Medical Insurance Analyst

Tammy Stecker BS, CPC

*** ***** **. ****** *******, Fl. 32708 407-***-**** ***********@*****.***

Objective

To utilize my education and experience within a stable organization that embraces personal and professional growth.

Education

CPC CERTIFICATION 04/2016 AAPC

BACHELOR’S DEGREE 04/2013 ANTHEM COLLEGE

Major: Healthcare Administration

ASSOCIATE’S DEGREE 02/2009 ANTHEM COLLEGE

Major: Billing and Coding

Skills & Abilities

MANAGEMENT

Resolve patient billing inquiries

Admitting, discharge, and follow-up of hospital patients

A+ rating from United Healthcare during random audit

Supervise 10+ employees

Coordinate day-to-day management of business office

Resolve patient issues/complaints

Managed insurance follow-up, denials, and appeals

Problem solving and month end processing

KNOWLEDGE SKILLS

Medical terminology, anatomy, and physiology

CPT and ICD-10 coding

Accounts receivable

Charge entry

HIPPA regulations

Compliance

LCD and CCI Edits

Experience

INSURANCE ANALYST FLORIDA HOSPITAL MEDICAL GROUP 06/2013-PRESENT

Identify payer specific trends

Act as primary resource to resolve NCCI issues

Facilitate problem-resolution by providing supporting documentation on trended payer issues

Ensure clean claim submission by reviewing ICD-10/CPT guidelines

Review and resolve 90 day AR reports

Insurance follow-up, denials, appeals

Monitor revenue cycle to identify/resolve claims not processing appropriately

Insurance verification, eligibility and benefits

Working knowledge of most provider specialties-surgeries, family practice, oncology, ect

SCHEDULING COORDINATOR HOME INSTEAD SENIOR CARE 07/2012-06/2013

Schedule CNAs, home health aides, caregivers for various shifts

Arrange for transportation for clients

Coordinate 24 hour care for clients

OFFICE MANAGER PHYSIO MED, INC 04/2010-07/2012

Coordinate day to day operations of therapy office

Organize special events and therapy programs

Patient registration, maintain patient charts

Resolve billing inquiries

Therapy scheduling

Activities coordination

Chart audits

RECEPTIONIST ORCHARD 12 DENTAL 09/2008-05/2009

Scheduling

Check patients in and out

Dental mapping

Appointment confirmations

Insurance verification

Medical collections

REFERENCES UPON REQUEST

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