Torianah Roy
Tampa,FL
Summary
Experienced Medical Documentation Specialist versed in scanning, arranging and filing medical records in master file systems and individual patient vaults. Highly organized, efficient and detail-oriented team player with systematic approach.
Overview
4
4
years of professional experience
Work History
Medical Record Specialist
Optum (UnitedHealth Group)
11.2023 - Current
- Improved patient care by maintaining accurate and up-to-date medical records for easy access by healthcare practitioners.
- Uploaded physician progress notes, history, and physicals into electronic medical records.
- Maintained patient records in compliance with security regulations.
- Researched and resolved medical record discrepancies.
Injury Specialist
State Farm
01.2023 - 10.2023
- Adjusted injury claims in multiple states.
- Completed and filed legal documentation for litigation purposes.
- Developed strong client relationships through consistent communication and attentive service.
- Improved negotiation outcomes for settlements with meticulous documentation and clear communication.
Appeals Specialist
Humana
11.2021 - 11.2022
- Reviewed, investigated, and finalized decisions for Medicare Appeals.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
- Achieved successful appeal outcomes by meticulously reviewing and analyzing claim denials, identifying errors, and presenting persuasive arguments.
Staffing Coordinator
UnitedHealth Group
11.2020 - 10.2021
- Assessed hiring needs and provided staffing recommendations.
- Hired & coordinated medical personnel for various medical locations.
- Entered and managed payroll data for employees.
- Increased client satisfaction by maintaining thorough knowledge of client needs and matching suitable candidates for open positions.
- Enhanced data accuracy by meticulously reviewing and correcting errors in spreadsheets and databases.
Care Associate
UnitedHealth Group
08.2020 - 11.2020
- Answered inquiries via email, chat, and text to offer immediate assistance with customers' needs, with a focus on customer satisfaction.
- Educated clients on account services and resolved client inquiries regarding statement information and account balances.
Customer Service Specialist
Florida Department of Economic Opportunity
04.2020 - 08.2020
- Enhanced customer satisfaction by resolving issues promptly and professionally.
- Collaborated with team members to create effective strategies for improving overall customer experience.
- Conducted thorough research to address complex customer issues, ensuring complete resolution within specified timeframes.
Education
Bachelor of Arts - Criminology
University of South Florida
Tampa, FL08.2026
Associate of Arts - Criminology
Hillsborough Community College
Florida, FL08.2023
High School Diploma -
Florida Virtual School
Tampa, FL05.2020
Skills
- Administrative assistance
- Data entry
- Medical Billing and coding
- Proficient with medical terminology
- Medical Records Filing
- Data Security
- HIPAA Compliance
- Account Management
- Proficient with Microsoft Excel, Microsoft Word, and Microsoft PowerPoint
- Typing speed: 50 WPM
Timeline
Medical Record Specialist
Optum (UnitedHealth Group)
11.2023 - Current
Injury Specialist
State Farm
01.2023 - 10.2023
Appeals Specialist
Humana
11.2021 - 11.2022
Staffing Coordinator
UnitedHealth Group
11.2020 - 10.2021
Care Associate
UnitedHealth Group
08.2020 - 11.2020
Customer Service Specialist
Florida Department of Economic Opportunity
04.2020 - 08.2020
Bachelor of Arts - Criminology
University of South Florida
Associate of Arts - Criminology
Hillsborough Community College
High School Diploma -
Florida Virtual School
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