Takenya Jeter
Carlisle
Summary
Proven healthcare professional with a track record of enhancing patient satisfaction and increasing revenue by resolving billing disputes at Lexington Medical Center. Skilled in confidentiality adherence and care coordination, adept at improving healthcare systems through meticulous data entry and effective customer service. Demonstrates exceptional medical terminology knowledge and a commitment to follow-up care planning.
Overview
18
18
years of professional experience
Work History
Care Connector
AmeriHealth Caritas
12.2023 - Current
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Updated patient information and insurance details for accurate electronic medical records.
- Foster Care Connector- Communicating with the Foster Parents, Scheduling Appointments, Providing Foster Parents with appropriate dates for members to see providers, calling to verify if member attended appointments, also completing outreaches for members and Case Mangers. Identifies members Care Gaps for members insurance, Provides member with educational materials for their insurance coverage
Prior Authorization Representative
Crossroads Treatment Centers
03.2023 - 10.2023
- Provided exceptional customer service, addressing inquiries from both patients and healthcare providers promptly and professionally.
- Verified eligibility and compliance with authorization requirements for service providers.
- Ensured compliance with HIPAA regulations by maintaining strict confidentiality in handling sensitive patient information.
- Processed new medication and refill requests for authorization.
Revenue Cycle Specialist
Lexington Medical Center
09.2015 - 09.2022
- Increased revenue by identifying and resolving billing errors in a timely manner.
- Trained new team members on revenue cycle best practices, contributing to a more knowledgeable workforce.
- Served as a liaison between clinical departments, finance, and administration, ensuring smooth communication for proper revenue cycle management.
- Enhanced customer satisfaction by promptly addressing and resolving billing disputes.
Medical Front Office Receptionist
Greenville Hospital System
01.2007 - 05.2016
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Maintained a clean and welcoming reception area to ensure a positive first impression for all visitors to the medical facility.
- Helped patients complete necessary medical forms and documentation.
- Maintained current and accurate medical records for patients.
Education
No Degree - Medical Office Assistant
York Technical College
Rock Hill, SC12-2005
High School Diploma -
Chester High School
Chester,SC05-1999
Skills
- Confidentiality adherence
- Medical terminology
- Data entry proficiency
- Care coordination
- Appointment scheduling
- Healthcare systems
- Follow-up care planning
- Customer service
Timeline
Care Connector
AmeriHealth Caritas
12.2023 - Current
Prior Authorization Representative
Crossroads Treatment Centers
03.2023 - 10.2023
Revenue Cycle Specialist
Lexington Medical Center
09.2015 - 09.2022
Medical Front Office Receptionist
Greenville Hospital System
01.2007 - 05.2016
No Degree - Medical Office Assistant
York Technical College
High School Diploma -
Chester High School
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