Tara Batin

**** ****** ****** ******* ****, California 91706 626-***-**** ac5ogu@r.postjobfree.com

summary A hardworking, dedicated leader and facilitator who provides staff with the necessary tools and support to achieve personal and company goals. Key competencies include training and development of staff to ensure maximum reimbursement of litigated & non-litigated accounts. Interfaces with a variety of people, both inside and outside an organization, to boost reputation and maximize revenue.

experience MH EXPRESS PHARMACY, San Dimas, California 2004-2018

Claims Supervisor, 2009-April 2018

Manages team of reimbursement staff while coordinating and assisting with professional development of current employees. Analyzes information and data for resolution. Investigates claim status in influence on litigation. Provides guidance and assistance to all staff in settling aged accounts for maximum reasonable reimbursement.

Successfully recovered $250,000 in unpaid claims through close collaboration with billing liaison.

Consistently surpasses quarterly collections by 5% of $160,000.

Collaborated with corporate leadership to implement policies and procedures for new system.

Effectively identifies high-balance files for collectibles.

Contributed to task force team with the purpose of updating legacy software system to meet company’s current needs.

Reviews collectors’ work every quarter for consistency, accuracy, and areas for development.

Collector III, 2004-2009

Reviewed cases for hearing calendar. Monitored and investigated collectability of disputed claims, payment, and resolution. Established relationships with legal partners to determine claim status and settlements.

Consistently surpassed quarterly collections by 5% of $180,000.

Effectively trained about 15 new hires on computer system and department policies and procedures.

Launched innovative strategies to ensure maximum collection.

Negotiated settlements with insurance carriers within granted settlement authority level.

Reviewed and processed all medical documents regarding prior authorization, including RFAs, PR-2s, AMEs, and PQME, IMR, and UR decisions.

Handled inbound and outbound calls with adjuster or applicant attorney to obtain pertinent claim information to fill medication prescriptions.

education STRAYER UNIVERSITY, Arlington, VA

AA in Business Accounting, 2018 - ?

STRATFORD CAREER INSTITUTE, St. Albans, Vermont

Certificate in Business Management, 2017

JOHN MUIR HIGH SCHOOL, Pasadena, California

Diploma, 1991

professional

development MH EXPRESS PHARMACY, San Dimas, California

‘The Hiring Process’ Training, 2018

Annual HIPAA/Medicare Compliance Training, 2017

Unlawful/Sexual Harassment Training, 2004-2018

special skills Microsoft Excel, Word, Outlook; COMPdata; EDEXIS; EAMS; DocuTrack; 65 WPM; 10-Key by Touch

volunteering MH Express Pharmacy Toy Drive, Current

Key Club, 2016-2018

Employee Engagement Council, 2009-2018

Walk for the Troops, 2016, 2017 & 2018

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