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Tia Barnes

Tia Barnes

Benefit Verification Specialist

Talent
Virginia, USMember since September 7, 2026
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About

Driven, dependable, hard working individual seeking to combine professional skills and medical education to secure employment within an innovative healthcare organization.

Experience

Benefit Verification Specialist - Lash Group - Fort Mill, SC (Currently Remote since 03-2020)

(2018-10)

  • Verifying patient insurance benefit information.
  • Triages cases with missing information to appropriate program associate.
  • Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, costshare, and access/provider options.
  • Identifying any coverage restrictions and details on how to expedite patient access.
  • Documenting and initiating priorauthorization process and claims appeals.
  • Reporting any reimbursement trends or delays to management.

Office Management/Lead/Driver and Cleaner - MLS(AVIS AND BUDGET) - Charlotte, NC

(2023-04 - 2024-04)

  • Responsible for creating employee schedule and adding to excel sheet
  • Payroll process
  • Monitor and training employees
  • Scheduled interviews for candidates
  • Shadow and help conduct employee interviews
  • Responsible for write-ups
  • Calling make sure employees are coming in for their scheduled shift
  • Checking the total cars in and out for the day
  • Monitoring employees breaks and lunches
  • Putting a team together and giving instructions for the team to complete
  • Driving the team around to complete task for the day
  • Checking employee time cards
  • Driving cars through car wash
  • Driving cars to and from maintenance
  • Responsible for cleaning and vacuuming the cars,tire pressure, refueling gas tanks. and washer fluid
  • Backing cars in and out
  • Responsible for loading cars on the ready line to be checked out

Universal Fraud Agent - Synchrony Bank - Charlotte, NC

(2017-05 - 2018-07)

  • Assist clients and cardholders with fraudulent inquiries
  • Address clients concerns promptly about their accounts
  • Research concerns and responding promptly to clients and customer inquiries.
  • Informative as well as confidential to the customer's needs
  • Create notes regarding questions or concerns to help assist with the needs of the customer
  • Uses multiple tools (workstation,FDR,etc)
  • Assist with lost/stolen card, Report of fraud charges,Tnf claims,Application,Fraud detection
  • Responsible for answering inbound calls
  • Coached other team members on there metrics for the month
  • Assist with training new hires

Pharmacy Benefit Manager - Optum RX - Charlotte, NC

(2016-09 - 2017-03)

  • Responsiblefor taking incoming calls
  • Refillspatient's medication
  • Sendrequest over to dr. for prescriptions
  • Check prices on medications for members
  • Take copayments and cash price for medication

Education

Associate of Science Degree - Healthcare Management - Ultimate Medical Academy (2020)

High school Diploma - Olympic High School (2016)

Skills

Benefit Verification Specialist

Reviews

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