Customer Service Analyst

Tanya J. Tanksley

**** **** **.

Ecorse, MI *****

(313) 460- 3254 - 313-***-****

Objective: To obtain a full time position with a Company

were I can utilize my experience in

processing eligibility of common working files, data entry along with my

financial background and collections experience.

Highlights of Qualifications

. Customer Service

. Financial Recovery Analyst

. Medicare Recovery Analyst

. Eligibility-Common Working Files

. Data Entry

Relevant Skills and Accomplishments:

Financial Recovery Analyst

. Responded to telephone and written inquiries form providers and

beneficiaries concerning overpayments or refunds.

. Processes all checks the department received.

. Recovered monies owed to Centers for Medicaid and Medicare Services

(CMS) for erroneous claims payments.

. Offset or withheld payments as needed and create a clear audit trail

of actions taken.

. Corrected all provider and beneficiary records.

. Referred delinquent overpayment's to the Treasury Department as

outlined by Centers for Medicaid and Medicare Services (CMS).

Medicare Recovery Analyst

. Responded to telephone/written correspondence from

beneficiaries/providers, legal representatives, regarding claim filing

and adjudication of benefit.

. Applied appropriate provision according to Medicare regulations,

guidelines in making determination of benefits in Disability and

Liability etc.

. Corresponded with providers/beneficiaries to obtain information or

clarification to determine secondary insurance information is correct

for payment.

. Compose and prepare letter responses on inquiries/complaints to

providers and beneficiaries.

. Determined final disposition of outstanding refunds through write-offs

offset of pending claims or referrals to Treasury Department for

collections.

. Ensured the protection of the Medicare Division's hardware, software,

information and data by complying with the systems security

requirements.

Employment History

08/1998- 09/2007 Financial Recovery Analyst Wisconsin Physician Services,

Southfield, MI

10/1994- 07/1998 Medicare Secondary Payer HealthCare Services

Association, Chicago, IL

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