Tyrone Mcdonald Email and Phone Number
austin, texas, united states
Tyrone Mcdonald's Location
Austin, Texas, United States, United States
Tyrone Mcdonald's Contact Details
Tyrone Mcdonald work email
- Valid
Tyrone Mcdonald personal email
n/a
About Tyrone Mcdonald
I am a professional with over 20 years of experience in the insurance, customer service, administrative andmedical claims industries. My expertise includes proficiency in utilizing Sircon and ImageRight software.platforms, managing real-time inquiries and tracking commitments, and following up with complainants toensure timely resolution. I am skilled in drafting clear and concise letters, analyzing correspondence, andrepresenting the agency to licensees, consumers, and insurance representatives. I am an effective communicator and team player, able to work collaboratively with others to achieve common goals. Additionally, I am proficient in using SharePoint, OneNote, Microsoft Office, and standard office equipment to enhance productivity and efficiency.
Tyrone Mcdonald's Current Company Details
Texas Department Of Insurance
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Insurance Specialist II
austin, texas, united states
- Employees:
- 876
Tyrone Mcdonald Work Experience Details
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Insurance Specialist IiTexas Department Of Insurance Nov 2021 - PresentAustin, Texas, United States● Utilized Sircon and ImageRight software to streamline workflow and improve efficiency.● Applied insurance-related rules and regulations to ensure compliance and mitigate risk.● Managed real-time inquiries, tracked commitments and followed up with complainants to ensure timelyresolution.● Drafted clear and concise letters, applied critical thinking to evaluate and interpret information, andanalyzed correspondence and documents to extract relevant information.● Represented the agency to licensees, consumers, insurance representatives, legislators, and others ina professional and courteous manner, fostering positive relationships and promoting trust.
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Customer Service SpecialistCigna Health Benefits Jul 2017 - Jan 2021Austin, Texas, United States● Interact professionally with customers and business partners, ensuring compliance with HIPAAregulations and Cigna guidelines.● Managed real-time inquiries and tracked commitments to follow up with customer inquiries, resulting intimely resolution and high levels of customer satisfaction.● Serviced customers across various call platforms as needed, adapting to different communication stylesand needs.● Ensured the appropriate diagnostic and procedural coding for HCFA-1500, UB92, and other claimforms, resulting in accurate claims processing.● Strong understanding of CPT, HCPCS, and ICD-9-CM medical claims coding regulations andguidelines, able to apply this knowledge to improve claim accuracy and compliance. -
Medical Claims SpecialistDepartment Of Veterans Affairs / Apt2 Jul 2015 - Jul 2017Austin, Texas, United States● Utilized Microsoft Office applications to correspond and interface with FSC and customers, resulting inefficient and effective communication.● Accurately processed and evaluated medical claims with in-depth knowledge of medical terminologyand coding.● Used the VA-FSC medical claims processing system to streamline workflow and improve efficiency.● Reviewed and evaluated documentation to determine appropriate benefits payments, ensuringaccurate claims processing.● Strong understanding of medical claims coding regulations and guidelines, such as CPT, HCPCS,ICD-9-CM, and ensured accurate coding for medical claims forms (e.g., HCFA-1500, UB92)
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High Volume Sales SpecialistEbay Aug 2013 - Jul 2015Austin, Texas, United States● Handled inbound and outbound calls and emails with high-value customers, building positiverelationships through strong communication skills.● Troubleshooted all products related to the eBay platform, offering solutions and recommendations toenhance customer experience.● Took ownership of customer issues and drove them to resolution, keeping customers informedthroughout the process and logging all information related to customer issues.● Identified key improvement areas to increase customer satisfaction and promoted best practices oneBay.● Provided upselling, cross-selling, and account retention services as needed to improve sales andcustomer retention. -
Lead Customer Service SpecialistBank Of America Home Mortgage Dec 2011 - Jul 2013Simi Valley, California, United States● Build sustainable relationships and trust with customer accounts through open and interactivecommunication, resulting in long-term customer loyalty.● Utilized scripts to promote uniformity and consistency in communications, ensuring clear and accuratemessaging.● Navigated multiple computer systems and applications and utilized search tools to find information,resulting in efficient and accurate service.● Educated members in escrow, tax, and insurance payments and information, as well as training CSR inCalifornia mortgage and real estate laws.● Proficient with Empower Workforce Management and scheduling of a team, resulting in improved teamproductivity and performance.
