Timyah Robertson

ETeams, Nashville TN — HEDIS Coordinator

Jan 2023- May 2023

●Initiates outreach cycle and documents in electronic record and/or member referral status.

●Facilitates member engagement.

●Collaborates with Care Managers in assisting members who are hard to reach, refuse or disenrolling.

●Responds to and triages requests in Care Management mailbox.

●Assigns cases to care management team.

615-***-****

adybe3@r.postjobfree.com

ETeams, Nashville TN — Medical Records Rep

Nov 2021 - Sept 2022

●responsible and accountable for the maintenance of health records.

●Ensures all medical records filing is up to date.

●Pull and file medical records daily as needed. Prepare and type reports/correspondence as requested by supervisors. Answer telephone, relay messages, and transfer calls as appropriate.

Bench Mark, Nashville TN — Medical Records Rep

Oct 2020 - Nov 2021

●responsible and accountable for the maintenance of health records.

●Ensures all medical records filing is up to date.

●Pull and file medical records daily as needed. Prepare and type reports/correspondence as requested by supervisors. Answer telephone, relay messages, and transfer calls as appropriate.

Missionside, N ashville TN— CSR Lead

Jan 2020- Oct 2020

●Responsible for receiving routed customer calls, utilizing company policies and procedures to assist solving customer issues.

●Provide excellent customer service assisting inbound and outbound to provide a complete and accurate questionnaire.

●Monitor agent & provided guidance and support to each agent. Insured each agent is performing and meeting companies each expectations. Have group & one on one meetings.

UnitedHealth Group, Nashville TN — Associate Clinical administrator coordinate/ claims lead

May 2018- Jan 2020

●Administrative intake of members or managing the admission/ discharge information post-notification, working with hospitals and the clinical team. Includes managing incoming calls, managing requests for services from providers/members, providing information on available network service and transferring member as appropriate to clinical staff.

●Supervised agents on floor. Had weekly meetings to make sure everyone was meeting quota. Had bi weekly one on one meetings to ensure each agent is reaching their potential

●Examines and processes paper claims and electronic claims. Determines whether to return, pend, deny or pay claims, within policies. Determines steps necessary for adjudication.

●Follows established departmental policies and procedures operating memos and corporate policies to resolve claims and claim issue as to obtaining personal information and medical records from facilities or doctors' offices.

Faneuil (Tenncare), Nashville TN — Customer Service Rep May 2014 - May 2018

●Help assist customers with insurance and correct information into interchange.

●Took 50-75 inbound and outbound calls per day.

● Data entry, transferring documents, and updating service records

●Medical records

Qualifications

●Microsoft excel

●Microsoft PowerPoint

●Microsoft outlook

●Microsoft word

●Microsoft access

EDUCATION

Antioch High School, Antioch TN - diploma

Aug 2010 - May 2014

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