Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

TORI HECTOR

Elgin,SC

Summary

Organized and motivated student nurse with passion for patients. Demonstrates excellence in communication, teamwork, and empathy, ensuring top-notch care delivery. Currently completing nursing studies and ready to expand practical knowledge.

Overview

7
7
years of professional experience
1
1
Certification

Work History

Program Coordinator I

South Carolina Department of Health and Human Services – Third-Party Liability
Columbia, SC
11.2022 - 12.2023
  • Verified that all qualifying criteria were met where Estate Recovery applies to South Carolina Medicaid beneficiaries
  • Researched and evaluated thousands of new Estate Recovery leads, death certificates, obituaries, deeds, mortgages, property assessments, and judicial litigations
  • Reviewed hundreds of probate court cases from all 46 counties within South Carolina, while updating patient accounts of Medicaid beneficiaries involved in Estate Recovery
  • Answered and transferred multi-line phone calls while networking and assisting customers in each step of the Estate Recovery process, from the initial research to the filing of the probate documents, to the recoupment of the Medicaid claim amount
  • Provided an excellent customer service experience for all outside entities including family and close friends of Medicaid recipients, county probate courts, county assessors’ offices, register of deeds offices, and attorneys’ offices.

Patient Account Specialist

Palmetto Infusion Services
West Columbia, SC
11.2021 - 08.2022
  • Aided patients in obtaining and managing any available funding assistance for their treatment, as well as calculated and arranged collection of patient financial responsibility
  • Monitored more than 1,500 patient accounts throughout the duration of infusion therapy to maintain low outstanding balances and compliance with payment arrangements
  • Ensured clinic schedules of over 500 patients per week had insurance/authorization verified before each appointment and documented amounts to collect from patients during their visits
  • Communicated with referring provider’s offices via fax, email, and telephone to obtain physician encounter notes
  • Investigated insurance claims and denials of delinquent accounts to provide the Reimbursement team with final resolutions
  • Oversaw enrollment and re-enrollment in copay assistance and foundation grants while monitoring ongoing insurance eligibility.

Human Resources Specialist (42A)

U.S. Army - Ft Jackson
Columbia, SC
10.2019 - 10.2021
  • Ensured mission readiness of over 8,000 new recruits by inprocessing into the United States Army while working in the 1st Battalion, 13th Infantry Regiment during a worldwide pandemic
  • Partnered with a 3-person team to improve work-life balance, performance appraisal process, professional development, and career mobility for 150+ employees; undertook workshops to educate employees about new policies and procedures
  • Collaborated with senior leadership to establish and construct over 30 corporate and HR policies and procedures
  • Created monthly newsletters and arranged monthly employee events
  • Led an installation-level mail inspection performed by the United States Postal Services with zero deficiencies
  • Managed hundreds of recurring HR processes such as military awards and decorations and personnel actions.

Human Resources Specialist (42A)

U.S. Army - Ft Gordan
Augusta, GA
11.2016 - 09.2019
  • Provided personnel support and assistance to over 200 employees while working in the 202nd Military Intelligence Battalion
  • Liaised with HR management to devise and update 35 policies based on changing industry and social trends
  • Mitigated regulatory risks by advising leadership with recommendations on organizational policy improvements, including equal employment opportunity and sexual harassment for corrective action planning
  • Managed recurring HR processes such as hundreds of leave and military pay actions
  • Evaluated qualifications of more than 100 personnel for special assignments
  • Prepared and processed requests for transfer or reassignment, and transition processing
  • Held and conducted over 15 training meetings to update and advise superiors.

Education

Licensed Practical Nurse -

ECPI University
03.2025

Medical Billing/Coding Certificate -

Purdue University Global
11.2021

Skills

  • HIPAA compliance
  • Patient Care
  • Vital signs monitoring
  • Punctuality
  • Reliability
  • Critical thinking
  • Multitasking
  • Prioritizing
  • Complex problem-solving
  • Team Collaboration
  • Medical Terminology
  • Conflict resolution
  • Patient demographics
  • Data entry
  • Data evaluation
  • Microsoft Office Suite
  • HR services
  • CPT, ICD-10, and HCPCS Level II coding
  • Electronic Medical Records (EMRs)
  • Confidential document control

Certification

American Medical Certification Association (AMCA) Medical Coder & Biller Certification (MCBC)

Timeline

Program Coordinator I

South Carolina Department of Health and Human Services – Third-Party Liability
11.2022 - 12.2023

Patient Account Specialist

Palmetto Infusion Services
11.2021 - 08.2022

Human Resources Specialist (42A)

U.S. Army - Ft Jackson
10.2019 - 10.2021

Human Resources Specialist (42A)

U.S. Army - Ft Gordan
11.2016 - 09.2019

Licensed Practical Nurse -

ECPI University

Medical Billing/Coding Certificate -

Purdue University Global

American Medical Certification Association (AMCA) Medical Coder & Biller Certification (MCBC)

TORI HECTOR