Manager Insurance
Resume:
Tisha Simonowich Garrett
Education:
East Carolina University B.S. in Rehabilitation
Services
3.7 GPA 101 Credit Hours (not completed)
Pitt County Community College Certification/ Professional Coder
Completed courses to work
toward CPC
Certification
Express Billing Services Completed 60 day hands on training in
Chesapeake, Va. Coding and billing as provided
employer
Employment:
East Carolina University School of Medicine (1/2013 present)
Administrative Support Specialist (Insurance Rep)
• Responsible for working denials/errors in multiple work queues daily for worker’s
compensation claims as well as well over thirty “special programs” billed to government
entities such as vocational rehabilitation, crime victims, NC dept of public safety, tedi bear,
donor services, services for the blind, hospice agencies, home health and nursing facilities,
etc.
• Huge amount of research daily contacting insurance companies, state agencies and nursing
facilities, etc. in order to get claims paid in a timely manner. This includes daily use of
multiple state and other appropriate websites.
• Prepare claims (HCFA’s) with appropriate notes and other correspondences to forward to
claimant’s insurance on file.
• Regularly follow up to ensure payment on all claims.
• Daily reports
• Enter denials received into the system and work those to make corrections to claims as
necessary.
• Perform write off’s, charge corrections, voids, etc when necessary with documentation to
back up the action taken.
• Work closely with other staff members such as the Medicare team under certain
circumstances to ensure payment when that insurance denies or recoups payments, etc.
Eastern Nephrology Associates ( 1/2012 1/2013)
Insurance Rep
• Billed Medicare and Medicaid claims for busy Nephrology practice to include office visits as
well as procedures such as dialysis.
• Followed up with denials to correct claims as necessary to ensure payment.
• Posted payments/denials into the system.
• Researched claims as necessary.
East Carolina University School of Medicine (9/2009 12/2011)
Clinic Coordinator
• Responsible for coordinating clinics for Physicians in the Family Medicine setting.
• Schedule and complete billing for all encounters in Family Medicine, Sports Medicine,
Physical Therapy, Nutrition, Pharmacotherapy, Behavioral Medicine and Procedures.
• Correspond professionally with all medical providers to include attending physicians,
residents, and other professional and paraprofessional staff.
• Participate in managed care process in order to obtain approval from insurance companies
for specific referrals.
• Accurately code and bill for each patient encounter.
Mega Force Staffing Services (11/2003 8/2009)
Branch Manager
• Responsible for the management of staff and contracted employees of 2 offices for a major
staffing company.
• Safety compliance officer and trainer for internal staff as well as contracted employees.
• Completed weekly payroll for over 400 contracted employees.
• Performed billing of clients as well as collections.
• Assisted sales of services to region.
• Completed employee evaluations and hiring, etc.
• Benefits coordinator
Atlantic Rehabilitation Medicine Specialists (6/2002 10/2003)
Practice Administrator
• Assisted physician (graduate from previous employer who asked me to work for him) with
the initiation and building of a new Physiatry (Physical Medicine and Rehabilitation)
practice.
• Scheduling, charge entry, insurance filing and processing electronically, patient billing .
• Hiring and training of all staff as well as performing employee evaluations.
• HIPAA Privacy Officer
East Carolina University School of Medicine (11/2000 6/2002)
Clinic Coordinator
• Responsible for coordinating clinics for Physicians in the Rehabilitation Medicine setting.
Clinics ranged from pediatrics to geriatrics and included Traumatic Brain Injury, Amputee
and General Rehabilitation.
• Accurately assisted in billing and coding practices
• Efficiently scheduled all 11 clinics
• Assisted in managed care efforts for proper billing.
NC Division of Rehabilitation Services (7/1999 11/1999)
Internship (paid): Rehabilitation Counselor
• Successfully carried the caseload of a counselor on maternity leave under the supervision of
the Unit Manager. Managed Physical Restoration Caseload which averaged 110 clients.
• Determined specific needs of clients and assisted them in job seeking skills in order for them
to obtain/maintain employment following a physical injury.
• Communicated directly with physicians and studied medical reports in order to manage
cases.
• Responsible for submission of accurate bills to state accounting.
• Received an “A” for the internship as well as positive feedback from clients and the staff with
which I worked.
**Professional references attached
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