Summary
Overview
Work History
Education
Skills
Timeline
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Tyaria Woodberry

Philadelphia,PA

Summary

Dynamic claims processor with extensive experience at Accolade, adept at ensuring HIPAA compliance and optimizing claims lifecycle. Proven problem solver skilled in insurance policy analysis and customer service, enhancing operational efficiency and accuracy. Committed to professionalism and ethics, consistently delivering high-quality support to clients and stakeholders.

Overview

8
8
years of professional experience

Work History

Claims Processor

Accolade
Plymouth Meeting, PA
01.2023 - 11.2024
  • Ensured compliance with HIPAA regulations by protecting confidentiality of policyholder information.
  • Assisted claimants, providers and clients with problems or questions regarding claims.
  • Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.

Data Entry Clerk

City Of Philadelphia
Philadelphia, PA
01.2022 - 01.2023
  • Provided support to management staff in regards to data entry processes.
  • Identified and corrected data entry errors to prevent duplication across systems.
  • Transferred data from hard copies to digital databases, organizing information in new formats.

Claims Representative

Bayada Home Health
Philadelphia, PA
06.2019 - 10.2022
  • Facilitated quality customer service for assigned insured and claimants during entire claims lifecycle to optimize service times.
  • Ensured timely submission of required documentation from claimants prior to approval of payment.
  • Handled modification and updating of policies.
  • Examined automobile policies with third-party liability, accident benefits, and collision benefits.

Medical Records Clerk/Receptionist

Striver Staffing
Philadelphia, PA
03.2017 - 09.2019
  • Entered patient insurance, demographic and health information into software and confirmed records.
  • Participated in quality assurance activities to enhance the accuracy and privacy of patient records.
  • Organized patient charts, gathering medical histories, lab results and consents.
  • Conducted periodic audits of physical documentation versus electronic health records.

Education

High School Diploma -

Strawberry Mansion High School
Philadelphia, PA
06-2010

Skills

  • Claims processing
  • Data entry
  • Insurance policies
  • HIPAA compliance
  • Customer service
  • Problem solving
  • Allocating claims
  • Medical terminology
  • Professionalism and ethics
  • Payments posting
  • Insurance software
  • Billing software
  • Policy analysis
  • Eligibility determination

Timeline

Claims Processor

Accolade
01.2023 - 11.2024

Data Entry Clerk

City Of Philadelphia
01.2022 - 01.2023

Claims Representative

Bayada Home Health
06.2019 - 10.2022

Medical Records Clerk/Receptionist

Striver Staffing
03.2017 - 09.2019

High School Diploma -

Strawberry Mansion High School

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Tyaria Woodberry