Customer Service Data Entry

TOMIKA WILLIAMS

Prior Authorization Representative

1-407-***-**** *********@*****.*** Macon

EXPERIENCE

Patient Business Representative

AdventHealth Sports Medicine and Rehab

**/**** **/**** **** Mary, FL

Reduced patient wait time by 15% by greeting visitors promptly. Handled 300 calls weekly by screening and routing efficiently. Increased registration accuracy by 20% by implementing a verification protocol.

Ensured 95% eligibility accuracy by conducting benefits verifications. Maintained compliance for 500 patients by securing required forms. Scheduled 200 appointments weekly using EPIC software. Verified insurance coverage for 100% of patient visits. Process Analyst

CNA Insurance

08/2016 04/2023 Lake Mary, FL

Increased team productivity by 20% by coordinating consistent retraining meetings.

Enhanced operational clarity by providing feedback on missed opportunities to EXL Leaders.

Achieved 15% team development improvement by delegating growth opportunities within the team.

Claims Technician

CNA Insurance

04/2003 08/2016 Lake Mary, FL

Reduced overdue invoices by 30% through efficient reconciliation. Improved case processing efficiency by 20% by distributing 1000 nationwide referrals to Fraud Case Managers.

Enabled better fraud investigations by updating MIT Index for 5 departments.

Managed 200 financial transactions including check investigations and BRITE entries.

Enhanced project efficiency by independently completing 7 special projects.

Improved claims process efficiency by collaborating with 20 adjusters and partners.

EDUCATION

High School Diploma

North Charleston High School

05/1992 05/1992 Charleston, SC

SUMMARY

Enthusiastic and results-driven professional with

extensive experience in customer service and

healthcare support, eager to contribute to a

mission that prioritizes patient care and accurate processing. Proven track record in enhancing

patient experiences and streamlining workflows,

complemented by strong communication and

organizational skills. Committed to ensuring

compliance and accuracy while fostering positive

relationships with team members and clients,

ready to excel in a dynamic and collaborative

environment.

SKILLS

Data Entry Communication

Scheduling Problem Solving

Microsoft Office Suite

Team Collaboration Multitasking

Attention to Detail Customer Service

Routing

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