Tonya Robinson
Miami Gardens,United States
Summary
Motivated Customer Representative familiar with processing payments and invoices. Hardworking team player with in-depth understanding of accounting standards and procedures.
Overview
12
12
years of professional experience
Work History
Medical Biller (Temp)
Powell Health Solutions
North Miami Beach, FL
02.2024 - 05.2024
- Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
- Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
- Compiled and processed data for billing purposes utilizing billing software programs.
- Generated reports in order to track payments due from insurance companies or other third party payers.
- Submitted electronic claims to various insurance carriers.
- Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
- Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
Payment Specialist
Molina Healthcare (WFH)
Doral, FL
06.2019 - 12.2022
- Processed and sent invoices, adjustments and credit memos to customers.
- Performed data import, scanning or manual keying processes to verify invoice accuracy.
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
- Maintained accounting records by performing routine calculating, posting and verifying duties.
- Activated contracts and set up installment billing plan to generate on-time payments.
- Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
Insurance Verification Specialist
AvMed
Kendall FL, FL
04.2016 - 10.2019
- Updated patient and insurance data and input changes into company computer system.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Accessed third-party insurance databases to identify coverage of benefits.
- Determined estimated self-pay portion by calculating charges, co-insurance and deductibles.
- Contacted patients to arrange payment arrangements for deductible and out-of-pocket liability.
- Prepared reports, invoices, letters, or medical records using word processing, spreadsheet, or other software applications.
Customer Service Specialist
Alorica
Cutler Bay, FL
02.2012 - 03.2016
- Resolved customer inquiries, questions and concerns to consistently offer quality service and meet performance benchmarks.
- Provided outstanding service to new and long-standing customers by attending closely to concerns and developing solutions.
- Documented customer correspondence in CRM to track requests, problems and solutions.
- Assisted customers with making payments or establishing payment plans to bring accounts current.
- Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
Education
High School Diploma -
Miami Northwestern Senior High School
Miami, FL05.2003
Skills
- Billing Dispute Resolution
- Adjustment Posting
- Bill Processing
- Statement Issuing
- Credit and Collections
- Communication and Interpersonal Skills
- Customer Relationship Management
- Customer Service
Timeline
Medical Biller (Temp)
Powell Health Solutions
02.2024 - 05.2024
Payment Specialist
Molina Healthcare (WFH)
06.2019 - 12.2022
Insurance Verification Specialist
AvMed
04.2016 - 10.2019
Customer Service Specialist
Alorica
02.2012 - 03.2016
High School Diploma -
Miami Northwestern Senior High School
Similar Profiles
Wilnise DoudouWilnise Doudou
Certified Medical Assistant at Powell Health SolutionsCertified Medical Assistant at Powell Health Solutions
Erin MillerErin Miller
Import Purchasing Officer at Motion Fluid Power Solutions (Powell Industrial)Import Purchasing Officer at Motion Fluid Power Solutions (Powell Industrial)
Nermina KekicNermina Kekic
Family/ Chemical Dependency Counselor/ PRN at UnityPoint Health Powell Chemical Dependency CenterFamily/ Chemical Dependency Counselor/ PRN at UnityPoint Health Powell Chemical Dependency Center