Tonya Foulks
Columbia,MD
Summary
Therapist Intern with extensive experience in individual and group therapy settings. Skilled in cognitive-behavioral therapy (CBT) and dialectical behavior therapy (DBT), with a proven track record of enhancing client mental health through personalized care plans. Effective communicator with strong empathic listening and problem-solving skills.
Overview
10
10
years of professional experience
Work History
Therapist Intern
Parker Psychiatric Services
Baltimore, Maryland
05.2025 - Current
- Facilitated individual therapy sessions focusing on anxiety and depression management.
- Developed tailored treatment plans addressing diverse client needs in a collaborative setting.
- Coordinated with multidisciplinary teams to build comprehensive, client-focused treatment plans.
- Applied cognitive-behavioral techniques to enhance client engagement and recovery.
Grievance & Appeals Analyst
Elevance Health
Brentwood, TN
04.2018 - Current
- Addressed oral and written complaints to achieve 98% satisfactory resolutions.
- Authored and dispatched formal correspondence to members and regulatory agencies, maintaining a 99% accuracy rate and ensuring 100% compliance with CMS and state guidelines
- Facilitated clear communication with members regarding appeal outcomes, achieving a 98% member satisfaction score and reducing follow-up inquiries by 99%.
- Collaborated with clinical teams to gather documentation, resulting in a 95% success rate for processed appeals.
Patient Services Representative I
Vanderbilt Medical Center
Nashville, TN
02.2017 - 04.2018
- Maintained 100% accuracy of patient data within Electronic Health Record (EHR) systems, ensuring seamless information flow for clinical teams and billing departments.
- Spearheaded training for 4 new staff members on office protocols and customer service standards, improving team onboarding efficiency by 25%.
- Verified demographic and insurance data using strategic open-ended questioning, achieving a 99% data integrity rate and reducing claim rejections due to administrative errors
- Executed financial screening policies to collect self-pay balances and prepayments, increasing upfront revenue collection by 15%.
Grievance Specialist
AIC Talent Solutions
Nashville, TN
07.2016 - 12.2016
- Investigated complex customer grievances and benefit coverage appeals, maintaining a 98% case accuracy rate while ensuring all dispositions were communicated clearly and within regulatory timelines.
- Systematically documented grievance details in tracking systems, enabling the identification of key service trends that led to a 15% reduction in recurring member complaints
- Managed end-to-end outreach for information collection, achieving a 92% member satisfaction rating by simplifying complex insurance processes and case outcomes for customers.
- Trained 7 new team members on grievance resolution best practices, improving the department's average onboarding speed and initial case-handling efficiency by 18%.
Education
Master of Social Work - Social Work
Winthrop University
Rock Hill, SC08-2026
Bachelor of Arts - Psychology
Southern New Hampshire University
Hooksett, NH11-2022
Skills
- Cognitive-behavioral therapy (CBT)
- Dialectical behavior therapy (DBT)
- Grief therapy
- Strength-Based therapy
- Solution-Focused therapy
- Empathic listening
- Client assessment
- Motivational interviewing
- Analytical thinking
- Problem solving
- Therapeutic technique proficiency
Timeline
Therapist Intern
Parker Psychiatric Services
05.2025 - Current
Grievance & Appeals Analyst
Elevance Health
04.2018 - Current
Patient Services Representative I
Vanderbilt Medical Center
02.2017 - 04.2018
Grievance Specialist
AIC Talent Solutions
07.2016 - 12.2016
Master of Social Work - Social Work
Winthrop University
Bachelor of Arts - Psychology
Southern New Hampshire University