Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tyra Washington

Conroe,TX

Summary

Experienced in managing high caseloads within fast-paced environments, organized, driven, and adaptable Insurance Specialist. Excellent planning and problem-solving abilities, well-equipped to handle any challenge. Accumulated 4 years of experience in effectively navigating complex insurance processes and providing top-notch service to clients.

Overview

10
10
years of professional experience

Work History

Insurance Specialist

McKesson Specialty Health
04.2023 - Current
  • Processed eligibility and benefits verification and authorization requests.
  • Maintained confidentiality of patient finances, records, and health statuses.
  • Resolved discrepancies in insurance payments by collaborating with carriers.
  • Reduced errors in eligibility determinations by maintaining thorough knowledge of program guidelines and regulations.
  • Enhanced client satisfaction by providing timely and accurate eligibility determination for various assistance programs.
  • Achieved timely resolution of claim issues through effective communication with insurance carriers and healthcare providers.
  • Enhanced efficiency by performing high-volume data entry tasks, ensuring timely completion of medical reports.

Prior Authorization Representative

Alorica
08.2022 - 04.2023
  • Verified eligibility and compliance with authorization requirements for service providers.
  • Contacted insurance companies to obtain prior authorization for medical procedures and medications.
  • Fielded telephone inquiries on authorization details from plan members and medical staff.
  • providers and medical personnel.
  • Responded to inquiries from healthcare providers regarding prior authorization requests.

Receiver

Five Below Distribution Center
10.2020 - 08.2022

Placed, tagged, and secured merchandise in diverse designated areas.

  • Reviewed order data to verify transactions and shipping dates.
  • Processed required paperwork to expedite handling of shipped and received goods.
  • Drafted and managed work and shipping orders, bills of lading, and shipping route materials for accurate and compliant recordkeeping.

Customer Service Representative

HEB Grocery Store
05.2018 - 10.2020
  • Handled high-pressure situations calmly, maintaining composure during busy periods or difficult interactions.
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
  • Met customer service goals and exceeded customer expectations.
  • Counted money in drawers at beginning and end of each shift.
  • Answered product questions using knowledge of sales and store promotions.
  • Enhanced customer satisfaction by efficiently handling transactions and addressing inquiries.

Customer Service Representative

Food Town Grocery Stores
03.2015 - 05.2018
  • Handled customer inquiries and suggestions courteously and professionally.
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
  • Answered constant flow of customer calls with minimal wait times.
  • Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
  • Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.

Education

High School Diploma -

Nimitz High School
Houston, TX
05.2016

Skills

  • Account Management
  • Insurance Coverage Verification
  • Insurance Claims Management
  • Insurance Knowledge
  • Documentation skills
  • HIPAA compliance
  • Patient confidentiality
  • Customer service

Timeline

Insurance Specialist

McKesson Specialty Health
04.2023 - Current

Prior Authorization Representative

Alorica
08.2022 - 04.2023

Receiver

Five Below Distribution Center
10.2020 - 08.2022

Customer Service Representative

HEB Grocery Store
05.2018 - 10.2020

Customer Service Representative

Food Town Grocery Stores
03.2015 - 05.2018

High School Diploma -

Nimitz High School
Tyra Washington