Summary
Overview
Work History
Education
Skills
Residence Phone
References
Timeline
Generic

Tonia Wilder

Philadelphia,PA

Summary

To obtain a rewarding position that will allow me to utilize and enhance my Leadership, customer service, and interpersonal skills. Detail-oriented Patient Access Representative with extensive medical services background and strong work ethic. Excellent communications skills and empathetic nature enabled achievement of positive outcomes.

Overview

19
19
years of professional experience

Work History

Care Advocate

Accolade
10.2022 - Current
  • Verified patient insurance eligibility and entered patient information into system.
  • Provided empathetic support to patients during challenging times, fostering trust and strong rapport.
  • Increased efficiency within care team by facilitating open communication channels among all members involved in patient's plan of care.
  • Researched issues and took appropriate action to resolve issues within turnaround time requirements and quality standards.

Medical QA Specialist

QTC Management, INC.
01.2021 - 10.2022
  • Review exam reports sent over from medical providers, ensure all medical coding is complete and accurate, ensure all tests have been ordered and completed, Coordinate with medical providers as needed for clarification of reports, and work within house appointment schedules to request additional appointments for veterans as necessary.
  • Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
  • Monitored testing procedures and verified performance of tests according to established item specifications and protocol.
  • Conducted data review and followed standard practices to find solutions.

Benefit Service Rep.

GTSC /Leidos
01.2010 - 01.2021
  • Providing education and enrollment information to beneficiaries, processing registration of TRICARE beneficiary with Composite Health Care System processing enrollment/dis-enrollment and portability using the Defense Online Enrollment System, maintain electronic system/paper files and data integrity, process and corrects enrollment discrepancies between CHCS and DOES systems, assigns primary care managers (PCM) to TICARE beneficiary as appropriate.
  • Handling and solving issue invoices, uploading invoices to providers, helping customers with statements detailing account activity.
  • Helping accounting Dept with member Health care benefits
  • Also provided enrollment, registration for TRICARE Reserve Select Program for active-duty service and family member.

Customer Service Rep.

Iron Mountain
01.2007 - 01.2010
  • Providing customer service and placing orders via phone and fax response for clients (Hospitals, Law Offices, Government Offices etc.) for personal documents that are in storage.
  • Clients also receive services such as Pickups from their locations, shredding services.
  • Communicate with local District regarding rush orders or disputes in client inventory.

Listing Maintenance

TAC Worldwide/Verizon-Idearc
01.2006 - 01.2007
  • Receive daily requests for installing, updating and deleting Business listings shown in the Verizon phone book
  • Contact person for NJ, DE, MD, WV, and VA sales representative thru via email requesting certain listing has one on one attention
  • Back-up for Government listing consisting of 200-500 lines.

Insurance Agent

Colonial Penn Insurance Co.
01.2005 - 01.2006
  • Specializing in offering life insurance policies directly to consumers at affordable prices, customer care, service and support, HIPPA certified, certified trained in Insurance Law and State Commission parameters nationwide, insurance product sales.

Education

Bachelor of Science - Business Administration

Delaware State University
Dover, DE

Some College (No Degree) - Business Administration

Ashford University
California City, CA

Some College (No Degree) - Business Administration

Chestnut Hill College
Chestnut Hill, PA

High School Diploma -

Bishop McDevitt High School
Wyncote, PA
06.1988

Skills

  • Medical Terminology skilled
  • Familiar with ICD9
  • Typing 40-60 wpm
  • PowerPoint
  • Spreadsheets functions
  • Excel
  • Successful experience engaging/leading staff to achieve desired goals
  • Government Clearance Secret - APD2/IT2
  • Reliability and Dedication

Residence Phone

215-424-2299

References

REFERENCES FURNISHED UPON REQUEST

Timeline

Care Advocate

Accolade
10.2022 - Current

Medical QA Specialist

QTC Management, INC.
01.2021 - 10.2022

Benefit Service Rep.

GTSC /Leidos
01.2010 - 01.2021

Customer Service Rep.

Iron Mountain
01.2007 - 01.2010

Listing Maintenance

TAC Worldwide/Verizon-Idearc
01.2006 - 01.2007

Insurance Agent

Colonial Penn Insurance Co.
01.2005 - 01.2006

Bachelor of Science - Business Administration

Delaware State University

Some College (No Degree) - Business Administration

Ashford University

Some College (No Degree) - Business Administration

Chestnut Hill College

High School Diploma -

Bishop McDevitt High School

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Tonia Wilder