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Insurance Manager

Location:
Metairie, LA, 70002
Posted:
September 21, 2010

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Resume:

TAMMIE P. LEE

**** **** ****** *** *. . Metairie, Louisiana 70002

Cell 225-***-**** Home 504-***-****

SUMMARY OF QUALIFICATIONS

? Detailed and success oriented. Self-motivated. Excellent

leadership and interpersonal

relation skills. Good organizational abilities.

? Over 16 years experiences in medical billing/practice

management

with a record of significant achievement and advancement

in complex

situations. Software: Medisoft, E-MD's, Medtopia &

GateWay EDI

EDUCATION

? February 2010-present: University of Phoenix,

Bachelor of Healthcare Administration / Medical Records

? August 1992: Domestic Health Care Institute, Baton Rouge,

LA.

Medical Administrative Assistant

? May 1985: Istrouma Senior High School, Baton Rouge, LA.

Graduate May 26, 1985---Diploma

? Numerous Seminars and Workshops relating to Insurance

Billing and

Coding.

PROFESSIONAL EXPERIENCE

Iberia Bone, Joint, & Foot Clinic/ Dr. Theodore Knatt :

February 2009---March 2010

Reason for leaving: Moved to Metairie, Louisiana

Senior Reimbursement Specialist/Credentialing/Office Manager:

Completely responsible for the day-to-day collection of accounts

receivables; analyzes, audits, monitors, and efficiently manages

the review of hospital surgery charges, clinic facility accounts

and resolves outstanding balances on claim billed; identifies

unpaid and rejected claims for resolution; and implements

various procedures required to complete claims adjudication.

Processes payment remittances on cash, insurance, managed care,

Worker's Compensation, Medicare and Medicaid accounts.

Unique Recovery of Louisiana: March 2000---February 2009

Executive Director/Office Manager: Full practice management

including consulting, insurance and patient collections. Trained

and managed Accounts Receivable Clerks, and Insurance Clerks.

Responsible for filing of Medicare, Medicaid, HMO, Worker's

Compensation, Attorney, and private insurance claims, which

involved proper coding using ICD-9 and CPT codes. Prepare liens

and medical records for proper settlement of accident cases.

Payment posting, electronic claims submission, and delinquent

claim follow up. Credentialing, QuickBooks along with Payroll

experience.

Capitol City Rehabilitation Service: July 1999---March 2000

Reason for leaving: Company closed down

Director of Operations: Supervised all business office

operations and

employees. Responsible for insurance verification, daily close

balancing, reviewed outstanding insurance and patient accounts.

Electronic claim

submission, month end closing, generate reports for the

Corporate Office.

Amedisys Home Health Inc: April 1997---July 1999

Home Health Billing/Infusion Collector Supervisor: Responsible

for billing/collection on home care, staffing, professional

nursing, &

infusion charges. Continuous follow-up with insurance companies

regarding status of outstanding claims, payment posting,

resubmission of

denied claims, & daily review of outstanding patient balance.

Work closely with collection agencies for bad debt recovery.

Professional Financial Services & Medicaid Enrollment Center:

February 1993---March 1997

Medicaid Enrollment Representative/Insurance Clerk (Billing):

Interviewed Medicaid eligible clientele and processed Medicaid

applications. Duties also included handling patient account

inquires,

electronic claim transmissions, follow-up on insurance denial

and refunds, post payments to accounts as well as accepted and

performed additional duties necessary for smooth operation of

the office.

REFERENCES AVAILABLE UPON REQUEST



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