Tallulah Roberts

Tallulah Joanna Roberts-•- • 607 Charlie Street, Athens, Texas SUMMARY I have more than a decade of extensive experience in the medical industry, specializing in billing and coding for medical claims, Insurance verification, Prior Authorizations, provider scheduling and interactions. My expertise encompasses the approval process for medical claims, as well as effectively handling appeals to ensure claims approvals. I am adept at managing billing summaries sent to patients, accurately documenting billing fees, and thoroughly researching the reasons behind claim denials. She diligently reviews claim history and coding to resolve issues efficiently. Furthermore, I exhibit a commitment to excellence by achieving individual performance goals aligned with call center objectives. Skilled in assisting callers with Web Portal registration and guiding them in its effective utilization. My comprehensive knowledge and dedication make me an invaluable asset in this industry. EXPERIENCE Cardinal Health, Customer Care Coordinator FEB 2024 - OCT 2024 · LEWISVILLE TX · Remote In my role as a Customer Care Coordinator at Cardinal Health, I managed high call volume, verified patient information per HIPPA, and scheduled medication deliveries using FEDEX and UPS. I excelled in insurance verification and met qualifying metrics, honing my communication and problem-solving skills in a remote work environment. Roi Connexus/Included Health, Customer Service Representative - Remote Sept 2021 - Nov 2023 Answer phones promptly and professionally using company phone etiquette protocols using Salesforce, Amazon Workspace Okta Verifier and CX one to properly execute my job. Return voicemails in a timely manner Schedule appointments with the appropriate provider and resource Answer patients’ questions over the telephone regarding insurance in a timely, accurately, and enthusiastically on a continuous basis by using all resources. Independent self starter with strong computer and organizational skills Ability to effectively communicate over the phone in a professional, positive and friendly manner Medical scheduler with the ability to handle high call volume Highly motivated and well organized with attention to detail Empathetic with patients’ needs and concerns Substantial knowledge of general medical office procedures and terminology Able to convey a positive attitude in all dealings with patients and staff members Collects scheduling deposits and billing statement balances as needed Activate patient portals Document electronic changes to patient records accurately Lorica' Inc, Regional Office coordinator Aug 2019 - Nov 2021 Coordinated all administrative and customer service functions of Life, Accident and Health insurance payments/ claims and billing issues. Handles customer’s administrative needs and requests, delivering first-rate service to meet or exceed their expectations (i.e., Billing, AP, Service Agreement Administration). Provides technical assistance to Partners as needed Trouble shoots and resolves customer disputes. Actively seeks customer feedback and ensures timely resolution of customer’s issues. Served as subject matter expert and provided guidance and training to less experienced team members as needed. Communicated effectively to guarantee prompt and responsive services to the customer’s immediate and long term needs. Read interpreted and processed work orders, invoices, credits, project billings and correspondence. Audited and reviewed all work orders to ensure accuracy Resolved discrepancies and handled special billings as needed (i.e., multiple service agreements on one invoice, credits, and progress billings). Tallulah Joanna Roberts - page 1 of 2 CLAYTON HOMES, ISO Coordinator/Environmental Specialist Apr 2015 - Jul 2019 Supervised and inspected the company projects for storm water compliance. Provided program input into environmental management processes, including the Environmental Management System (EMS) requirements based on the International Organization of Standardzation (ISO) Responsible for interpreting and communicating ISO 9000 and 14001 EMS requirements, City Ordinances, state and federal regulations orally and in writing to new employees Characterise soil samples to be sent to (EPA) Environmental Protection Agency Reported to Corporate office on weekly basis of storm water and soil sample results Order all supplies needed for the environmental department Scheduled vendors to pick up Hazmat waste and Non-Hazmat waste EDUCATION Albuquerque Job Corps • 1991 - 1991 Tyler Junior College Accounting, Accounts Payable, Medical Coding, Medical Coding • 1991 - 1992 Tyler Junior College Business Administration • 2000 - 2001 SKILLS Practice Management • Leadership & Management • Organizational Improvements • Practice Structure • Human Resource Management • Medical Office Operations • Medical Terminology • Business Office Operations • Medical Office Procedures • Appointment Scheduling Tallulah Joanna Roberts - page 2 of 2