Tamaya Myers
Jackson
Summary
A highly skilled and professional customer support specialist with seven years of experience in customer care relations and management, I am seeking a position that will allow me to leverage my strong organizational abilities, educational qualifications, and healthcare experience. I excel in interpersonal interactions and am committed to maximizing career advancement opportunities. I am driven, dedicated, and passionate about assisting others. Additionally, I possess robust critical thinking and analytical skills, and I am a collaborative team player with a keen attention to detail.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Member/Provider Services Advocate
Highmark Health Options
10.2023 - 07.2024
- Responsible for responding to Medicare Part A and/ or B telephone inquiries from the Medicare provider community which includes billing offices, medical societies, provider consultants, Managed Care Organizations, attorneys, etc
- Regarding Medicare Fee-for-Service coverage guidelines and policies
- Answers calls in a manner that falls within the service level agreements (SLA) established for the department
- Ability to utilize software programs and electronic tools to resolve customer inquiries
- Provide exceptional customer service to all clients
- Responsible for maintaining department productivity levels
- Escalate any problems that may arise
- Must be able to actively access 5 or less different systems
- Performs other duties as assigned or required by the manager.
Claims Specialist/ Provider Services Advocate
UnitedHealth Group
06.2022 - 10.2023
- Answer 50-70 incoming phone calls per day from customers and health care providers (i.e
- Physician offices, clinics) and identify the type of assistance the provider needs (EG
- Benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits) and identify the type of assistance the customer needs
- Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
- Contact care providers (doctor’s offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance when needed
- Assist customers in navigating UnitedHealth Group websites while encouraging and reassuring them to become self-sufficient in using our tools
- Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues
- Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue and provide appropriate response to caller
- Deliver information and answer questions in a positive manner to facilitate strong relationships with providers and their staff
- Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends.
Administrative Assistant/Customer Care Assistant
Jackson Medical Supply
11.2017 - 08.2022
- Typed tabular, numerical, or single item entries into cards, forms, firm letters or pre-structured documents requiring accuracy to ensure proper recording and transfer of information
- Maintained a filing system for classifying, retrieving, and disposing of correspondence, records, reports, and other documents
- Handled outgoing and incoming mail
- Handled routine and varied clerical duties in accordance with standard policies and procedures
- Handled sensitive information in a confidential manner according to federal HIPAA laws.
Medical Billing Specialist/Record Entry Receptionist
Jackson Medical Supply
03.2015 - 03.2019
- Maintains security and issues visitor badges, as well as maintains telecommunication system and compiles a safe and clean reception area
- Maintains continuity among work teams and contributes to team effort daily
- Update, maintain and retrieve information held on computer systems
- Transfer information that is on paper to computer files
- Uses good math and English skills
- Works quickly and accurately, while paying attention to detail
- Entering personal details of customers opening new medical accounts while entering information for new classified patients in the system
- Transferring customer inquiries to primary insurance companies
- Updating patients' medical records, processing sale invoices, tracking patients medical results while in a doctor or hospital.
Education
Hinds Community College
12.2014
High School Diploma -
Mississippi Challenge Academy
12.2012
High School Diploma -
Ridgeland High School
05.2012
Skills
- Team Management
- Customer Support
- Client Resource Management
- Microsoft Office
- Problem-Solving
- Computer Literacy
- Project Management Tools
- Strong Communication
Certification
- CPR
References
Available Upon Request
Timeline
Member/Provider Services Advocate
Highmark Health Options
10.2023 - 07.2024
Claims Specialist/ Provider Services Advocate
UnitedHealth Group
06.2022 - 10.2023
Administrative Assistant/Customer Care Assistant
Jackson Medical Supply
11.2017 - 08.2022
Medical Billing Specialist/Record Entry Receptionist
Jackson Medical Supply
03.2015 - 03.2019
Hinds Community College
High School Diploma -
Mississippi Challenge Academy
High School Diploma -
Ridgeland High School
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