPAA Compliance
  • Insurance Verification
  • Data entry proficiency
  • Medical billing knowledge
  • Assertiveness
  • Follow-Up Procedures
  • Claim Processing Expertise
  • Teamwork and Collaboration
  • Customer Service
  • Computer Skills
  • Problem Resolution

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Accomplishments

  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Documented and resolved insurance claims which led to payments.

Timeline

Insurance Follow up Rep II

Novant Health care
02.2022 - 10.2022

AR Specialist

Ensemble Health Partners
04.2021 - 02.2022

Financial Counselor

Atrium Health– Charlotte, NC
02.2018 - 04.2021

Credit Specialist

Atrium Healthcare
06.2015 - 02.2018

Follow Up Medicaid Representative

Atrium Healthcare
06.2012 - 06.2015

Live Answer Coordinator OB/GYN Services

Atrium Healthcare
07.2008 - 06.2012

Outreach Referral Specialist

Atrium Healthcare
01.2007 - 07.2008

Education -

North Carolina State University

Education -

Livingstone College

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TOMIKA KEELS