Tawana Boyd
Kenner, LA
******.*******@*****.***
Seeking challenging and rewarding opportunity that will allow me to utilize and expand upon my skills. I'm oriented and dedicated to superior customer & healthcare services . I maintain a high level of energy,enthusiasm, and friendliness in all aspects of customer service relations. Authorized to work in the US for any employer.
Authorized to work in the US for any employer
Work Experience
Precertification Specialist
Aetna Insurance Company - Metairie, LA
March 2016 to Present
-ICD -10 code experience Supports comprehensive coordination of medical services including intake, - Screening and referrals to Aetna Medical Service Programs. -Promotes/supports quality effectiveness of
Healthcare Services within a structured high volume Call Center environment
-Provide comprehensive healthcare management to facilitate delivery of appropriate quality healthcare,
promote cost effective outcomes and improve program/operational efficiency involving clinical issues. Pre certifications for DME.
Verify insurances Medicaid, Medicare and all private insurance. Training Coordinator
Ocshner Health Care System - Kenner, LA
February 2011 to March 2016
Epic Experinced.
-Cisco phone trained for multi-line usage via computer and phone system.
-Medical Terminology.
-identify insurance on subscriber /guarantors -update data. -Data entry of insurance cards.
-Data entry of various registration information.
-Register patients for clinical encounters.
-AHiQA experience
-input data on doctors schedules daily
- Hosptial follow up scheduling.
- Maintain organizational training requirements.
-strong analytical and problem solving skills.
- Hippa compliance.Responsible for supporting the --Training team in the facilitation, scheduling, and coordination of physician focused educational events.
-Activities may include the support of scheduling physicians for training classes, physician training on various
clinical applications/systems, and the education/use of devices to optimize their ability to efficiently use
electronic medical record systems (Epic). -clerical duties, data entry, filling documents, email, word processing.
-receives, screens and routes telephone call and other electronic correspondence. Handling referrals.
Guest Service Supervisor
Metairie, LA
March 2005 to August 2015
- Help recruit, hire, develop, mentor and motivate customer service team members.
- Assit in providing the guest services team with vision and direction.
-set and achieve the highest standards in retail execution.
-work with team members to ensure the highest quality guest service is offered. Education
Associate in Business administration
Delgado Community College - New Orleans, LA
2005 to 2007
Grace King High School - Metairie, LA
2000 to 2004
Links
http://indeed.com/r/1bf3fbccb8c7a4ac
Awards
Empolyee of the Month
June 2013
Certificate of recognition for the highest percentages in the system of Ochsner Health System for outstanding 3 years in a row .
Additional Information
SKILLS
Administration and Clinical (6 years)