TAMACHIA CARTER

*** ******** ******

Williamsport, PA 17701

H: 570-***-**** C: 570-***-****

OBJECTIVE: Obtain long term position while utilizing and demonstrating outstanding abilities, excellent customer service skills, positive work ethics, and eagerness to become a superior team member assisting with the enhancement and growth of the company.

EDUCATION & CERTIFICATIONS:

THE CENTER FOR COMMUNITY TRANSITIONS, Charlotte, NC

Certificate in Life Work’s! Job Readiness, Entrepreneurship, Computer Learning, August 2011

20/20 CONSULTING AGENCY, LEARNING & TRAINING FACILITY, Gastonia, NC

Certification in First Aid/CPR, AED, client rights, NCI A&B, blood borne pathogens, seizure management, medication admin, HIPAA, & patient confidentiality, March 2008

KING'S COLLEGE, Charlotte, NC

Medical Assisting Associate/Diploma (hands on training), June 2006

Mecklenburg Foot and Ankle (Externship Medical Office Assistant)

Well versed in clinical & administrative accomplishments, patient health, confidentiality, OSHA & HIPAA training, April 2006-June 2006

CENTRAL PIEDMONT COMMUNITY COLLEGE, Charlotte, NC

Certificate in Corporate & Continuing Education Real Estate Division

Mortgage Loan Processor I & II, July 2002

HARRISBURG AREA COMMUNITY COLLEGE, Harrisburg, PA

Paralegal (Legal Assistant 54 Ehrs), August 1995

HARRISBURG HIGH JOHN HARRIS CAMPUS, Harrisburg, PA

High School Diploma, Business Law (Freshmen/Concert Chorus, Field Hockey), June 1992

EXPERIENCE:

SUSQUEHANNA HEALTH, Williamsport, PA 2/2016-PRESENT

Clerk/Financial Customer Service

Responsible for performing a variety of clerical, reception, and administrative tasks with patients (in person or by phone) in a fast paced office call center environment. Identifies and processes patient accounts for pre-collection and/or bad debt collection agencies, and follows-up on self pay and liability insurance accounts. Make independent decisions, coordinates multiple tasks, organize, prioritize, problem solving with creativity and ingenuity while reacting calmly and effectively in high pressure emergency situations.

Providing customer service assistance, guarantors, third party payers, attorneys and collection agencies while maintaining complete documentation of all conversations and actions for later review of accounts. Processing and reviewing payment agreements, credit card payments, credit balance conditions, incoming patient mail, keying lock box, working work list, making corrections and adjustments, and preparing refund forms for approval while ensuring that all items are handled, billed, submitted, processed, corrected, adjusted, reviewed, and worked in a timely and accurately manner.

Ability to assist with verifying and looking up incoming patient account inquiry information, transfer and direct calls to proper destination, take messages, trouble shoot to escalate issues, refer and triage patients who may qualify for financial, charity, and/or third party assistance in accordance with established guidelines to the appropriate personnel while demonstrating CSR core C.A.R.E.2 competencies.

EXPERIENCE:

CONVERGYS, Charlotte, NC 4/2015-10/2015

Healthcare Insurance Customer Service Specialists

This position creates and maintains positive customer relationships and responds to customer inquiries regarding products, benefits, eligibility, enrollment, and claims resolution in a call center environment for Blue Cross Blue Shield of North Carolina.

Interface with customers and members of the health care community such as doctors, nurses, and other health care workers who have questions regarding patient management, patient eligibility and billing via inbound and outbound calls or the internet for the purpose of resolving routine problems with products or services.

Ability to perform light hand activity work at a computer/telephone station in an call center/office environment while representing Blue Cross Blue Shield of North Carolina and proactively providing information and education to customers, as appropriate, about a variety of health, financial, and self-service programs demonstrating CSR core competencies.

