Tamika Ellis

***** * ** **

Austin, TX *****

512-***-****

mailto:acgjqw@r.postjobfree.com

PROFESSIONAL PROFILE

High Performance, result oriented health care professional with considerable progressive

experience as a medical billing and coding specialist augmented by a formal education and

refined by specialized professional training. Expertise in strategic planning, development and

operation processes of health care and customer service facilities. Excellent analytical,

communication, organization, and interpersonal relations skills.

Medical Billing and Coding

Excellent knowledge of medical billing and coding terminology, protocols and procedures.

Volunteer in the Documentation processes and accelerates fee billing for private pay and

Medicaid/Medicare patients.

Communication

Strong oral and written skills in communicating health care and business information;

documenting complete, concise and reflective data. Effective analytical skills compiling and

presenting business and care plans/written reports. Professionalism Maintain positive attitude

when interacting with management, colleagues and customers.

Operating Supporting

Consult with management and other senior staff to plan workload, allocate personnel, coordinate

special projects and facilitate the entire cash and personnel function. Work in cooperation with

management teams to resolve problems impacting efficiency and productivity of the organization.

Education

Akins High School 10701 S 1st St 512-***-****

Virginia College At Austin

2004 2005 Medical Billing and Coding.

Revenue Cycle Inc.

November 2008 present

Demonstrates thorough understanding of the Accounts Receivable function compliant with Federal and

State regulations and RC Billing policy and procedures.

Works Insurance A/R reports per AR Work plan beginning with >120 aging top dollar working in

descending order.

Submits written appeals to insurance carriers when applicable and ensures timely follow-up regarding

status.

Maintains tickler file and ensures timely follow-up of outstanding claims/balances

Daily Prepares and maintains the Client Communication Log per client ensuring timely resolution.

Maintains working day to day knowledge of the practice management system. (Misys)

Maintains strong working knowledge of Radiation Oncology coding or the specific specialty in which

the AR is assigned.

Updates job knowledge by participating in educational opportunities. (Misys & Rad Onc Coding)

Ensures strong communication with CBO management team.

Ensures compliance with RC Billing Reimbursement Policies and Procedures to maximize efficiency.

Ensures compliance with appropriate industry regulations and State and Federal regulations.

Maintains working knowledge of applicable laws and regulations as they relate to assigned

responsibilities.

Maintains confidentially of all information related to patients, medical staff, finances and cost effective

health care delivery issues.

Strives to achieve and maintain company Days Sales Outstanding and Account Receivable Aging

standards.

Strives to achieve CBO goals and benchmarks.

Demonstrates the ability to work well with peers while ensuring a strong cohesive team

SouthWest Regional Cance Center

May 2007 November 2008 Insurance Billing Specialist Followed up on unpaid radiation, and

oncology claims Performs general business office functions that include some or all of the

following: billing and claim submission; charge capture and payment posting; insurance

verification and eligibility; obtaining pre authorization; counseling patients and families on

insurance and payment issues; and account follow up and payment resolution. Ensured all

insurance, demographic, and eligibility information is obtained from patients and entered into the

system in an accurate and timely manner. Register patients in the system as necessary. Collects

and reviews all patient insurance information and complete insurance forms. Collected co pays,

deductibles and other out of pocket amounts at the time of visit. Posts line items and adjustments

to patient accounts. Balances receipts, reconciles daily work batches and prepares audit trail.

Review EOB's for consistency. Submits, files and processes all claims for payment. Researched

and resolved claim delay issues. Resolved patient questions and complaints regarding insurance

billing and adjusts accounts as necessary. Resubmits claims and processes all insurance/patient

correspondence. Provided all documentation to expedite payment. Used collections techniques to

keep accounts current including monitoring for delinquent payments. Set up financial

arrangements with patients as necessary.

Esoterix Inc April 2006 May 2007 4509 Freidrich Ln Austin Tx, 78744 Patient Representative

Checked claim status and followed up on unpaid claims. Verified out of network claims and

applied adjustments. Daily I would review patient bills and collections letters to detrmine that the

balance was the responsibility of the patient.

Volunteer St. David's Hospital HIM Department Work Skills

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