Data Entry Specialist Healthcare Revenue Cycle
Resume:
MARSEILLE J. TYLER
Certified Medical Assistant (CMA) Healthcare Operations Revenue Cycle Insurance Verification Patient Accounts Houston, TX 832-***-**** *********.*******@******.*** PROFESSIONAL SUMMARY
Certified Medical Assistant (CMA) with experience in healthcare, insurance services, patient support, remote case management, healthcare operations, and leadership. Skilled in Epic EMR, risk adjustment support, care gap closure, insurance verification, prior authorizations, claims processing, clinical documentation review, coordination of benefits, and HIPAA compliance.
KEY QUALIFICATIONS
Epic EMR • Risk Adjustment Support • Care Gap Closure • Revenue Cycle Support • Insurance Verification • Prior Authorizations • Claims Processing • Clinical Documentation Review • Medication Reconciliation • HIPAA Compliance
• Patient Advocacy • Referral Coordination • Case Management • Data Entry • Microsoft Word, Excel & Outlook • Team Leadership • Payroll Administration • Audit & Compliance Management PROFESSIONAL EXPERIENCE
Certified Medical Assistant / Laboratory Technician Baylor Scott & White Health Aug 2018
– Jan 2020
• Assisted physicians with patient examinations, treatments, and outpatient procedures.
• Administered vaccinations and provided patient education.
• Performed venipuncture, specimen collection, and laboratory specimen processing.
• Documented patient encounters using Epic EMR.
• Reviewed patient charts and identified missing documentation.
• Updated patient problem lists within Epic EMR.
• Performed medication reconciliation.
• Assisted with care gap closure initiatives.
• Supported risk adjustment and quality improvement efforts.
• Scheduled follow-up and specialist appointments.
• Maintained HIPAA compliance and patient confidentiality. Patient Care Specialist UnitedHealthcare Jul 2017 – Aug 2018
• Assisted members with healthcare benefits and healthcare navigation.
• Coordinated prior authorizations and referrals.
• Educated members regarding COBRA benefits.
• Assisted members with insurance gap coverage.
• Researched and resolved Coordination of Benefits (COB) issues.
• Scheduled appointments and facilitated provider communication.
• Maintained HIPAA-compliant documentation.
Case Manager (Remote) Movate Jan 2022 – Jan 2023
• Managed 40–50 active Hyundai Motors of America warranty cases weekly.
• Reviewed documentation and processed authorization requests.
• Investigated and processed warranty claims.
• Maintained electronic case documentation.
• Coordinated communication among stakeholders.
• Met productivity goals, quality metrics, and service-level expectations. Store Operational Manager Dollar General Sept 2023 – Dec 2025
• Managed daily operations for a high-volume retail location overseeing 20–25 employees.
• Recruited, hired, onboarded, trained, coached, and developed employees and assistant managers.
• Conducted weekly performance reviews and managed disciplinary actions.
• Developed employee schedules and administered payroll.
• Managed inventory, audits, compliance initiatives, and cash reconciliation.
• Prepared weekly reports, budget analyses, and performance metrics.
• Trained assistant managers and led performance improvement initiatives.
• Maintained high standards of customer service and operational excellence. EDUCATION
Lamar State College Port Arthur – Associate of Arts (AA) in Business Administration (In Progress), 2023–Present Vista College – Killeen, Texas – Certified Medical Assistant Program, 2018 Harker Heights High School – High School Diploma, July 2010 CERTIFICATION
Certified Medical Assistant (CMA)
Contact this candidate