Medical Billing Quality Assurance

Tammy M. Worthy

**** ****** ***** ***** ****: 865-***-****

Knoxville, TN 37922 abi4bj@r.postjobfree.com

SUMMARY OF QUALIFICATIONS

Accomplished administrative coordinator and medical billing clerk with

extensive background in the financial and service industries. Skilled in

interpersonal communication with proven ability to brief senior management

and handle sensitive information with a high degree of professionalism.

Demonstrated achievements in the following areas:

Customer Relationship Management Training

Customized Spreadsheet Analysis Quality Assurance

Meeting and Event Planning

PROFESSIONAL EXPERIENCE

MOLECULAR PATHOLOGY LABORATORY, Maryville, TN 2008-Present

Medical Billing Clerk

Responsible for correct and timely filing of all assigned third party

insurance and patient billing data into accounts in the billing software.

. Enters charges, payments and adjustments accurately and timely in

billing software

. Researches and prepares appeals/reconsideration requests for third

party payers

. Creates and edits patient, physician, and payer demographics in

billing system while utilizing laboratory systems such as LIS, Harvest

and Symphony

. Processes primary and secondary insurance claims with support

documentation

. Answers telephone inquiries from patients, payers, internal and

external customers

. Prepares batch detail reports and completes and closes all monthly

batches before month end closing

. Performing essential functions in a timely and accurate manner

. Assists in training and orientation of personnel as assigned by

supervisor

. Maintains professional attitude when serving patients, physicians and

staff

. Displays patience, tact, a cheerful disposition and enthusiasm.

ServiceMaster Clean, Knoxville, TN 2007-2008

Team Coordinator

Provide proactive, progressive and procedural assistance to franchisees in

the pursuit of profitable growth

. Promote partnership between franchisee and ServiceMaster which resulted

in establishing cooperation between the franchisee and the regional and

corporate office

. Obtained 2007 sales goals in November by developing and implementing

market expansion strategy with a total of 13 new Business Service

Franchisees

. Organized and participated in all regional workshops

. Manage all aspects of franchisee compliance, including general liability,

automobile and workers compensation, which resulted in 97% compliant rate

. Conducted training classes for new franchise owners which resulted in

preparedness for two week training at corporate office

Tammy M. WORTHY Page 2

PROFESSIONAL EXPERIENCE (Continued)

EdFinancial Services, Knoxville, TN 2003-2007

Default Claims Analyst, 2005-2007

Prepared and submitted default claims for submission by making sure all

account detail is present and meets standard for submission.

. Reduced filing of default claims from 22% to 12% in two month period

. Tracked the workload to ensure timely filing of each default claim in

accordance with departmental goal

Debt Management Counselor, 2003-2005

Assisted customers in determining the best option to defer college loans

. Decreased delinquency from 16% to 9% in October 2005 on all loans 30 days

past due

. Performed skip tracing due diligence, assured proper system documentation

and compliance with Federal Regulations as well as Edfinancial policies

and procedures

. Explained the consequences of default

Knoxville Business Office, Knoxville, TN 2002-2003

Medical Insurance Poster

Administrated, managed, and processed individual medical accounts within

the Covenant Health medical system

. Processed and posted insurance payments from individuals and major

insurance carriers

University Health Systems, Knoxville, TN 1996-1999

Medical Insurance Poster, 1996-1999

Administrated, managed and processed individual medical accounts within the

University Health System

. Processed past due payments, posted information into the system database

and posted insurance payments to individual accounts

Education and training

Currently Pursuing Bachelor Degree in Business Management

Major: Business Management, Concentration: Marketing/Sales

Tusculum College, Greeneville, TN 37743

Completed 2 years undergraduate studies

Tennessee Technological University, Cookeville, TN 38505

Software Proficiencies:

Microsoft Word, Power Point, Excel, Publisher, JDE, ICD9/CPT Coding,

Symphony, Power Works

Contact this candidate