Tanisha Daniel
@tanishadaniel
Highly motivated and results-driven professional
What I'm looking for
Tanisha Daniel is a dedicated and results-driven professional with over five years of experience in the industry. With a strong background in customer service, she has consistently demonstrated exceptional skills in providing support to clients, customers, and professionals. Her expertise in CRM software, medical terminology, insurance policies, and claims processing has enabled her to excel in various roles.
Throughout her career, Tanisha has proven herself to be a collaborative team player with strong communication and interpersonal skills. She is passionate about improving overall satisfaction and dedicated to delivering compassionate and high-quality customer services. With a proven track record of achieving metric targets, increasing customer satisfaction, and resolving complex customer issues, Tanisha is an asset to any organization.
With a strong educational background, including an MBA and a Bachelor's degree in Business Administration, Tanisha possesses a unique blend of business acumen and technical skills. Her expertise in management, human resources, communication, and project management makes her a versatile professional who can adapt to various roles and industries.
Experience
Work history, roles, and key accomplishments
Credentialing Analyst
AMN Healthcare
Feb 2021 - Apr 2024 (3 years 2 months)
Conducted reviews of healthcare providers' credentials, verifying licensure and certification. Collaborated with departments to ensure timely credentialing and evaluated potential risks associated with hiring providers.
Appeals Analyst
USA Benefits Administration
May 2019 - Jan 2020 (8 months)
Reviewed and resolved appeals related to benefit claims, conducting thorough investigations and ensuring timely handling of all appeals while maintaining knowledge of relevant regulations.
Billing Specialist
Peachtree Immediate Care
Jan 2018 - Dec 2018 (11 months)
Verified patient insurance coverage, collected billing information, and submitted insurance claims to third-party payers. Resolved billing issues and provided customer support for billing inquiries.
Accounts Receivable Specialist
Laureate Medical Group at Northside
Aug 2015 - Sep 2016 (1 year 1 month)
Reviewed and reconciled patient accounts, followed up on unpaid claims, and resolved billing discrepancies. Collaborated with departments to streamline accounts receivable processes.
Claims Adjuster I/Claims Processor
Blue Cross Blue Shield of Georgia
Mar 2013 - May 2015 (2 years 2 months)
Reviewed and processed healthcare insurance claims, conducting investigations to determine eligibility and coverage while communicating with providers and customers regarding claim determinations.
Education
Degrees, certifications, and relevant coursework
Tanisha hasn't added their education
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