Customer Service Patient Care

Tajuanna McCauley

Stockbridge, GA ***** • +1-470-***-**** • *************@*******.***

Professional summary

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Experienced leader with strong background in guiding teams, managing complex projects, and achieving strategic objectives. Excels in developing efficient processes, ensuring high standards, and aligning efforts with organizational goals. Known for collaborative approach and commitment to excellence. Work history

Patient Support Agent, 09/2022 to Current

Clean Slate Centers – Remote USA - GA

Educated patients on the importance of medication adherence, potential side effects, and strategies for managing any challenges that may arise during their recovery process.

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Provided timely crisis intervention services when needed, effectively de-escalating tense situations and connecting patients with appropriate resources for additional support.

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Improved patient recovery rates by providing individualized care and support throughout the addiction treatment process.

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Facilitated strong relationships between patients, family members, and professional support networks to encourage long-term success in recovery efforts.

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Assisted clients in addressing co-occurring mental health issues by connecting them with appropriate treatment providers and resources.

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Supported successful transitions from inpatient to outpatient care by assisting with discharge planning and coordinating ongoing support services.

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• Delivered compassionate patient care, focusing on safety, comfort and emotional support. Dental Front Office Coordinator, 10/2018 to 08/2021 Great Expressions Dental Centers – GA & FL

Provided excellent customer service to patients and healthcare professionals while managing patient scheduling and registration.

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• Ensured compliance with all HIPAA regulations regarding patient privacy and confidentiality.

• Registered patients by obtaining necessary and accurate financial and demographic information.

• Created new patient charts to include personal and insurance information and reason for visit. Demonstrated strong organizational skills by accurately entering patient information into the electronic health record system.

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Provided exceptional customer service to patients, families, and healthcare providers by promptly responding to inquiries, addressing complaints, and resolving issues.

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Answered questions from patients about their insurance plans or benefits related to treatments provided by the dentists office.

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• Received and processed payments for services rendered, including cash and credit transactions. Verified insurance coverage for treatment procedures, collected co-payments and processed payments accurately.

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Claims Representative, 04/2015 to 08/2018

Allied Benefits Systems – Remote

• Managed a high volume of incoming calls from customers, providing excellent customer service.

• Maintained accurate and up-to-date records of claims processing activities..

• Successfully resolved escalated claim issues to ensure customer satisfaction.

• Processed and analyzed customer claims with accuracy and attention to detail.

• Collaborated with internal departments and external vendors to resolve claims.

• Developed in-depth understanding of insurance policies and procedures.

• Evaluated insurance claims by conducting thorough investigations and analyzing policy coverage.

• Verified financial and insurance information using appropriate database retrieval systems.

• Made contact with insurance carriers to discuss policies and individual patient benefits. Developed strong relationships with insurance representatives, facilitating smooth communication channels for resolving inquiries or disputes.

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ER Patient Access Representative, 09/2021 to 09/2022 Emory Midtown Hospital – Atlanta, GA

Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.

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Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.

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• Maintained strong knowledge of basic medical terminology to better understand services and procedures.

• Updated patient records with accurate, current insurance policy information.

• Posted payments to accounts and maintained records. Enhanced communication between medical staff and insurance companies, leading to more efficient patient care coordination.

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Contributed to patient education by explaining complex insurance terms and procedures in understandable manner.

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Coordinated with care teams across various departments to ensure seamless integration of verified coverage information into overall treatment planning.

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Skills

• Substance use screening

• Appointment scheduling

• Active listening

• Medical documentation

• Computer literacy

• Emergency procedures

• Patient care standards

• Dental staff assistance

• Registration data intake

• Experience with Epic

• Customer service

• Call Center

Education

Associate In Science- Prerequisites Completed: Diagnostic Medical Sonography, 06/2027 South College - Atlanta, GA

• Awarded 62 credit hours for diagnostic medical sonography. 18 months left, clinicals are next. Courses have included College Algebra, Psychology, Anatomy and Physiology 1 & 2. English Composition, Computer Education, Introduction to RAD, Physics, Medical Terminology etc.

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Diploma: Dental Assistant, 02/2018

United Education Institute - Morrow, GA

• Certified dental assistant

• 7+ year experience as a dental insurance verification specialist also.

• Have worked remotely in dental.

Certifications

• Certified Dental Assistant

• Certified Patient Care Assistant

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