Tyesia Bland

Analyzed and prepared more than 300 medical records monthly to facilitate coding and reimbursement.
Achieved 90% physician authentication compliance by improving documentation practices.
Increased Health Information education satisfaction scores by 20% while leading a team of four through focused instructional methods.
Monitored key performance indicators, resulting in a 15% reduction in processing errors in health informatics quality.
Oversaw administrative operations, including managing appointment schedules.
Verified insurance eligibility and ensured accuracy in patient demographic data updates.

• Managed administrative operations, including scheduling appointments, rescheduling, and generating documentation to support clinical services.
• Verified insurance eligibility, facilitated Medicaid referrals, and assisted patients with hardship program applications, ensuring accuracy in patient data and demographic updates.
• Completed daily bank deposits, collected patient copayments, and effectively triaged calls to appropriate clinical staff to maintain efficient communication and operations.

• Managed high-volume inbound calls, delivering exemplary customer service while providing detailed information on benefits, eligibility, claims, billing, and physician assignments.
• Ensured compliance with operational standards, policies, and procedures to maintain service quality and consistency.

• Processed and submitted provider enrollment applications in compliance with CMS regulations, ensuring accuracy and efficiency in application handling.
• Managed documentation and records associated with provider enrollment, including tracking and follow-up to confirm correct provider numbers were linked to coagent group entities.
• Indexed Part A and Part B applications and faxes, while providing administrative assistance for special projects.

• Managed and organized data related to provider and claims information, ensuring accuracy and efficiency.
• Generated and distributed written correspondence and enrollment letters, facilitating the provider enrollment process.
• Trained new Intake Clerks on operational standards, policies, and procedures to enhance departmental efficiency.

• Conducted investigative procedures and assigned investigators to fraud cases, ensuring thorough review and resolution in line with established loss management processes.
• Managed a high volume of incoming calls, providing timely and accurate information to customers regarding fraud cases while adhering to financial guidelines and banking procedures.

• Managed medical claims processes, including conducting interviews with injured parties and initiating claims payments, ensuring adherence to policy limits.
• Served as a liaison to attorneys, providing timely claim status updates, while resolving provider inquiries with a focus on customer service excellence.