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Customer Service Call Center SupervisorStarwood Hotels & Resorts Worldwide, Inc. Jan 2009 - Dec 2011Lancaster, California, United States● Supervised direct reports and enforced adherence to established procedures and deadlines, resultingin improved team efficiency and performance.● Analyzed expenditures and allocated department budget in alignment with corporate objectives,resulting in cost-effective operations and improved budget management.● Trained employees in job-specific tasks and evaluated continuing education needs to improve teamperformance.● Addressed and mediated employee grievances and coordinated meetings with union representatives,resulting in improved employee relations and satisfaction.● Implemented and enforced corporate and departmental policies and service standards, resulting inimproved compliance and customer service. -
Instructional Multimedia Center Technician & Library SupervisorAntelope Valley College Dec 2006 - Dec 2008Lancaster, California, United States● Assisted patrons by researching various standard reference materials and online sources, improvingcustomer service.● Developed and maintained information access aids, enhancing information access and usability.● Explained library facilities, resources, equipment, and services, heightening customer understandingand satisfaction.● Resolved technical issues with audio-visual equipment, optimizing equipment functionality andavailability.● Installed, calibrated, and managed audio-visual equipment for events, improving audio-visual support. -
Medical Claims Collection SupervisorMedtronic Oct 2001 - Sep 2006Northridge, CaliforniaMedtronic | Northridge, CA● Reviewed collection reports and determined status of collections and outstanding balances, resulting inimproved financial performance and collection efforts.● Trained employees and evaluated continuing education needs, resulting in increased skills andcapabilities.● Drafted and monitored employee scheduling to support effective resource allocation, resulting inimproved team efficiency and productivity.● Investigated questionable claims to determine authorization of payments, resulting in accurate and fairclaims processing.● Prepared reports for the company's data processing department, resulting in accurate and up-to-datedata records. -
Customer Service Representative SupervisorHealth Net Life Feb 1999 - Aug 2001Woodland Hills, California● Monitored calls and provided coaching and feedback to customer service representatives, resulting inimproved customer satisfaction.● Developed training manuals to resolve difficult customer issues, resulting in improved customer serviceand first call resolution rates.● Increased employee performance through positive interaction and team building exercises, resulting inimproved team morale and productivity.● Prepared call center performance reports by collecting, analyzing, and summarizing data and trends,resulting in improved performance tracking and decision making.● Reviewed historical and real-time reports within call management systems to provide service level,resulting in improved call center performance.
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Credentialing Specialist IiHealth Net Life Dec 1996 - Feb 1999Woodland Hills, California● Verified and maintained medical staff credentials, resulting in compliance with accreditation andregulatory requirements.● Prepared and processed applications, reappointments, and reapplications, resulting in efficient andaccurate processing of applications.● Provided customer service to medical staff and department managers, resulting in improved customersatisfaction and relationships.● Facilitated and coordinated on-site surveys and evaluations, resulting in compliance with accreditationand regulatory requirements.● Maintained and updated credentialing databases and files, resulting in accurate and up-to-date records.
Tyrone Mcdonald Skills
Medical Claims Processor
Plexis Claims Manager
Customer Service
Microsoft Office Suite
Lotus Notes
Typing
As400 System
Iportal
Ibm Iseries
Quick Books
C++
Management
Multicultural Sensitivity/awareness
Highly Motivated Self Starter
Dependable Team Player
Communication Skills
Analytical Skills
Research
Flexibility
Cross Functional Team Leadership
Problem Solving
Reasoning Skills
Committed To Professionalism
Sales
Credentialing
Collections
Staff Supervision
Supervisory Experience
Fbsc
Vista
Tyrone Mcdonald Education Details
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United Education Institute4.0
Frequently Asked Questions about Tyrone Mcdonald
What company does Tyrone Mcdonald work for?
Tyrone Mcdonald works for Texas Department Of Insurance
What is Tyrone Mcdonald's role at the current company?
Tyrone Mcdonald's current role is Insurance Specialist II.
What is Tyrone Mcdonald's email address?
Tyrone Mcdonald's email address is ty****@****its.com
What schools did Tyrone Mcdonald attend?
Tyrone Mcdonald attended United Education Institute.
What skills is Tyrone Mcdonald known for?
Tyrone Mcdonald has skills like Medical Claims Processor, Plexis Claims Manager, Customer Service, Microsoft Office Suite, Lotus Notes, Typing, As400 System, Iportal, Ibm Iseries, Quick Books, C++, Management.
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