Tomika Turner
San Tan Valley,AZ
Summary
Hardworking and reliable Medical Billing Representative with strong ability in paying attention to detail. Offering accuracy and dependability. Highly organized, proactive and punctual with team-oriented mentality.
Overview
20
20
years of professional experience
Work History
Eligibility Interviewer
Department of Economic Security
Phoenix, AZ
08.2023 - Current
- Conducted eligibility interviews with applicants to determine their qualifications for various government assistance programs.
- Assessed applicants' financial status, including income, assets, expenses, and debts.
- Verified accuracy of information provided by applicants through phone calls and other research methods.
- Determined the appropriate benefits or services for each applicant based on individual needs.
- Assisted clients with completing applications for benefits or services as needed.
Claims Associate
State Farm Insurance Inc
Tempe , AZ
02.2023 - 08.2023
- Determined liability, compensability and benefits due on each claim.
- Delivered quality customer service to assigned, insured and claimants throughout entire claims lifecycle to promote service times.
- Managed asset recoveries for claims, including salvage and subrogation.
- Assisted claimants, providers and clients with problems or questions regarding claims.
Billing Representative
CVScaremark
Phoenix, AZ
02.2019 - 12.2022
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections to maintain billing accuracy.
- Communicated with credit, collections, customer service and operations department members to assist with and remedy billing issues.
- Applied HIPAA privacy and security regulations while handling patient information.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Submitted claims to insurance companies electronically and manually.
- Worked hard to learn required tasks quickly to maximize performance.
- Looked for ways to go above and beyond job requirements.
- Upheld high standards of productivity and quality assurance.
Billing Specialist
Quail Run Behavior Health
Phoenix, AZ
09.2017 - 01.2019
- Answered customer invoice questions and resolved issues discovered during invoicing and collection process.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Investigated and resolved issues to maintain billing accuracy.
- Researched and resolved billing inconsistencies and errors through individual and collaborative analysis.
- Input payment history and other financial data to keep customer accounts up to date in system.
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
- Added current information to accounts, including demographic, personal and payment details.
- Contacted customers to obtain and submit payments.
- Verified insurance eligibility for patients by calling appropriate parties.
Financial Counselor
TomikaNovant Healthcare- Presbyterian Medical Center
Charlotte , NC
01.2004 - 08.2017
- Assisted patients without healthcare coverage to find resources, services and assistance needed.
- Advocated for patients by contacting insurance carriers and obtaining necessary benefits information.
- Interviewed patients and families, answering questions regarding financial process during such sessions.
- Reviewed and verified financial data to determine program eligibility.
- Interviewed patients to complete documents, case histories and intake and insurance forms.
- Registered patients for diagnostic appointments, surgeries and medical consultations using electronic health record system.
- Provided hands-on training and coaching for junior staff on office policies and regulations.
- Processed cash, debit and credit card payments for services rendered and printed receipts detailing services.
Education
Some College (No Degree) - Medical Insurance Coding
Brightwood Career Institute
Charlotte, NCSkills
- Medical Billing and Collections
- Billing Dispute Resolution
- Claims Processing
- Verbal and Written Communication
- Error Revision
- Billing Data Verification
- Relationship Building
- Customer Contact
- Liability and Damage Assessment
- Claims Investigation
- Coverage Determination
- Problem-Solving
- Active Listening
- Interview techniques
- Income verification
- Data Entry
- Cultural Competency
Timeline
Eligibility Interviewer
Department of Economic Security
08.2023 - Current
Claims Associate
State Farm Insurance Inc
02.2023 - 08.2023
Billing Representative
CVScaremark
02.2019 - 12.2022
Billing Specialist
Quail Run Behavior Health
09.2017 - 01.2019
Financial Counselor
TomikaNovant Healthcare- Presbyterian Medical Center
01.2004 - 08.2017
Some College (No Degree) - Medical Insurance Coding
Brightwood Career Institute
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