Tycene Hamilton

• Managed daily operations for optimal performance, ensuring smooth workflows and timely completion of tasks.
• Maintained open lines of communication with upper management to provide regular updates on operational progress and challenges faced by the team.
• Conducted regular performance evaluations for direct reports, identifying areas for improvement and setting development goals accordingly.
• Enhanced team productivity by providing ongoing training, coaching, and mentoring to staff members.
• Conducted annual performance appraisals for all staff members under my leadership.

Sr. Client Bill Analyst

• Generated and verified client invoices, analyzed billing data to ensure posting accuracy.
• Researched and resolved billing discrepancies, such as unbilled items or errors and process credit/debit memos as needed.
• Communicated with clients and internal departments regarding billing issues.
• Developed a strong understanding of basic mathematics to review and correct calculations.
• Responded to all clients concerns, in a timely manner regarding their invoice statements and complaints.

• Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
• Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
• Conducted audits of provider files, ensuring all necessary documents were up-to-date and compliant with regulatory requirements.
• Enrolled providers and Medicaid, Medicare, and private insurance plans.
• Safeguarded confidential provider information by adhering to strict data privacy regulations and company policies.
• Facilitated communication between departments, resulting in improved collaboration during the credentialing process.
• Contributed to policy updates in response to changing healthcare regulations, ensuring ongoing compliance.
• Liaised with healthcare providers to address and resolve any credentialing issues promptly, maintaining strong professional relationships.
• Provided support to clients by assisting practitioners and mid-level providers with all aspects of the credentialing/privileging process.
• Performed primary source verifications of provider credentials, education, and employment history etc.
• Experienced with CAQH, PECOS, NPPES/NIP Enumerations.
• Exceeded production goals by 99% while maintaining quality.

• Selected specially by Senior Management to join the Signature Service Team.
• Maintained productivity and quality standards at all times.
• Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
• Consistently demonstrated a strong work ethic, arriving punctually for shifts and maintaining focus on providing top-tier service throughout entire workday.
• Maintained comprehensive knowledge of company products and services, ensuring accurate information was relayed to customers at all times.
• Managed time and resources effectively to meet 24-48 hours time frame.
• Enhanced customer satisfaction by swiftly addressing and resolving service-related issues.

• Increased customer satisfaction by addressing and resolving complaints in a timely manner.
• Handled customer complaints quickly and professionally to restore customer confidence and prevent loss of business.
• Researched and resolved accounts appearing on reports, as well as posting correspondence to patient accounts.
• Provided timely reporting of collection results and credit memos.
• Contacted insurance carriers on account issues; makes appropriate decisions on accounts to be worked to maximize reimbursement.
• Identified any problems/trends and process changes that may increase revenue.
• Provided dual role as needed in the Patient Services Unit in handling various inbound calls on various patients issues.