Tosha Robertson
Summary
Professional with proven track record in delivering high-quality team results. Skilled in effective communication, problem-solving, and time management. Strong focus on team collaboration, adaptability, and meeting organizational goals. Well-versed in fostering productive and supportive work environment.
Overview
10
10
years of professional experience
Work History
Cross Functional Team Member/Regulatory Compliance Officer
High Performance Health
06.2023 - 12.2024
- Processed all Prior Authorizations efficiently
- Verified insurance eligibility for patients
- Registered, scheduled appointments, and created patient charts
- Followed up on Insurance claims for accuracy
- Collected co-pays and posted patient payments/ Insurance ERAs
- Corrected and resubmitted claims as necessary
- Managed referrals as required
- Ensured continuity of care for patients
- Performed Back Office duties such as Venipuncture, rooming patients, preparing lab specimens, sending specimens to lab, administering injections, and delivering lab results
- Reduced instances of non-compliance through meticulous monitoring of internal controls and periodic audits.
- Implemented robust record-keeping systems that ensured accurate documentation was maintained according to regulatory requirements at all times.
CONSULTANT & PERSONAL ASSISTANT
Pedroso Holdings, LLC
09.2019 - 08.2021
- Screened and managed phone calls and emails
- Organized meetings, made travel arrangements, and managed schedules
- Handled mail and liaised with clients
- Maintained daily task lists, arranged meetings, and set appointments
- Assisted with marketing efforts
Medical Assistant (Contract)
Family medical specialties
06.2018 - 10.2018
- Prepared patients for exams, noting health history and reason for visit in patient charts
- Took and measured vital signs accurately
- Assisted doctor in completing exams and procedures as instructed
- Filled out lab slips and other necessary forms
- Administered medications and injections as ordered by the doctor
- Educated patients on their health and treatment plans
- Organized and prioritized daily assignments efficiently
- Ordered labs and scheduled diagnostic procedures promptly
- Set up sterile fields, assisted and prepared patients for procedures
- Maintained patient confidentiality and communicated effectively with patients, providers, and others
- Completed electronic medical record charting; reconciled patient's medications
- Called patients with lab findings and test results as delegated by the doctor
Medical Assistant
Lind Eyecare
09.2017 - 03.2018
- Welcomed and checked in patients, transcribed for doctors and surgeons, and recorded patient vitals using electronic medical records (EMR)
- Conducted patient work ups, including obtaining health history, family history, and prescription history, as well as performing vision testing
- Assisted in facilitating proper care and documentation by performing various tests and triaging urgent, pre- and post-operative care visits
- Conducted diagnostic testing to aid in patient care
Medical Assistant/ Referrals (Contract)
Charles Drew Health Center
03.2017 - 08.2017
- Scheduled and arranged all outgoing referrals for seven different providers
- Tracked referrals and interviewed patients
- Measured vital signs and recorded information in patients' charts
- Prepared treatment rooms and patients for examination, blood draws, electrocardiographs (EKG) and other diagnostic tests
- Administered injections, treatments, and routine laboratory tests
- Scheduled appointments and made follow-up phone calls to patients
- Interacted with referral sources including hospitals, physicians, board and care facilities, skilled nursing facilities, patients, families, and the general public
- Received and processed referrals, ensuring timely admissions
- Documented in EMR system and provided monthly reports
- Utilized clinical knowledge and critical thinking skills to coordinate patient care effectively
- Demonstrated exceptional interpersonal and customer service skills
Medical Assistant (Contract)
Premise Healthcare
09.2016 - 02.2017
- Responsibilities: Interviewing patients, measures vital signs, such as pulse rate, temperature, blood pressure, weight, and height, and records information on patients' charts
- Prepares treatment rooms and patients for examination, blood draws
- Inventories and orders medical supplies and materials
- Operates electrocardiograph (EKG) and other equipment to administer routine diagnostic tests
- Gives injections or treatments and performs routine laboratory tests
- Schedules appointments and makes follow up phone calls to patients
- Performs administrative tasks, completes appropriate client company and OSHA regulated forms, and provides assistance at front desk
- Enters data into computer to maintain clinic and patient records, in 2 different EMR systems
- Routine blood draws
- OSHA exams
Referrals & Insurance Specialist
Dr. Higgins Cardiology
04.2015 - 05.2016
- Processed all referrals efficiently and accurately
- Checked and verified all patient insurance policies and eligibility
- Obtained precertification, prior authorizations, and authorizations promptly for procedures and tests
- Utilized correct CPT, ICD-9, and ICD-10 coding for medical charting
- Managed daily use of Medisoft, Focus EDI, and Microsoft Office
- Created, maintained, and updated patient charts
- Acted as a liaison between the office, insurance companies, and patients
- Answered patient inquiries regarding insurance coverage and referrals
Education
Registered Medical Assistant -
Tulsa Technology Center
Tulsa12-2006
High School Diploma -
Booker T. Washington High School
Tulsa, OK05-2000
Skills
- HIPAA Regulations Knowledge
- Client Appointment Management
- Medical Record Documentation
- Healthcare Claims Processing
- Electrocardiogram Administration
- Venipuncture Expertise
- Medical terminology proficiency
- Direct patient care
- Patient care coordination
- OSHA Compliance Examination
- Prior authorizations
- Specimens collection and processing
Programs and Software
- Tebra
- MediSoft
- Focus EDI
- Microsoft Office
Timeline
Cross Functional Team Member/Regulatory Compliance Officer
High Performance Health
06.2023 - 12.2024
CONSULTANT & PERSONAL ASSISTANT
Pedroso Holdings, LLC
09.2019 - 08.2021
Medical Assistant (Contract)
Family medical specialties
06.2018 - 10.2018
Medical Assistant
Lind Eyecare
09.2017 - 03.2018
Medical Assistant/ Referrals (Contract)
Charles Drew Health Center
03.2017 - 08.2017
Medical Assistant (Contract)
Premise Healthcare
09.2016 - 02.2017
Referrals & Insurance Specialist
Dr. Higgins Cardiology
04.2015 - 05.2016
Registered Medical Assistant -
Tulsa Technology Center
High School Diploma -
Booker T. Washington High School
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