Tonya Robertson
Trimble,TN
Summary
Responsible worker that contributes to team and company success. Dedicated to tackling tasks and completing work.
Strives to produce results that precisely meet the established goals, standards and expectations.
Overview
6
6
years of professional experience
Work History
Denial Specialist
Wound Care Resources
Yorkville, TN
07.2025 - Current
- Reviewed denial claims for accuracy and completeness in documentation.
- Collaborated with team members to develop strategies for resolution processes.
- Prepared and submitted appeal letters to insurance companies on behalf of patients.
- Followed up on submitted appeals to ensure timely responses from insurers.
- Developed strategies to resolve complex issues related to denials.
- Identified any discrepancies in patient information, provider information, or coding accuracy as part of the denial process.
- Monitored assigned accounts for payment resolution or appeal opportunities.
- Investigated and documented payment errors resulting from incorrect processing of claims.
- Maintained accurate records of all denied claims, appeals, and outcomes for reporting and analysis.
- Ensured compliance with healthcare regulations and insurance policies during the denial management process.
- Utilized medical billing software to track and manage denied claims efficiently.
- Monitored trends in claim denials to identify opportunities for process improvement and training.
- Prepared and submitted appeal letters and necessary documentation to overturn unjustified denials.
- Conducted detailed research on complex denial cases to determine the root cause and appropriate appeal strategy.
- Coordinated with the billing department to ensure corrected claims are resubmitted promptly.
- Utilized critical thinking skills to evaluate denial patterns and recommend process improvements.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Organized information by using spreadsheets, databases or word processing applications.
Production Operator
Danfoss
Newbern, US
08.2024 - 07.2025
- Monitored equipment functionality to prevent downtime and ensure smooth operations.
- Collaborated with team to maintain smooth workflow and minimize downtime.
- Assisted in training new operators on equipment and safety procedures.
- Recorded production data accurately for reporting and analysis purposes.
- Communicated effectively with team members to resolve operational issues promptly.
- Completed housekeeping and maintenance duties to keep production area safe, organized and ready for next shift.
- Collaborated with team members to increase efficiency and productivity on the production line.
Office Manager/Bookkeeper
Rockin R Express
Trimble, US
03.2022 - 04.2024
- Oversaw office logistics and administrative tasks to streamline trucking operations.
Assembler/Wiring, Tester/Auditor
Reinhausen Manufacturing
Humboldt, US
09.2019 - 04.2022
- Conducted thorough testing and auditing of transformer components, maintaining compliance with industry regulations.
- Assembled components according to detailed specifications and blueprints.
- Operated hand tools and machinery for efficient production processes.
- Inspected finished products for quality assurance and compliance standards.
- Collaborated with team members to streamline assembly workflows.
- Maintained a clean and organized work environment for safety and efficiency.
Customer Service Associate
Lowe's
Dyersburg, US
03.2019 - 08.2019
- Provided outstanding customer support, ensuring satisfaction through prompt and accurate assistance.
- Assisted customers with product selection and inquiries in a fast-paced retail environment.
- Greeted customers and identified their needs.
- Kept work area neat, clean, and well-stocked at all times.
- Resolved customer inquiries in a timely manner.
Education
High school diploma -
Gibson County High School
Dyer, TN05.2000
Skills
- Basic computer knowledge
- Attention to detail
- Thoughtful approach when communicating
- Dependable
Timeline
Denial Specialist
Wound Care Resources
07.2025 - Current
Production Operator
Danfoss
08.2024 - 07.2025
Office Manager/Bookkeeper
Rockin R Express
03.2022 - 04.2024
Assembler/Wiring, Tester/Auditor
Reinhausen Manufacturing
09.2019 - 04.2022
Customer Service Associate
Lowe's
03.2019 - 08.2019
High school diploma -
Gibson County High School