Summary
Overview
Work History
Education
Skills
Timeline
Generic

TiShanna Smith

Greenville

Summary

Dynamic Medical Assistant with proven expertise at LifeMD in data verification and claims management. Skilled in ICD-10 coding and adept at enhancing workflows, I excel in problem-solving and fostering team collaboration. Committed to improving patient outcomes while ensuring HIPAA compliance and delivering exceptional service.

Overview

8
8
years of professional experience

Work History

MEDICAL ASSISTANT

LifeMD
Greenville
03.2024 - Current
  • Processed refunds and service credits for patient accounts in financial services.
  • Verified patient demographics to ensure accuracy in records.
  • Conducted insurance verifications to facilitate timely authorizations.
  • Educated patients on authorization requirements and timelines effectively.
  • Responded to inquiries from providers, members, and internal departments promptly.
  • Identified process improvement opportunities related to prior authorizations.
  • Gathered patient information for prior authorization submissions using appropriate ICD-10 codes.
  • Led training sessions for new processes and addressed areas that needed improvement.
  • Provided leadership and guidance to team members.
  • Collected and processed patient information and medical histories accurately.
  • Coordinated with insurance companies for prior authorizations.
  • Adhered to HIPAA regulations regarding safeguarding confidential patient information at all times.
  • Participated in team meetings to improve workflows and contribute to improving patient outcomes.

CUSTOMER SERVICE REP - BANKER

TD Bank
Greenville
02.2023 - 09.2023
  • Answer inbound calls from customers, branch employees, and other departments
  • Initiate quality financial wellness conversations to add value to customers relationships
  • Assist customers with routine inquiries regarding account balances and accounted information
  • Demonstrate the ability to escalate calls to the proper channels as needed
  • Help protect the security and privacy for all accounts
  • Adhere to the metrics outlined by management
  • Ensure compliance with relevant banking regulations and implement internal controls
  • Refer customers to specialists and other lines of business to fulfill specialized needs
  • Enhanced customer satisfaction by promptly addressing concerns and providing accurate information
  • Streamlined call center processes for improved efficiency and reduced wait times
  • Resolved customer complaints with empathy, resulting in increased loyalty and repeat business
  • Enhanced claim processing efficiency by streamlining workflows and implementing best practices
  • Developed strong relationships with clients, facilitating trust and open communication during the claims process

LOGISTICS ASSISTANT II/CS COORDINATOR

HELLA Automotive Sales, Inc
Peachtree City
11.2021 - 11.2022
  • Promptly and accurately respond to inquiries from customers, sales reps, the warehouse staff, and other departments via phone, email, and chat
  • Coordination and scheduling of monthly and weekly vendor and client meetings
  • Manage and edit online calendars, including Microsoft Outlook and Google Calendars
  • Enter orders while checking for accuracy for account number, item number, quantity, price, and shipping information
  • Check order status for customers and resolve order issues
  • Investigate the validity of a credit or debit request with extensive research and evidence
  • Process debits and credits that have been proven valid
  • Prioritize high demand items in response to and to prevent line down productions
  • Independent work with minimal supervision
  • Take on special projects assigned by management
  • Monitor daily report for orders that have discrepancy or that need to be released
  • Generate reports via SAP and export to Excel for review and revision
  • Review and research finance claims for validity and evidence to reach a resolution
  • Proficient with SAP, Windows 10, Salesforce, and Microsoft Office 365
  • Manually resolve internal issues with SAP
  • Initiate the addition or revision of customer master data
  • Process red idocs that are affiliated with EDI transmissions of orders and schedule agreements
  • Work with purchasing to expedite overseas freight for high demand and backordered products
  • Participate in meetings via teams, trainings, and other learning opportunities available
  • Reduced outstanding debts through consistent follow-up on overdue invoices and negotiating payment plans
  • Collaborated with sales teams to address customer disputes, resulting in prompt resolution and maintained relationships
  • Strengthened relationships with key clients by providing exceptional service in addressing inquiries regarding account balances or payment issues
  • Updated and/or created new schedule agreements to correlate to the forecasts designed for the customer

CUSTOMER SERVICE COORDINATOR

Hubbell Lighting
Greenville
08.2017 - 09.2021
  • Responded promptly and accurately to customer and representative emails.
  • Assisted with inquiries regarding orders and products.
  • Conducted daily and monthly report reviews for data accuracy.
  • Resolved issues independently in accordance with company policy.
  • Researched customer problems and provided supporting evidence.
  • Analyzed financial claims from collections to determine appropriate resolutions.
  • Validated and issued credits and debits on customer accounts.
  • Managed order entries, ensuring data accuracy throughout the process.

Education

Certified Clinical Medical Assistant -

NHA
Greenville, SC
07.2024

Associate of Science -

Greenville Technical College
Greenville, SC
05.2015

Skills

Data verification and claims management

  • Microsoft 365 and Google Workspace
  • Email and phone communication
  • Documentation review and attention to detail
  • SAP S/4HANA proficiency
  • Data entry and management
  • Windows 10 expertise
  • Lead and floor support
  • ICD-10 coding and medical coding
  • Research and problem-solving skills
  • Salesforce proficiency
  • Order processing and account management
  • Logistics coordination
  • Computer literacy and electronic health records management
  • Prior authorizations and insurance verification
  • HIPAA compliance and patient management

Timeline

MEDICAL ASSISTANT

LifeMD
03.2024 - Current

CUSTOMER SERVICE REP - BANKER

TD Bank
02.2023 - 09.2023

LOGISTICS ASSISTANT II/CS COORDINATOR

HELLA Automotive Sales, Inc
11.2021 - 11.2022

CUSTOMER SERVICE COORDINATOR

Hubbell Lighting
08.2017 - 09.2021

Certified Clinical Medical Assistant -

NHA

Associate of Science -

Greenville Technical College

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TiShanna Smith