CIGNA HEALTHCARE, Charlotte, NC 2/2014-5/2014, 2/2015-4/2015

HEDIS Administrative Assistant (Seasonal Position)

Knowledge of medical records with basic medical terminology. Ability to work as part of a team on a time sensitive project. Follow directions and apply criteria for multiple study measures, detail oriented, multi-tasking, accurate data entry, and great communication skills. Basic use with office equipment, general understanding of health care privacy regulations, telephone skills, self-directed, well organized, and knowledge of Microsoft word, access, outlook, Citrix, Provider link, FRED, NPI registry, Windsor drive, creating and navigating through varies spreadsheets in excel.

Responsible for working under the direction of the HEDIS Clinical Lead and other clinical personnel, working independently in the office, entering measures specific or testing information to a database, organizing, tracking, and maintaining a filing system of records. Tracking field staff assignments and initial quality review on returned medical records to ensure records are legible and contain customer identifying information. Duties include faxing and calling physician offices for additional missing information and requesting medical records, sort and mail out records for members for HEDIS specific requests, and all medical records are kept confidential in accordance with federal and local requirements and maintained at the CIGNA Health care office.

HOV SERVICES INC., Charlotte, NC 3/2012-10/2013

Data Entry Clerk

Maintain system internal accounting controls reflecting company's transactions and disposition of assets; understanding federal, state, and local laws; while properly & accurately data entering and keying various EOB, EOMB, CMS 1500 claim forms, billing addresses, patient diagnosis, and procedure codes.

Responsible for preserving and reporting financial detailed record information to investors and agencies; meeting or exceeding department productivity standards customer expectations daily while occasionally working special assignments in addition to normal goals and job duties.

CMC WOMEN'S INSTITUTE/VOLUNTEER SERVICES, Charlotte, NC 9/2012-2/2013

Medical Records Technician

Maintains release log of PHI requests using appropriate systems, compares signatures of requestors with on file, processes requests ensuring timeliness, responds to valid subpoenas to produce documents and creates invoices for billable requests.

Ensures accuracy and uniformity of requestors database, serves as resource for other hospital departments and facilities to respond to questions regarding release of patient info, locates patient info in computer system, microfilm, or paper record, and provides complete accurate medical records for review by attorneys, outside agencies and /or third party payers.

EXPERIENCE:

LASH GROUP HEALTHCARE CONSULTANTS/Aerotek, Charlotte, NC 11/2008-2/2012

Site Coordinator/Benefits Investigation Specialist (Contract/Completion of 3 Blizzard projects)

Interacted and collaborated with public/private paying insurance companies and pharmacies on behalf of provider's office to obtain and verify coverage for patient's benefits, while complying with appropriate policies, procedures, and regulations.

Reviewed and updated database to ensure patient's benefits established correctly to BI Specialist, fax to provider's office prior to infusion date; recognized for MVP quality, excellent customer service skills, and selected to work additional projects.

THE CHARLOTTE OBSERVER, Charlotte, NC 6/2010-3/2011

Newspaper Carrier/Deliverer

Delivered copies of publisher's newspapers on date published with other materials or insertions, maintained subscriber's accounts, and collected payments.

PRESBYTERIAN FACILITIES, PRIMARY CARE, METROLINA ASSOCIATES, ROYAL HEALTHCARE/Staffing Agency, Charlotte, NC 1/2007-8/2009

Medical Records Tech, Medical Receptionist, CS Member Outreach Representative (Contract)

Maintains books and journals, answers multi-line telephone, screen calls, take messages and forwards to appropriate person, types all patient referral correspondence for department, retrieves journal articles, records and maintains the database for departmental conferences, maintains results and Census Reports as per guidelines established, distributes interdepartmental mail twice daily.

Coordinates and distributes billing sheets while completing front desk assignments, scheduled appointments, organized work area, opened and distributed mail, established new patient charts, checked patients in/out, accepted and balanced co-payments, verified and copied insurance information.

Implemented health screenings for case manager referrals, data entered forms into computer system, learned to speak and understand different languages with the assistance from language line representative, and provided excellent customer service care.

ZLB/CSL BEHRING PLASMA CENTER, Charlotte, NC 2/2009-4/2009

Medical Receptionist Technician

Attended donors, presenting health related documents, answering and asking series of medical questions, while checking vital signs; blood pressure, pulse, temperature, HCT, and protein levels.

