Tamekia M Laster

**** ******** ****** ****

Arlington, TX 76015

817-***-****

acybmv@r.postjobfree.com

Objective: Seeking a position with increasing responsibility where I can utilize my skills as a

Business Office Manager. I also have vast training in Human Resources, Insurance Claims and

Authorizations. I hope to gain new experience while providing excellent assistance in multiple

sectors of healthcare and/or business administration.

Professional Skills:

Human Resources Business communications

Business Office Management Microsoft applications

Claims Fee Negotiations Basic & Intermediate Anatomy and

Contracts and Proposals Physiology

Processing DME, Pharmacy, and Filing & Organizing

Medical Insurance Claims Knowledge of policies/procedures

Payment posting and processing and Clinical Policy Bulletins for the

Patient Registration & Check -In following insurances: Medicare,

Appointment Scheduling & Benefits Medicaid and Commercial Insurance

Verification, Extensive knowledge of the

Obtaining Precertification & following EHR systems: PCC,

Authorizations Eclipsys, Advantix, Riversoft,

Billing-ICD-9, ICD-10, HCPCs, and Meditech,, Kinnser, and Kantime

CPT Codes

Education

Plainview High School

Aug. 96 May. 00

Wayland Baptist University

Aug. 00 Mar. 02

Beta Tech University

Aug. 03- Mar. 05

Tarrant County College (Associates Degree)

Mar. 14 May 16

Employment:

Trinity Healthcare Residence Business Office Manager

September 2016- Current

Enter census changes and updates daily, enter patient demographics, handling 3618/3619 forms

in Simple LTC, make daily deposits and withdrawals, make collection calls, file and organize

paperwork, maintain patient trust funds, complete and submit Medicaid applications with

residents, complete and submit rep payee forms, review aging balances and discharges with

Administrator, attend daily meetings with other department heads.

Jordan Health Services Therapy Coordinator/Office Manager

March 2014- September 2016

Primarily responsible for obtaining authorizations for pediatric clients needing therapy provided

in their home on a weekly basis, hire PPV and Contracting therapist, processed payroll,

scheduled therapy visits, prepare contracts for corporate approval, responsible for ordering office

and testing materials for staff, contact commercial insurances to obtain authorizations, appeal

denials and negotiate approved visits. Keeping staff/clients updated with changes in policies and

guidelines within insurance companies.

Cook Childrens Northeast Hospital -Patient Access Specialist/Precertification and

Receptionist

May 2012-March 2014

Primarily responsible for registering account information for patients visit, obtaining patient

demographic and third party information with a high degree of accuracy and privacy. Processing

payments and posting in system. I demonstrate timely completion, preparation, and deployment

of legal, ethical and compliance related documents that must be presented and explained to the

patient at the time of registration. I am responsible for maintaining knowledge of JCAHO,

Patient Rights and Responsibilities, HIPAA, and departmental/System policies and procedures. I

perform front office intake functions. Obtain Authorizations for patients having High Tech

Radiology performed at the facility.

HCC/FDS EZ-DME Product Specialist

July 2011 to May 2012

Provide telephone and dial-in technical support services to end users for a variety of proprietary

software applications, including but not limited to: Pharmacy and Durable Medical Equipment

Claims to Medicare, Medicaid, and Commercial Payers.

Profero Solutions- Baylor Hospital / Eclipsys Project EHR Consultant

March 2011 to May 2011

Supported Baylor staff with the Go-Live of a new electronic medical and health record program

named Eclipsys, worked specifically with scheduling and registration in patient access with staff

in the visual function center

Valley Ranch Urgent Care Front Office Medical Staff

August 2010 to Jan 2011

Checking and Registering Patients in Misys system, verification of patients insurance and

eligibility, preparing super bill for Nurse, posting payments in the Misys system, disputing

denied claims with insurance carriers, dropping electronic claims to paper for resubmission

Multiplan- Claims Fee Negotiator

March 2010 to June 2010

Routing of faxes, Handling fax error queue to determine why faxes didn't transmit and resolving

the issue in order to successfully send out the fax document. Provider research including

contacting providers to obtain or verify validate phone number, fax number, address and tax id

numbers. Data entry of paper claims received from clients. Back up on handling of provider

matching on claims. Understanding client settings, priority clients, due dates and turnaround time

including the impact on negotiations Telephone skills and etiquette Working knowledge of MS

word, excel, internet and Google searches Detail oriented Flexible & multitasked; need to switch

job functions throughout the day and adapt quickly Some understanding of HCFA 1500 and UB

claim forms

Aetna Medical Provider Service Rep

August 2007 to November 2009

Answer questions and resolve issues based on phone calls, letters, faxes and electronic

submissions from providers. Provide Eligibility, benefit, and claim status to providers on a high

call volume level.

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