Tamika Parson
Charlotte
Summary
Detail-oriented professional with expertise in compliance, data management, and quality assurance. Proven ability to monitor utilization patterns and support quality initiatives. Ready to drive improvements in healthcare service delivery.
Overview
15
15
years of professional experience
Work History
Utilization Management Assistant
Humana
Charlotte
08.2012 - Current
- Reviewed member cases to ensure compliance and appropriate healthcare utilization.
- Collaborated with clinical staff to facilitate timely care delivery for members.
- Managed data entry in utilization management systems to maintain accurate tracking.
- Trained new team members on protocols and procedures for utilization management.
- Supported quality assurance initiatives to improve service delivery processes.
- Monitored utilization patterns, identified trends in utilization and reported findings to management.
- Interpreted medical record documentation to determine if requested services meet criteria for authorization.
Accounts Receivable Specialist
Labcorp
Greensboro
02.2011 - 08.2012
- Managed accounts receivable aging reports for accurate tracking.
- Processed payments, refunds and adjustments to customer accounts.
- Managed timely invoicing of clients and ensured accurate billing details.
- Ensured compliance with financial policies and regulations.
- Reconciled customer accounts and resolved discrepancies.
Education
Diploma - Medical Assisting
Brookstone College of Business
Greensboro06-2012
Skills
- Utilization review
- Medical record interpretation
- Regulatory compliance
- Quality control
- Data tracking
- Case review
Timeline
Utilization Management Assistant
Humana
08.2012 - Current
Accounts Receivable Specialist
Labcorp
02.2011 - 08.2012
Diploma - Medical Assisting
Brookstone College of Business