Tonisha Tunstall
Arlington,TX
Summary
Results-driven ROI Specialist known for high productivity and efficient task completion. Possess specialized skills in financial analysis, data interpretation, and strategic planning. Excel in problem-solving, communication, and teamwork, ensuring successful project outcomes and stakeholder satisfaction. Experienced in fast-paced environments and adaptable to last-minute changes. Thrives under pressure and consistently earns high marks for work quality and speed.
Overview
2023
2023
years of professional experience
Work History
ROI Specialist
Ciox Health - Remote
Arlington, Texas
05.2020 - 08.2022
- Analyzed customer data to identify potential areas for cost reduction and improved efficiency.
- Safeguarded patient records, managing data transfers in compliance with HIPAA standards and organizational regulations.
- Utilized software tools such as Excel and Tableau to analyze large datasets related to ROI activities.
- Mentored junior team members and managed employee relationships.
- Compiled and coded patient data using standard classification systems.
- Verified record copies before handing each over to check for and remove unnecessary details.
- Located and retrieved files, assisting public with general information.
- Determined and implemented techniques to improve medical records retrieval process.
- Streamlined day-to-day office processes to meet long-term goals.
- Set up patient charts and documented information in various company software.
- Transmitted information or documents to customers through email, mailings or facsimile machine.
- Proofread documents carefully to check accuracy and completeness of all paperwork.
- Entered patient insurance, demographic and health information into software and confirmed records.
- Answered questions and fulfilled requests with friendly and knowledgeable service.
- Updated patient demographic and insurance information in the medical record system.
- Processed and responded to external requests for medical records following established protocols.
- Scanned and converted paper records to digital format, ensuring clear and legible documents.
- Organized and filed hard copy patient records in designated areas.
- Collected, sorted, and distributed incoming correspondence and reports related to medical records.
- Generated reports on patient data and record-keeping activities as required by management.
- Participated in quality assurance activities to enhance the accuracy and privacy of patient records.
- Accurately entered patient information into electronic health record systems.
- Assisted in auditing medical records for compliance with legal and regulatory standards.
Material Handler
ResMed
Douglasville, Georgia
04.2019 - 01.2020
- Received and distributed incoming materials to designated areas.
- Inspected materials for any damages or defects upon receipt.
- Maintained accurate inventory records of all received items.
- Verified accuracy of shipments against purchase orders and invoices.
- Performed regular cycle counts to ensure accuracy of inventory records.
- Organized warehouse shelves, racks, and bins for proper storage of materials.
- Monitored stock levels and placed orders when necessary to replenish supplies.
- Collaborated with supervisors to develop efficient methods for storing goods.
- Assisted with physical inventories as needed by counting parts accurately and quickly.
- Tracked shipment information using computerized systems such as SAP or Oracle software applications.
- Investigated discrepancies between inventory records and actual stock on hand.
- Reported any malfunctions or damages of material handling equipment promptly.
- Provided support in organizing special projects involving large quantities of merchandise.
- Supported other warehouse personnel in completing tasks efficiently.
- Packed merchandise into boxes and containers in preparation for safe shipment.
- Loaded completed orders on pallets according to delivery numbers.
- Managed warehouse receiving, storing and shipping.
- Coordinated incoming and outgoing shipments and placement of materials to meet scheduling requirements.
- Placed bins, carts and containers in convenient locations to assist with loading efficiency.
- Counted number of boxes or units in loading docks to confirm proper completion of work orders.
- Used scanners to track parcel information, condition or receipt.
- Used digital database to keep records of units and stock moved.
- Applied barcodes to cargo and used digital scanners to track and locate materials during transportation.
- Cleaned empty storage areas to achieve proper sanitation regulations and make area fit for future use.
- Tagged and wrote identifying information on containers, boxes and cargo.
Medical Records Technician/Advanced Patient Care Technician
William Beaumont Army Medical Center
El Paso, Texas
10.2010 - 03.2019
- Checked and confirmed correctness of patient documentation.
- Maintained confidentiality of all medical information in accordance with HIPAA regulations.
- Scanned, indexed, and electronically stored documents into the electronic health record system.
- Ensuring documentation supports codes based on guidelines specific to certain diagnoses, procedures, and other criteria used to classify patients under the Veterans Equitable Resource Allocation (VERA) program that categorizes all VA patients into specific classes representing their clinical conditions and resource needs.
