Tina Felix

Clearinghouse Specialist Team Lead @FinThrive

US

Provided day-to-day support and oversight of payer connectivity for clients, ensuring seamless operations and high levels of client satisfaction. Triaged cases and resolved issues quickly and accurately through timely interaction with clients and payors. Facilitated enrollment of EDI and TPA forms for claims, remits, and reports submitted on behalf of clients. Coordinated and managed provider enrollments across various payors, including setup and maintenance of payor connections (Payor Codes, Receiver IDs, Payor ID numbers). Maintained internal payor library and supported claim batching configuration, payor connectivity testing, and ANSI 5010 file troubleshooting. Interpreted and followed submission/retrieval instructions; collaborated with Clearinghouse production teams to establish connectivity in production environments. Conducted root cause analysis and problem-solving to resolve issues, maintaining organized documentation and timely status updates. Escalated unresolved issues appropriately and supported client implementations. Built strong working relationships with external EDI departments and internal teams, ensuring timely communication and project updates. Gained and applied knowledge of internal control responsibilities through training and instruction.

Essex Educational Center

HighSchool, General