TYRA BALDWIN
Houston,TX
Summary
Proven track record in customer service with extensive experience in enhancing client satisfaction and loyalty. Skilled in resolving issues efficiently and fostering positive relationships with customers. Committed to contributing to team success and driving organizational goals through effective communication and problem-solving abilities.
Knowledgeable Referral Coordinations with solid background in benefits verification, ensuring accuracy and compliance in processing claims. Proven track record of identifying discrepancies and effectively resolving issues to streamline operations. Demonstrated expertise in data management and communication, fostering seamless collaboration with team members and clients.
Overview
16
16
years of professional experience
Work History
Benefits Verification Specialist
Texas Children Health Plan
03.2025 - Current
- Assisted clients with resolving complex benefits issues, improving overall customer satisfaction.
- Streamlined workflow for benefit verification team by implementing a comprehensive data tracking system.
- Established positive relationships with insurance carriers, streamlining communication channels when clarifying policy details or negotiating terms on behalf of clients.
- Achieved faster client response times by promptly addressing inquiries related to benefits eligibility and coverage details.
Benefits Specialist
Alorica - Patient Services
02.2022 - 10.2024
- Responsibilities included but were not limited to:
- Looking over denied claims for patients
- Calling providers and billing departments for different facility and provider offices
- Providing Customer Services
- Finding members providers in there network
- Making claim adjustments
- Educated managers on current benefit offerings and policies, enabling them to better assist their teams with questions or concerns.
Kelsey Seybold – Healthcare Rep I
06.2020 - 10.2021
- Responsibilities included but were not limited to:
- Making Appointments for patients
- Providing Customer Service
- Canceling and Rescheduling Appointments
- Input of Insurance Information for all patients Covered
Dollar General - Lead
05.2017 - 06.2020
- Responsibilities included but were not limited to:
- Cash Handling, Checking out customer
- Providing customer service when a customer needs help
- Assist with daily deposits to the bank and change orders
- Also stocked store
Bank OZK- Teller III
05.2017 - 06.2019
- Responsibilities included but were not limited to:
- Performed daily deposits and withdrawals
- Opened and Closed accounts (IRA’s, CD’s, Checking, Savings, And Safe Deposit Box)
- Professional at Opening Business Accounts LLC and Sole Proprietorship
- Processed ATM and Main Vault balances
- Ordered supplies for the branch and employees
- Administration duties to the branch manager
- Also performed opening and closing procedures to the branch
United Behavioral Healthcare- Claims Representative
10.2016 - 05.2017
- Responsibilities included but were not limited to:
- Processed claims for (Optum)
- Quoted benefits for customers and Mental Health offices for Insurance purposes
- Reissued out checks for claims to doctors or clinics
Walmart - Customer Service Rep
10.2014 - 10.2016
- Responsibilities included but were not limited to:
- Maintained Money Center, Money Gram, Loading and Unloading Prepaid Cards
- Processed returns and processed claims within the store that were damaged on the Daily.
- Cash Handling, Check Cashing
JP Morgan Chase Bank- Lead Teller
08.2009 - 09.2014
- Responsibilities included but were not limited to:
- Executed the companies five key Customer Service Elements
- Acknowledge the Customer
- Take Responsibility
- Communicate
- Professionalism
- Respect
- Wire transfers to different countries
- Performed Daily deposits and withdrawals
- Ordered the money the branch and ordered supplies for the employees/ branch as needed
- Customer Experience is first. Find solutions to their problems
Education
High School Diploma -
Alief Elsik High School
Houston, TX06.2001
Business Administration
Texas Southern University
Houston, TX06.2005
Surgical Tech
Fortis Healthcare
Houston Texas05.2005
Skills
- WPM: 75
- Proficient in Microsoft Word
- Proficient in Cash Handling and Administration duties
- Proficient in Microsoft Excel user
- Excellent Customer Service
- Teller Express
- Fiserv
- Verbal and written communication
- Highly skilled in Epic
- Multitasking Abilities
- Records maintenance
- Healthcare regulations
Timeline
Benefits Verification Specialist
Texas Children Health Plan
03.2025 - Current
Benefits Specialist
Alorica - Patient Services
02.2022 - 10.2024
Kelsey Seybold – Healthcare Rep I
06.2020 - 10.2021
Dollar General - Lead
05.2017 - 06.2020
Bank OZK- Teller III
05.2017 - 06.2019
United Behavioral Healthcare- Claims Representative
10.2016 - 05.2017
Walmart - Customer Service Rep
10.2014 - 10.2016
JP Morgan Chase Bank- Lead Teller
08.2009 - 09.2014
High School Diploma -
Alief Elsik High School
Business Administration
Texas Southern University
Surgical Tech
Fortis Healthcare
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