- Verified provider documentation for completeness to support diagnoses and procedures coded.
- Verified patients insurance through DEERS and TRICARE to ensure eligibility.
- Jointly work with hospital Treasury or AOD to ensure authorization for patient treatment.
- Directly consulting with the professional staff for clarification of conflicting or ambiguous clinical data.
- Responsible for providing supervision and direction to a variety of technical admission, discharges and transfer (ADT) functions, such as compiling medical statistics and reports.
- Maintain close relationship with Benefit Administration, a process the facility captures and maintains a listing of accepted third party insurers, guarantors and federal/state payers. Basic insurance information for a patient is established during registration, verified, to determine the order of the billing process.
- Supervises and coordinates the functions and staff of the Patient Registration/Admission Section according to hospital policy and procedures. This includes providing technical assistance to management, medical providers, patients and other facility personnel regarding the work of the Business Office Branch.
- Ordered and restocked supplies in line with budget limits and office needs.
- Purged inactive files and destroyed obsolete files following procedures.
- Transmitted information or documents to customers through email, mailings or facsimile machine.
- Safeguarded medical records to maintain patient confidentiality.
- Proofread documents carefully to check accuracy and completeness of all paperwork.
- Handled incoming calls and directed callers to appropriate department or employee.
- Collected, sorted, and distributed incoming correspondence and reports related to medical records.
- Accurately entered patient information into electronic health record systems.
- Retrieved medical records upon request from healthcare professionals.
- Assisted in auditing medical records for compliance with legal and regulatory standards.
- Coordinated with healthcare providers to clarify unclear or incomplete information in records.
- Reviewed medical records for completeness and accuracy, updating information as needed.
- Updated patient demographic and insurance information in the medical record system.
- Monitored and managed inventory of medical record supplies, such as folders and labels.
- Scheduled appointments and updated calendars for medical staff based on patient records.
- Purged outdated files.
- Kept department clean, organized and professional.
- Answered inquiries from healthcare providers regarding document retrieval procedures.
- Organized physical files by assigning appropriate labels and codes in accordance with departmental protocols.
- Conducted periodic audits to ensure accurate documentation within medical records.
- Researched discrepancies between paper-based charts and electronic database records.
- Retrieved archived records upon request from authorized personnel or departments.
- Maintained an up-to-date inventory of supplies needed for efficient operation of the medical records department.
- Processed new admissions, transfers, discharges, and other related paperwork according to established procedures.
- Reviewed existing policies and procedures pertaining to medical records management processes.
- Provided technical assistance to staff members regarding computer systems used in the office.
- Participated in educational activities designed to stay abreast of changes in technology related to medical records management.
- Collaborated with other departments as necessary to ensure smooth workflow within the organization's operations.
- Determined and implemented techniques to improve medical records retrieval process.
- Pulled patient records and transferred information to appropriate parties.
- Set up patient charts and documented information in various company software.
- Verified record copies before handing each over to check for and remove unnecessary details.
- Entered patient insurance, demographic and health information into software and confirmed records.
- Streamlined day-to-day office processes to meet long-term goals.
- Organized patient charts, gathering medical histories, lab results and consents.
- Scanned and validated medical records for upload.
- Tracked and processed release of information requests.
- Safeguarded patient records, managing data transfers in compliance with HIPAA standards and organizational regulations.
- Processed and invoiced records requests from patients, providers and third parties.
- Obtained information by contacting appropriate personnel or patients.
- Maintained complete confidentiality in accordance with organization and legal requirements.
- Looked for physical, emotional, and symptomatic changes in patient condition and obtained necessary care for medical concerns.
- Performed variety of delegated basic patient care services to support nursing functions and activities of daily living.
- Obtained patient vital signs and reported results to staff nurse or physician to identify changes from prior measurements.
- Documented patient intake and dietary requirements and aided with feeding and monitoring.
- Maintained cleanliness throughout assigned areas of responsibility according to hospital standards.
- Responded to bell or light signal calls to assist patients with needs.
- Took appropriate action in emergency situations following established protocols.
- Provided discharge instructions regarding medications, nutrition needs and follow-up visits.
- Adhered to all HIPAA regulations when handling confidential information about patients.
