Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tonya Stallings

Sugar Land

Summary

Talented Case Manager adept at handling high caseloads without sacrificing quality of care. Operates in high-pressure environments while recommending best resources and courses of action to benefit patient needs and return each to optimal quality of life. Innovative technology professional with several years of diverse experience. Skilled in enhancing systems and aligning technical solutions with business objectives. Proven success in leading projects from start to finish and contributing to organizational growth and success.

Overview

5
5
years of professional experience

Work History

Field Service Technician

IQVIA
05.2024 - Current
  • Assist field service staff with organizing, testing, updating medical devices, installing/configuring hardware, software, and network products
  • Manually move and carry medical equipment and un-box medical devices from shipping or storage containers
  • Set-up and organization of equipment and workstations
  • Conduct routine checks and records data from product tests after installation and configuration
  • Assignment-based schedule working per diem
  • Travel nationally to support customer needs
  • Provide ongoing communication and customer support to on-site hospital staff
  • Provide on-the-job training (OTJ) for new hires
  • Complete other duties at the discretion of management.

Patient Service Representative

Adecco Staffing
07.2023 - 03.2024
  • Managed a high volume of patient interactions, providing exceptional customer service while maintaining confidentiality and adhering to HIPAA regulations
  • Navigated medical software to schedule appointments, update patient records, and process insurance information
  • Coordinated with healthcare professionals to ensure accurate and timely delivery of patient care services
  • Handled inbound and outbound calls, addressing patient inquiries, resolving concerns, and facilitating communication between patients and medical staff
  • Verified patient eligibility, obtained pre-authorizations, and processed billing transactions.

Reimbursement Case Manager

CareMetx
06.2022 - 01.2023
  • Provided comprehensive support to patients throughout the reimbursement process, ensuring access to necessary medications and therapies
  • Reviewed patient insurance benefits and worked closely with healthcare providers to submit prior authorizations and appeals
  • Coordinated with pharmaceutical companies and specialty pharmacies to facilitate drug assistance programs
  • Delivered compassionate customer service, addressing patient inquiries and concerns with empathy and professionalism.

Reimbursement Specialist

Cornerstone Staffing
02.2022 - 06.2022
  • Managed the submission of billing data and the processing of reimbursements for healthcare services
  • Coordinated with insurance companies to ensure claims were filed accurately and in a timely manner
  • Reviewed patient accounts and records to verify the correct coding of services, diagnoses, and procedures
  • Resolved discrepancies or denials, conducted appeals when necessary, and maintained detailed records of all transactions.

Patient Care Manager

Cornerstone Staffing
12.2021 - 02.2022
  • Oversaw the delivery of high-quality care services, ensuring patient satisfaction and adherence to healthcare standards
  • Coordinated with healthcare professionals to develop personalized care plans, managed patient care teams, and implemented policies that enhanced patient safety and service quality
  • Monitored patient progress, addressed concerns promptly, and facilitated continuous improvement initiatives.

Field Service Technician

Novasyte Health
07.2019 - 01.2022
  • Reviewed technical documentation to complete equipment maintenance and repair.
  • Enhanced system performance through troubleshooting, diagnosing, and repairing complex electronic and mechanical systems.
  • Optimized equipment functionality by performing routine calibration and adjustments to meet manufacturer specifications.
  • Resolved complex technical issues under tight deadlines, ensuring client systems were operational in time for critical business periods.
  • Tested systems, noting issues and completing preventive maintenance.

Education

Associate of Sciences, Business Administration -

Houston Community College
Houston, TX

Skills

  • Attention to Detail
  • Microsoft Office
  • ICD-10 Coding Familiarity
  • Medical Terminology
  • Prior Authorization Process
  • Medicare and Medicaid knowledge
  • CPT coding knowledge
  • Pharmacy benefit management
  • Problem-Solving Skills
  • Communication Skills
  • Time Management
  • Customer Service
  • Salesforce
  • Case Management
  • Documentation And Reporting
  • Data Entry and Analysis

Timeline

Field Service Technician

IQVIA
05.2024 - Current

Patient Service Representative

Adecco Staffing
07.2023 - 03.2024

Reimbursement Case Manager

CareMetx
06.2022 - 01.2023

Reimbursement Specialist

Cornerstone Staffing
02.2022 - 06.2022

Patient Care Manager

Cornerstone Staffing
12.2021 - 02.2022

Field Service Technician

Novasyte Health
07.2019 - 01.2022

Associate of Sciences, Business Administration -

Houston Community College

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