Accountable for managing donor records, reviewing, and archiving, following and being in compliance with health safety environment SOP/OSHA policies and procedures.

Scheduled appointments, registered qualified donors for plasma pheresis process, ensured accuracy, alertness and awareness to any reaction during/after pre-donation process, clean efficient work environment, availability of sufficient operating supplies, pulled, filed, and maintained charts.

CAVALIER CLEANING SERVICES, Charlotte, NC 9/2006-5/2007

Day/Evening Porter (Part-time job/2nd evening job)

Performed a variety of duties ranging from taking out trash, replacing liners, wiping down tables, counters, sinks, upkeep and stocking of restrooms and cafeteria areas.

Entrusted by Supervisor to accomplish a variety of responsibilities in assigned office buildings.

EXPERIENCE:

OUTERBOUNDS SPORTS BAR AND GRILL, Charlotte, NC 8/2005-12/2005

Hostess/Server (Part-time evening job while attending Kings College)

Greeted, seated, and interacted with customers to develop customer service skills in addition took orders, bused tables, balanced, counted tips/money, and ensured customers had an exceptional dining experience while watching sports on the big screens.

ALLEN TATE HOME MANAGEMENT/Staffing Agency, Charlotte, NC 2/2005-6/2005

Leasing Agent (Contract)

Leased and monitored properties for clients, documented and authorized release of keys for property viewing, scheduled maintenance repair calls, and set appointments.

Liaised calls to and from clients, tenants, realtor’s, collected rental payments, updated properties into computer system and rental book, verified applicant information on applications, pulled credit reports, faxed, copied, filed paperwork, and satisfied new rental contracts.

GREENPOINT MORTGAGE, Charlotte, NC 10/2000-3/2004

Quality Control Analyst Technician II

Promoted within year as Quality Control Tech I to Quality Control Analyst Tech II and selected to train and supervise new Quality Control Techs to assist in duties of pulling credit reports, accounts payable, power point, access, supply ordering, FedEx mail, sending letters to borrowers, and verifying 411 occupancy of properties.

Audited, processed, and re-verified borrowers information for quota number of various mortgage loan files selected daily, verified, ordered, faxed, filed, copied appraisal values, and organized filing cabinets appropriately.

VOLUNTEER & COMMUNITY:

CMC- Main Volunteer.

NACA of Charlotte.

Supporter of Salvation Army/Goodwill Industries.

My Father’s Choice Ministry.

Crisis Ministry Assistance.

Faithful Christian Church Ministries Member.

PROFESSIONAL SKILLS

Ability to data enter alphanumeric and numeric information into various MS Office Suites and various database applications, type, ten-key, ocode and key various Blue Cross Blue Shield insurance claims, eligibility and benefits, product information, fax, file, copy, strong organizational skills, research, troubleshoot, and resolve customer account issues, work as a team member to provide cross-training to peers to improve skills and verify competency, CPR & First aid, great decision making, multitasking in Health care/Medical administrative, clinical, and laboratory capacity.

Proficient and experienced in basic knowledge of Microsoft office works, word, creating and navigating through excel spreadsheets, outlook, access, power point, word processing, accounts payable, MediSoft, MediTech, Lynx, IDX, EMR, various window versions, Instant Messaging, Citrix, LOCSS, Firefly, internet research, archiving, Provider link, NPI registry, FRED, Windsor drive, Cerner Soarian Siemens, Kronos, Parachute(Redsson), Navinet, EVS, ePNJPOS, and Lawson.

Capable of delivering excellent customer service care, strong willingness to learn, great interpersonal skills, team player, good analytical skills, communicating effectively both orally and written, obtaining patient benefits via(Medicare, Private/Public Paying, MediGap, Medicaid, TriCare) insurance companies, resolving customer issues quickly and creatively to improve customer satisfaction, familiarity with medical terminology, patient diagnosis, insurance process, and attention detail oriented.

Contact this candidate