- Ensured that all necessary supplies were available for each shift.
- Ordered laboratory tests and diagnostic imaging studies as directed by a physician.
- Assisted physicians during examinations or procedures as needed.
- Responded to emergent situations quickly and calmly while maintaining high standards of professional conduct.
- Maintained accurate records of patient care plans and progress notes.
- Provided assistance with patient transfers, ambulation, and exercise programs.
- Monitored patient health status and reported changes to healthcare team members.
- Performed physical assessments, including vital signs and weight measurements, as requested by medical staff.
- Transported patients to other areas of hospital in wheelchairs and gurneys for tests, treatments and therapies.
- Assisted with patient admissions, discharges and transfers.
- Promoted patient satisfaction by assisting with bathing, dressing and exercising.
- Delivered outstanding patient care based on physical, psychological, educational and related criteria.
- Kept instruments and equipment clean and sanitized.
- Prepared patient chart for admission and compiled appropriate paperwork.
- Collected biological specimens and packaged for laboratory transport to complete diagnostic tests.
- Provided excellent customer service by effectively communicating with patients, families, staff and staff in other hospital departments.
- Assisted in training technicians, medical students or other staff members.
- Communicated test or assessment results to medical professionals.
- Used restrictive devices and patient-shielding techniques to minimize patient and staff radiation exposures.
- Coded data or other information.
- Instructed patients and caregivers on how to appropriately use breathing machines at home to obtain necessary symptom relieve.
- Tracked patients during tests and surgeries with assistance of EEG, EP instruments and video recording equipment.
Insurance Claims Specialist
Blue Cross Blue Shield of Texas
El Paso, Texas
- Handled billing related activities focused on medical specialties.
- Modified and updated existing policies and claims to reflect change in beneficiary, amount of coverage or type of insurance.
- Transcribed data to worksheets and entered data into computer to prepare documents and adjust accounts.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Collaborated with fellow team members to manage large volume of claims.
- Examined claims, records and procedures to grant approval of coverage.
- Processed claims for payment or forwarded to appropriate personnel for further investigation
- Assisted claimants, providers and clients with problems or questions regarding claims.
- Supported efficient handling of complex claims and followed up on open, denied, or suspended claims to complete required line items.
- Monitored reports to identify claims issues and worked with adjusters to resolve problems.
- Ensured compliance with state laws governing insurance practices as well as company policies and procedures.
- Advised customers on how they can protect themselves from potential risks associated with their policies.
- Collaborated with team members to identify trends in customer issues and develop solutions accordingly.
- Maintained detailed records of all claim activities including correspondence, decisions, payments.
- Provided guidance to customers regarding their rights and obligations under the insurance policies.
- Resolved customer complaints related to insurance claim processing.
- Calculated benefit payments based on policy terms, coverage limits, and applicable regulations.
- Investigated suspicious or fraudulent claims and reported findings to management.
- Analyzed claim records, policy provisions, and other relevant documents to determine validity of claims.
- Reviewed customer insurance claims to ensure accuracy and completeness of information.
- Collected payments, processed receipts and informed policyholders of outstanding balances.
- Handled modification and updating of policies.
Education
Associate of Applied Science - Business Administration And Management
DeVry University
Atlanta, GA08-2022
Some College (No Degree) - Nursing
Elpaso Community College
El PasoSome College (No Degree) - Medical Office Assistant
Remington College
Dallas, TXSome College (No Degree) - Certified Nursing Assistant
Emerald Nursing School
El PasoSkills
- Profitability analysis
- Medical terminology understanding
- EMR / EHR
- Medical records audits
- Work well independently
- Billing oversight
- Written and verbal communication
- Leadership and time management
- Organization and business development strategies
Timeline
ROI Specialist
Ciox Health - Remote
05.2020 - 08.2022
Material Handler
ResMed
04.2019 - 01.2020
Medical Records Technician/Advanced Patient Care Technician
William Beaumont Army Medical Center
10.2010 - 03.2019
Insurance Claims Specialist
Blue Cross Blue Shield of Texas
Associate of Applied Science - Business Administration And Management
DeVry University
Some College (No Degree) - Nursing
Elpaso Community College
Some College (No Degree) - Medical Office Assistant
Remington College
Some College (No Degree) - Certified Nursing Assistant
Emerald Nursing School