Tamyra Whaley

Email: abql1i@r.postjobfree.com

Address: **** ******** ****

City: North Charleston

State: SC

Zip: 29420

Country: USA

Phone: 843-***-****

Skill Level: Management

Salary Range: $60,000

Primary Skills/Experience:

See Resume

Educational Background:

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Job History / Details:

TAMYRA WHALEY

8356 Coventry Lane North Charleston SC 29420

Home 843-***-****

Cell 843-***-****

Email: abql1i@r.postjobfree.com

EDUCATION Strayer University Masters Degree Business Management

Currently taking classes expected Graduation date March 2013

Bachelors Degree Business Administration concentration in Management - GPA 3.6

EXPERIENCE

1/2007 Present Medical University South Carolina Charleston, SC

Utilization Management Program Coordinator

In 2011 recovered over $5.6 million in uncollected revenue by reprocessing correctly miscoded Medicare billings from 2010 and 2011

Train new incoming staff to departmental procedures

Handle office computer issues, supplies and copier issues as issues arise

Handle all mother and baby floor precertification

Enforce the use of the new IM form with date and time

A Team player, willing to change schedules for the good of the department and come in on days off to ensure the department runs smoothly and efficiently

Ability to work independently, great attention to detail, and excellent organizational skills; develop ideas to improve workflow, productivity and efficiency; Excellent telephone etiquette

Perform reviews in real time to maximize productivity which helps the financial counselors on their responsiveness

Handle CCME accounts for non-covered Medicare services. At times having to be a detective in finding all pertinent documentation need for processing.

Promoted due to effective communication skills, time management skills and professional work ethic

Participate in meetings to streamline the process of processing out stated cases

Created and instituted a check off list for the Bariatric Department to use so that all points of interest are addressed before the surgery and all CCME requirements are met prior to the scheduling of the procedure

Assist with the processing of PRO/CCME requests for additional documentation coordinating with the bariatric program, transplant, and surgery, ROI, HPA to ensure documents are located and processed in a timely manner for payment

Liaison for commercial insurance payers by expediting and coordinating submission of clinical data. Support UR review staff by collecting data from the medical record as requested for precertification, admission reviews, concurrent reviews, and retrospective reviews and/or submitting data to the applicable insurer as needed in the format requested by the insurer

Identify patients with Medicare as a primary or secondary payer who are potentially within 48 hours of discharge and issue a follow up Medicare Important Message Letter while providing excellent customer service to the patient and/or the patient's family

12/2007 3/2003 Look-E-Lews LLC Charleston, SC

Office Manager/Assistant to CEO

Process employee time according to job cost

Invoice customers according to job cost

Reconcile monthly bank accounts;Maintain Petty Cash account and reconcile monthly

Ensure all invoices are coded to proper project and paid promptly

Collect all monthly billings and follow up on late paying tenants; 100% collection rate for customers for twenty-four consecutive months

Prepare annual budget and related schedules

Reconcile receivables to ensure everything has been billed

Handled all bank deposits

Ability to work independently, great attention to detail, and excellent organizational skills; develop ideas to improve workflow, productivity and efficiency

2/2003-4/2001 Medical University South Carolina Charleston, SC

Storm Eye Institute Administrative Specialist

Maintain constant and efficient operations of the medical records using CFCs policies and procedures

Retrieve and deliver medical records to the appropriate personnel and filing

Maintain close and professional relationship with Nurses and administrators

Ability to work independently, great attention to detail, and excellent organizational skills; develop ideas to improve workflow, productivity and efficiency

3/2001-1/1995 Life Industries Corporation Charleston, SC

Administrative Assistant

Assist in collections of accounts receivable

Make daily bank deposits

Handle accounts payable

Ability to work independently, great attention to detail, and excellent organizational skills; develop ideas to improve workflow, productivity and efficiency

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