Tyra Freeman
Admin Coordinator
Baltimore,MD
Summary
Passionate leader with 25 years’ experience in customer service, administrative coordinator, letter writer, and trainer. Enthusiastic about accurately ensuring communications with members are exceptionally well delivered. Excited to collaborate with Humana’s business unit to provide a world class member experience throughout the Coordinator UM Administration process.
Organized UM Administration Coordinator bringing excellent communication skills and proactive nature, with proven history of performing with integrity and efficiency. Committed to optimizing administrative resources to meet business objectives and leveraging strengths to maximize team performance. Offering 7 years of experience in leadership and administrative support roles.
Productive Administrative Coordinator with experience supporting projects with well-coordinated and performance-driven strategies for information and document management. Maximizes financial and operational compliance with expert knowledge. Excellent relationship-building and planning abilities.
Overview
15
15
years of professional experience
Work History
Clinical Administration Coordinator
UHG
03.2015 - Current
- Responsible for processing inpatient denial letters, home health approvals, outpatient procedures, and
- DME approval letters in a timely manner
- Also faxing letters to providers and mailing letters to member’s home in accordance with CMS.
SNF Inpatient Coordinator
UHG
05.2010 - 03.2015
- Verify admission of members to SNF facilities
- Send out approval letters to facilities
- Call facilities to verify admission/discharge dates of members
- Call hospitals to obtain clinical for UM Concurrent Review Nurse
- Fax NOMNC letters to SNF facilities in a timely manner
Member/Provider Service Representative
XLHealth
08.2008 - 05.2010
- Responsible for providing customer service, analytical, and documentation support to members and providers that will exceed XLHealth’s customer expectations
- Respond to inquiries from both members, and providers, regarding benefits, eligibility, claims, provider network service area, grievances, and appeals
- Any other inquiry that comes through the inbound telephone queues or possibly in writing
- Works as liaison with all other division operations and service to keep abreast of policy and procedural changes; develop and review procedures for Help Desk operating/procedure manuals
- Other duties as assigned.
Education
Community College of Baltimore County
01.1995
Chesapeake High School
01.1990
Skills
- Technical Skills:
- I-CUE, ELGS, UNET, Microsoft Office, Excel, Sharepoint
- Knowledge & Skills Areas
- Customer Support
- Chat/Email Support
- Regulations
- HIPPA training
- Pre-formatted templates
- ICD-9 and CPT codes
- Detailed Oriented
- Problem Solver
- Self-Starter
- Auditor training
- Microsoft Access
- Microsoft Excel
- Tech-Savvy
- Office Administration
- Customer Database Systems
- Attention to Detail
- Health administration
- Clinical quality program standards
- Clinical Documentation
References
References available upon request
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
I feel that luck is preparation meeting opportunity.
Oprah Winfrey
Timeline
Clinical Administration Coordinator
UHG
03.2015 - Current
SNF Inpatient Coordinator
UHG
05.2010 - 03.2015
Member/Provider Service Representative
XLHealth
08.2008 - 05.2010
Community College of Baltimore County
Chesapeake High School
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