Summary
Overview
Work History
Education
Skills
Websites
Timeline
Generic

Tonya Trificana

Rome

Summary

Dedicated customer service professional with proven expertise in insurance verification and office management. Skilled in problem-solving and effective communication, ensuring high levels of patient satisfaction and streamlined processes. Detail-oriented insurance verification specialist with extensive experience in managing complex authorizations and patient care processes. Proven ability to enhance operational efficiency and drive patient satisfaction through exceptional communication and relationship-building skills.

Overview

19
19
years of professional experience

Work History

Customer Service Representative III

Verisma Systems Inc
11.2023 - Current
  • Managed a high volume of incoming calls and emails from commercial customers, ensuring prompt and accurate responses
  • Developed strong relationships with key commercial accounts, resulting in increased customer satisfaction and repeat business
  • Provided exceptional customer service to commercial clients, addressing inquiries and resolving issues in a timely manner

Insurance Verification Specialist

Rome Health
Rome
06.2022 - 11.2023
  • Taking care of all insurance inpatient hospital authorizations.
  • Working out of Paragon EMR systems, for a 180 bed facility from ER admissions, Maternity, Behavioral Health.
  • All insurance admissions come through me, checking verifying correct insurance.
  • Works with all insurance company's across the globe whether it's by phone, email or online.
  • Only person doing this for the whole hospital, also communicating with the billers to get retro authorizations for the facility.
  • Independent with no help from others, my role is to make sure this hospital gets paid and the patients are not billed incorrectly.

Oncology Insurance Verification Specialist

Oneida Roswell Cancer Center
Oneida
06.2020 - 11.2023
  • Worked closely with the Pharmacists, Doctor, NP's and Infusion Nurses to collaborate a plan for Chemo treatment for patients.
  • Maintain accountability for professional decisions and actions.
  • Evaluated patients financial status and established appropriate payment plans if needed.
  • I was the only person doing all these Authorizations for Chemo treatment from giving clinicals, to reading MRI's CT's and PET Scans.
  • Calling all the insurance company's whether by phone fax or online.
  • I worked out of ONCO 360 EMR.
  • We made the patients feel as best they can under these unfortunate circumstances that was first priority.

Office Manager

MOHAMMED SEEDAT M.D.
Rome
07.2015 - 06.2020
  • Very sufficient, always on time and willing to go to the extreme to make the office the best caring place to be for our patients.
  • Maintained the front desk and reception area in a timely manner.
  • Pull charts using EMR.
  • Analyze and solve multi-faceted problems that affect executive leaders and business initiatives.
  • Receive, screen, and route incoming calls.
  • Manage supervisor itinerary and appointments and streamlined scheduling procedures.
  • Coordinate special projects and manage schedules.
  • Create and Manage electronic patients records, encompassing date entry and administrative functions related to insurance, billing, and accounts receivable.
  • Order all office supplies.
  • Establish efficient workflow processes, monitored daily productivity and implemented modifications to improve overall effectiveness of office personal and activities.
  • Provide proper scheduling of patients, ensuring timely and effective allocation of resources and calendars.
  • Oversee office inventory activities, including ordering and requisitions, stocking and shipment receiving.
  • Meet challenging quotas for productivity and accuracy of work.
  • Streamline office operations by computerizing activities, managing customer communications, scheduling and receiving payments, tracking records, and documents.
  • Directed patients to the exam rooms, prepared vitals, and assisted physicians.

Administrative Assistant-Front Office

DR KHOURY
Utica
06.2013 - 07.2015
  • Medical Administrative Management, Collected all co pays and balance owed on the Allergy Vaccine Side, and the Physician Patient portion.
  • Overseeing all patient and billing services.

Office Manager

AIR TRAK TRAVEL
Rome
11.2010 - 06.2013
  • Managed travel for the military, booking flights cars hotels in the United States and also International reservations.
  • Having to make sure their travel was booked, reserved and ready.
  • Managed two other employees, the office was at Griffiss Air Force Base in Rome.
  • Unfortunately it went Satellite so we were no longer needed.
  • I really enjoyed working with all the wonderful people I met.
  • Very good experience.

Medical Assistant

COSTELLO EYE PHYSICIANS & SURGEONS
Rome
05.2006 - 11.2010

Education

Associate's degree - Health Science

Kaplan University
Davenport, Remote
05.2017

HIGH SCHOOL DIPLOMA -

Rome Free Academy
06.1989

Skills

  • Documentation review
  • Medical terminology
  • Patient service
  • Patient care
  • Typing
  • Windows
  • Proficient with Workday
  • Medical Billing & Coding
  • CPT Coding
  • HCPCS
  • Computer skills
  • EMR systems
  • Intake
  • Office experience
  • Microsoft Office
  • Medical coding
  • Office management
  • Vital signs
  • Hospital experience
  • HIPAA
  • Conflict Management
  • Excellent time management skills
  • Customer service
  • Ophthalmology
  • Team player
  • Medical Insurance Verification
  • Front desk
  • ICD-10
  • Time management
  • Epic
  • Medical office experience
  • Organizational skills
  • Data analytics
  • Computer literacy
  • Customer relationship management
  • Insurance authorizations
  • Team collaboration
  • Multitasking abilities

Websites

Timeline

Customer Service Representative III

Verisma Systems Inc
11.2023 - Current

Insurance Verification Specialist

Rome Health
06.2022 - 11.2023

Oncology Insurance Verification Specialist

Oneida Roswell Cancer Center
06.2020 - 11.2023

Office Manager

MOHAMMED SEEDAT M.D.
07.2015 - 06.2020

Administrative Assistant-Front Office

DR KHOURY
06.2013 - 07.2015

Office Manager

AIR TRAK TRAVEL
11.2010 - 06.2013

Medical Assistant

COSTELLO EYE PHYSICIANS & SURGEONS
05.2006 - 11.2010

Associate's degree - Health Science

Kaplan University

HIGH SCHOOL DIPLOMA -

Rome Free Academy

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