TYLER SIMS
Arlington,TX
Summary
Supportive Eligibility Specialist with extensive application engagement and dedicated service skills. Bilingual professional with skill to maintain accurate records, schedule appointments and handle various administrative responsibilities.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Referral Authorization Specialist (Remote)
Southwestern Health Resources
05.2020 - 12.2023
- Provides assistance for Primary Care Practices
- Utilizing, transitions to post-acute settings, data entry, authorization notes, referral support, and scheduling appointments
- Producing and sending patient communications and/or education materials, researching and answering plan benefits and claims questions for In-network referrals, obtaining information contained in EMR systems.
HR Compliance Coordinator
Vizient Inc.
05.2018 - 05.2020
- Facilitate administrative documentation to vendor staffing agencies and assist with coordinating the contingent placement process
- Serve as a point of contact for internal business partners to process requests for potential hires
- Partner with Compliance Managers to give guidance on Workday contingent processes (i.e., requisition creation, project extensions) Managing the on-boarding process for contingent workers, ensuring each step has been completed.
Recruiter/Administrative Assistant
BG Multifamily Staffing
08.2016 - 05.2018
- Create a gateway to the multifamily industry by scheduling interviews for leasing consultants, and maintenance technicians; provide permanent placement with the community
- Utilize Zip Recruiter, Craigslist Tempworks and Indeed to bring clients on with the company; run background screenings and forward qualified candidates to upscale communities.
Education
Health Information Specialist - HEALTH INFORMATION MANAGEMENT
CCI Training Center
Arlington, TXSkills
- Insurance Verification
- Document Handler
- Healthcare
- Recruiting
- Behavioral Health
- ICIMS
- Availity
- Athena Health
- 60 wpm
- Silverback
- HealthEReferral
- EPIC
- Next Gen
- Healthcare Administration
- EClinicalworks
- Detailed Oriented
- Microsoft Office
- Payroll
- Workday
- ADP
- ICD-10
- Inbound/Outbound Multi-Line System
- CPT
- HCPCS
- Leading Reach
- Salesforce
- Zeus/UCM
- Claims Management
- Medical coding knowledge
- HIPAA Compliance
- Data entry proficiency
- Prior authorization processing
- Appointment Scheduling
- Documentation And Reporting
- Medicaid knowledge
- Benefits Administration
- Administrative Management
- Data Analytics
- Fraud understanding
Certification
- Medical Billing and Coding Specialist, January 2020
- Electronic Health Records Specialist, January 2020
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Referral Authorization Specialist (Remote)
Southwestern Health Resources
05.2020 - 12.2023
HR Compliance Coordinator
Vizient Inc.
05.2018 - 05.2020
Recruiter/Administrative Assistant
BG Multifamily Staffing
08.2016 - 05.2018
Health Information Specialist - HEALTH INFORMATION MANAGEMENT
CCI Training Center
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