T amara R Hayes

**** ********** ***** **********, ** 75159

email:acpqtx@r.postjobfree.com cell: 214-***-****

I worked for over eighteen years in customer care thats including over ten years

plus years in call center enviroment. I graduated from Everest College in May

2004 for Medical billing and coding collections and billing. I worked for United

Healthcare for over seven years as a Nation Intake Representative/Coordinator

Telecommuter Richardson location. I am very hard worker, passionate,motivated,

multi-tasker and always up to a new challenge.

Everest College 2005-diploma

• Trained in all HIPPA Guidelines inclfuding on how to sumbit UB-92 hospital

billing forms as well private healthinsurance companies, Including Medicare part

A and B.

• Icd-9 coding,CPT-coding,Claims and Billing

United Healthcare National Intake Coordinator/ Telecommuter

March-2007/ January-

2014

• Took over fifty to hundred plus calls a day from members and providers

for inpatient, outpatient providers and members regarding billing, claims

and preauthorizations for procedures.

• Used several systems for policy to provide accurate information about

policy and if required preauthorization,notification or predetermination.

• Contacted customer service, claims and email appeals about missing

information if claim was denied but was approved by Medical Director or

nurse.

• Upload and re-route cases after setting up preauthorizations and

predeterminations if necessary to nurses and Medical Directors.

• Followed up on policy by emails and phone calls about State of Georgia,

State of Arizona,,Deere Policies, PS1-Choice plus policies, EP1-choice

policies. AARP Medicare Complete and Secure Horizons Policies.

• Worked faxes,and IRT's which I would set up case if policy required if

faxed or emailed. If member or provider was missing any CPT( current

ProceduralTerminalogy) or ICD-9/ICD-10, would contact them to get

information. If they could not provide info would leave message with toll

free number or fax to submit info.

• Able to upload patients in downtime system if tech support couldn't

resolve issue right away or system was updating, would advise caller that

they will need to call back in 24-48 hours to check if case was entered and

if wasn't would advise them that a National Intake Representaive will

advise if case case required notificaton/preauthorization.

• Had to take several certications in order to help clients and to provide

great customer service.

Alliance Data Systems Direct Energy 6/2005-3/2007

• Direct Energy and CPLU-Energy accounts. Took over 50 plus calls a day

regarding new old energy accounts

• Knowledge of guidelines of ederly and handicap. As well as in severe

weather and heat index that power can not be shut off, unless rolling black

outs.

• Set up payment arrangements as well as advised customer on billing

cycle and disconnection process and reconnection fees.

• Adviised them on state agencies that would help them with electricity bills.

Set up multiple accounts for Multi-dwelling units(apartments ) including

•

stating new apartment accounts as well as office staff calling into

disconnect and reconnect units for non-payment.

Rooms To Go Office manager 1/2004-4/2005

• Trained new and old office staff on furniture guidelines as well as data

entry and answering phone calls.

• Scheduled and rescheduled delivery appointments. Contacted drivers if

customer had any special requests that drivers could accomindate.

Uploaded office schedules, office duties through excel, as well as trained

•

them how to sumbit credit applications to Citi-Financial and

Tidewater Financial.

• Entered payroll for office staff and sales agents. Had to make bank

deposits every omrning as well as smaking sure office staff was

calculated any transactions night before and closing day.

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