Summary
Overview
Work History
Education
Skills
Timeline
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Tonja Elder

Atlanta,GA

Summary

Highly motivated, growth-oriented with a strong background in insurance verifier/ billing and customer service. Skilled in providing exceptional patient care and support. My experience and background of achievements qualifies me as an ideal candidate for this position.

Overview

29
29
years of professional experience

Work History

Access Operation Associate

Children's Healthcare of Atlanta
12.2024 - Current
  • Handles a high volume of calls and orients skills to meet quality and productivity expectations.
  • Perform inbound functions through various communication channels as needed.
  • Screens all patient families assistance calls and provides specific information as requested by parents, physician, and authorize personnel.
  • Exhibits superior customer service to patient families, and other authorized parties.
  • Meets quality metrics and department standards for call handling.
  • Adhere to Children's mission, vision, and values
  • Page on call provider after hour process.
  • May performs other department duties and other assignments as appropriate.

Customer Service Representative

Grady Health System
09.2022 - 11.2024
  • Facilitating incoming calls from patients/families/insurance Companies, as well as attorney's office.
  • Provide excellent customer service to patients, families, and other authorized parties.
  • Assist with charge entry issues, set up payment plan, credit balance review, refund analysis, patient account inquiries and self-pay collection.
  • Assist with the billing process, eligibility and benefits for Medicaid, Medicare, Commercial, HMO and Worker Compensation Insurance.
  • Assist with correspondence and MyChart inquiries
  • Assist to serve as a patient advocate during the life cycle of the account.

Medical Records Technician

ProCo-LLC
09.2020 - 09.2022
  • Responsible for oversees filing, auditing, and producing medical records.
  • Responsible for processing all released information in a timely and efficient manner.
  • Responsible for quality checks on all work to ensure accuracy.
  • Responsible for validating requests and authorizations.
  • Responsible for providing excellent customer service.

Client Service Representative

One Advantage-Grady Health System
06.2014 - 09.2020
  • Responsible for assisting the client with accounts receivable concerns.
  • Responsible for the billing process for Medicaid, Commercial, HMO and Worker Compensation Insurance.
  • Responsible for follow-up insurance payment post daily.
  • Responsible for updating Bad Debt account information into the Epic system daily.
  • Responsible for forwarding Attorney settlement proposal and reduction request for client review.
  • Responsible for claims adjudication and adjustment.
  • Responsible for applying charity discount to eligible self-pay patient accounts.

Patient Service Representative

First Source Solutions-Grady Health System
02.2012 - 12.2013
  • Assisting patient with Medicaid/Disability on existing claims.
  • Responsible for screening patient face to face for potential Medicaid/Disability eligibility.
  • Working as a liaison with SSA and Georgia Medicaid (LIM, RSM, ABD, DFCS office.
  • Responsible for updating all patient accounts daily.
  • Responsible for contacting SSA/DFCS offices daily for updated status on patient claim.

Inventory Control Specialist

Leggett & Platt/Division of Master Rack
03.2010 - 01.2012
  • Maintained inventory control clerk, keeping general information of commercial vehicle products.
  • Scanning all fabrication parts in the system for record keeping.
  • Responsible for maintaining staff timecards for payroll submission.
  • Responsible for weighing products and keeping records for inventory.
  • Conducted regular physical inventories of warehouse stock and reported discrepancies.
  • Maintained accurate records of all inventory transactions, including incoming and outgoing shipments.
  • Monitored inventory levels to ensure sufficient supply for customer orders.

Team Lead

Motorsports Authentic
02.1996 - 12.2009
  • Provided leadership and guidance to team members, ensuring that tasks were completed on time and to a high standard.
  • Trained new staff in relevant processes and procedures.
  • Responsible for mixing ink, working as Production operator filing clerk, assembly line, shipping and receiving department.
  • Responsible for preparing silk screens, using a high-powered exposure unit to graft images on screens.
  • Performed clerical/administrative duties.

Education

Associate of Science - Social Work

Georgia State University
Atlanta, GA
05.2019

Skills

  • Highly developed organizational and all communication skills
  • Analytical thinking, decision making and problem-solving skills
  • An experienced team leader with the ability to initiate/manage cross-functional teams
  • Adaptability and tolerant to stressed situations
  • Data entry skills, MS Office (Word, Excel, Access, and PowerPoint)
  • Various fax machine types and multi-line telephone systems
  • Effective listening skills
  • Decision making and negotiating skills
  • Professional positive demeanor
  • Excellent ethics and Integrity

Timeline

Access Operation Associate

Children's Healthcare of Atlanta
12.2024 - Current

Customer Service Representative

Grady Health System
09.2022 - 11.2024

Medical Records Technician

ProCo-LLC
09.2020 - 09.2022

Client Service Representative

One Advantage-Grady Health System
06.2014 - 09.2020

Patient Service Representative

First Source Solutions-Grady Health System
02.2012 - 12.2013

Inventory Control Specialist

Leggett & Platt/Division of Master Rack
03.2010 - 01.2012

Team Lead

Motorsports Authentic
02.1996 - 12.2009

Associate of Science - Social Work

Georgia State University

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Tonja Elder