Master of Business Administration (M.B.A.)

Snow

•	Credentials include a Master of Business Administration concentration in Human Resources Management and 20 years of experience in healthcare organizations.
•	Ability to provide employee relations support, by gathering information or facts from employees or managers; experience in resolving employee relations issues of diverse scope. 
•	Skills and abilities include: coaching, influence, facilitation, presentation, communication, process development, strategic and tactical analysis and problem solving.
•	Thorough knowledge of human resources policies, practices and systems.
•	Ability to exercise sound and independent judgment in prioritizing multiple demands and unanticipated events while maintaining resilience when responding to constraints and adversity.
•	Positive history of representing organizations as the primary and first point of contact for customers, recognized for professionalism and integrity.


•	Analyzed provider contracts to determine the best approach for loading data elements into the claim processing system. 
•	Provided periodic informal work guidance/direction to and training of team members with less experience. 
•		Worked with contracts and legal, corporate, customer service, and other internal groups to assist in the development and implementation of compliance strategies 

•		Ensured the provider configuration meets established quality standards, business rules and procedures.

Contract Specialist II

Responsible for the preparation, verification, and distribution of contracts for medical providers working within the HealthCare Partners medical network. Served as mentor and trainer for junior staff members. Collaborate with internal legal, corporate, and customer service groups in the development and enforcement of compliance strategies for provider and contract compliance.

Contracts Specialist II

Accurately and efficiently processed medical claims for doctor visits and surgical and hospital procedures with accountability for data integrity and accuracy for procedure and diagnosis codes, patient information, and insurance coverage. Primary point of contact for provider dispute reporting to the California Department of Managed Healthcare (DMHC), Centers for Medicaid and Medicare Services (CMS), and plan partners.

Claims Benefits Processor

•	Managed and maintained the Provider Dispute Reports (PDR) for reporting to DMHC, CMS, and Plan Partners. Acted as a contact person for internal and regulatory auditors pertaining to the Provider Dispute Resolution process. 
•	Investigated cases from initial contact to resolution including research, analysis and synthesis of all medical facts. 
•	Eliminated compliance issues by adhering to quality standards.

Claims Benefits Specialist

•	Provided patient care in a respectful manner. 
•	Lead and assisted with code blue emergency situations. Admitted & discharged patients.

Certified Nursing Assistant

Find out detailed information about Teneika Tillis,  in Victorville, CA

Teneika Tillis: in Victorville, CA

Teneika Tillis

HealthCare Partners

Healthcare Partners

Aetna Us Healthcare

Aetna

Cedars-Sinai Medical Center

DeVry University

DeVry University

Keller Graduate School of Management

Keller Graduate School of Management of DeVry University

Keller Graduate School of Management Pomona, CA