Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
Generic

TyAsia Kirby

Raleigh,NC

Summary

Hardworking and passionate job seeker with strong organizational skills eager to secure an entry-level position. Ready to help team achieve company goals. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Overview

8
8
years of professional experience

Work History

Credentialing Specialist

Randstad – Vanguard
12.2021 - Current
  • Assist financial investors with financial products and services
  • Assist with IRA transfers
  • Assist with retirement rollovers
  • Assisting clients with opening of brokerage account applications
  • File CMS claims
  • Assist with gifting between accounts and account transitions
  • Investigate claims using BPM system
  • Inputting data using excel and dynamics system
  • Account maintenance
  • Assist with foundational needs
  • Incoming and outgoing calls
  • Responsible for handling customer account inquiries, accurately providing information to ensure resolution of product/service complaints and ensure customer satisfaction
  • Maintain and update all credentialing systems with current information
  • Other duties include data entry, answering phones, scanning documents.

Credentialed Medical Assistant

Duke Health Care – Urgent Care
02.2018 - 07.2021
  • Organize and maintain medical documents at practice
  • Responsible for managing medical records of facility, including preparing, storing, and retrieving patient health records
  • Initiate Credentialing Packets to individual provider/practitioner for completion within designated timeframe
  • Triage patients over phone
  • Patient Intake
  • Measures vital signs
  • Request patient refills
  • Schedule appointments
  • Perform phlebotomy – Peripheral blood draws
  • Operate cbc, blood glucose, and triage machines
  • Administer vaccinations and medication injections
  • Work closely with Revenue Cycle Managers and billing staff to identify and resolve any denials
  • Authorization issues related to provider/service location credentialing
  • Handled billing issues and answered billing questions patient may have
  • Made request for Certificates of Medical necessity from hospitals, doctor offices, clinics etc for certain durable medical equipment
  • Processed payments that customers made on their accounts email address and insurance information
  • Removal of sutures
  • Removal of IV’s
  • Wound care for minor emergent wounds, cyst packing, and suture placements
  • Check patients in and out of clinic
  • Benefit Verification
  • Prior Authorization
  • EMR/HER
  • CODING
  • Coordinate with team members and seek clarity from medical providers before and after care when necessary
  • Responded to inquiries from other departments regarding medical records
  • Enter and track progress for patients to ensure access for other team members and insurance
  • CPR Instructor and Office Administrator
  • Assist providers with navigating Provider Portal
  • Check status of orders
  • Data corrections for patients
  • Helping providers with login/portal issues
  • Assisting with Inventory Management
  • Assisting with weekly allocations for providers
  • Password resets for providers
  • Sending tickets to designated teams (clinical, storage & handling)
  • Making sure providers are compliant with storage and handling regulations

Credentialed Medical Assistant

UNC Health Care
02.2017 - 02.2018
  • Helping patients with login/portal issues
  • Assisting with Inventory Management
  • Assisting with weekly allocations for providers
  • Password resets for providers
  • Sending tickets to designated teams (clinical, storage & handling)
  • Making sure providers are compliant with storage and handling regulations
  • Authorization issues related to provider/service location credentialing
  • Handled billing issues and answered billing questions patient may have
  • Made request for Certificates of Medical necessity from hospitals, doctor offices, clinics etc for certain durable medical equipment
  • Processed payments that customers made on their accounts email address and insurance information
  • Enter and track progress for patients to ensure access for other team members and insurance
  • CPR Instructor and Office Administrator
  • Assist providers with navigating Provider Portal
  • Check status of orders
  • Data corrections for patients
  • Perform phlebotomy - Peripheral blood draws
  • Administer vaccinations and medications
  • Perform venipunctures, injections and diagnostic procedures
  • Measures vital signs
  • Insertion and removal of IV’s
  • Wound care for pressure ulcers, traumatic draining wounds, and surgical incisions
  • Under direct supervision, assist physician with procedures and treatments
  • Hands instruments and materials to physician as directed
  • Cleans and sterilizes instruments
  • Perform splenectomies
  • Triage patients
  • Benefit Verification
  • Prior Authorization
  • EMR/EHR
  • Coordinate with team members to effectively complete clinical documentations

CNA

Comfort Keepers
04.2016 - 02.2017
  • Measures vital signs to maintain patient stability
  • Administer vaccinations and medications
  • Respond to urgent care calls
  • Assist with nebulizer treatments
  • Documents actions by completing forms, reports, logs, and records

CNA

Visiting Angels
07.2015 - 06.2016
  • Measures vital signs to maintain patient stability
  • Administer vaccinations and medications
  • Empty and calculate urine output
  • Incontinence care
  • Documents actions by completing forms, reports, logs, and records

Education

Associates Degree of Applied Science - Medical Assistant

Miller-Motte Technical College
Raleigh, NC
12.2013

Skills

  • BUSINESS COMPETENCIE-SKILLS
  • Word document
  • Word processing
  • Microsoft office
  • Excel
  • Google Suites
  • Customer Service
  • EMR/EHR
  • HIPAA
  • Coding
  • Insurance Claims
  • Epic System
  • Insurance Credentialing Processes
  • Benefits Administration
  • Complaint Handling
  • Regulatory Compliance
  • Problem Resolution
  • Remote Conferencing and Communication

Additional Information

  • VOLUNTEER SERVICES Garner Road Community Center; Raleigh, North Carolina

Timeline

Credentialing Specialist

Randstad – Vanguard
12.2021 - Current

Credentialed Medical Assistant

Duke Health Care – Urgent Care
02.2018 - 07.2021

Credentialed Medical Assistant

UNC Health Care
02.2017 - 02.2018

CNA

Comfort Keepers
04.2016 - 02.2017

CNA

Visiting Angels
07.2015 - 06.2016

Associates Degree of Applied Science - Medical Assistant

Miller-Motte Technical College
TyAsia Kirby