TYSHIQUA MITCHELL
Lynwood,IL
Summary
Healthcare professional with over 10 years of experience in the healthcare and revenue cycle industry. Valued team collaborator with focus on achieving impactful results and adapting to dynamic healthcare environments. Compassionate and collaborative individual with deep understanding of medical care and patient needs. Possesses strong analytical skills and familiarity with healthcare regulations and patient documentation. Committed to improving patient outcomes and optimizing healthcare resources.
Overview
8
8
years of professional experience
Work History
Utilization Review Nurse Assistant
University of Chicago
03.2022 - 07.2023
- Processed appeals and coordinated with insurance providers to request reconsideration for denied services, ensuring timely and accurate documentation
- Added cases to Clinical Appeals and Financial Appeals Logs for tracking and facilitated coordination of appeal efforts pre-discharge
- Conducted follow-up calls to insurance companies regarding pending appeals and communicated with Billing & Collection Specialists for reporting
- Maintained over 200 records in Epic, consistently ensuring compliance and accuracy
- Supported authorization requests, completing prior authorization reviews and evaluating medical guidelines for service coverage
Lead Revenue Cycle Specialist
University of Chicago
01.2017 - 03.2022
- Managed and led a team, conducting monthly audits and training new staff on revenue cycle processes
- Handled high-volume data entry and call center tasks, processing 25-75 calls daily for insurance verification and authorization
- Resolved escalated account issues, verified insurance coverage, and collaborated with billing teams to address claim denials and payment disputes
- Maintained department efficiency, ensuring timely task completion and compliance with Medicare and Medicaid guidelines
Patient Service Representative
MacNeal Family Medicine
06.2015 - 10.2016
- Provided primary support for patient billing inquiries and verified insurance coverage within EMR systems
- Entered patient data and maintained accurate medical records, enhancing office efficiency and ensuring compliance with HIPAA standards
- Screened calls and scheduled appointments, prioritizing tasks to support patient care and organizational needs
Education
High School Diploma -
YCCS Virtual High School
Chicago, IL06.2011
Skills
- Microsoft Word
- Excel
- Outlook
- Epic
- EMR systems
- Data Entry
- Appeals Processing
- Insurance Billing
- Medical Claims
- ICD-10 Coding
- Skilled in managing multi-department coordination
- Strong attention to detail
- Experience in multitasking
- Fast-paced environments
- Remote environments
- Medicaid
- Compliance procedures
- HIPAA compliance
- Outpatient care
- Utilization review
- Inpatient care
- Medicare
- Documentation and reporting
- Insurance verification
- Healthcare regulations
Timeline
Utilization Review Nurse Assistant
University of Chicago
03.2022 - 07.2023
Lead Revenue Cycle Specialist
University of Chicago
01.2017 - 03.2022
Patient Service Representative
MacNeal Family Medicine
06.2015 - 10.2016
High School Diploma -
YCCS Virtual High School
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