Support Specialist Medical Billing

TAMMIE L. FEINER

San Antonio, TX ***** 201-***-**** *********@*****.***

Experienced Billing Office Management and Administration Professional with 15 years of experience optimizing productivity, efficiency and service quality across various environments. Highly dependable, ethical and reliable support specialist and leader that blends advanced organizational, technical and business acumen. Works effectively with cross-functional teams in ensuring operational and service excellence. Insurance Verification

Cash Applications

Refunds

Claims Follow-up

Surgical Coordinator

Pre-Cert Coordinator

Credentialing

Claims Handling and Investigations

Claims Reports and Documentation

Confidential Records Management

Claims Appeals

Updating charts

EMR/EHR systems expertise

Comfortable with but not limited to Citrix, Epic,

Kareo, E-clinical Works

Verifying insurance

Medical terminology

Multi-line phone systems

Insurance Verification Specialist, 04/2017 to Current Hackensack Meridian Health – Hackensack, NJ

Verified insurance coverage and obtained pre-authorizations. Educated patients about surgeries and provided treatment plan documentation. Reviewed medical histories and current information to provide accurate information to surgeons. Confirmed patient appointments day before scheduled. Affirmed or denied coverage fairly based on thorough investigations. Worked with claims adjusters and examiners to expedite processing in alignment with procedures. Investigated Claims, gathering information from diverse sources and delivering comprehensive reports. Assisted legal team in defending company against guilty parties. Followed up with customers on unresolved issues.

Carried out administrative tasks by communicating with clients, distributing mail and scanning documents.

Maintained strong knowledge of basic medical terminology to better understand services and procedures.

PROFESSIONAL SUMMARY

SKILLS

WORK HISTORY

Medical Billing Manager /Claims Processor/Surgical,Coordinator, 03/2010 to 03/2017 Blue River Women's Healthcare – Paterson, NJ

Analyze claims to determine extent of company's liability, make approval or denial decisions and negotiate settlements with claimants in accordance with policy provisions. Collaborate with insurance agents and interview claimants to correct errors, rectify omissions and investigate questionable issues Payment Applications, Refunds. Outcomes: Completed more than 1,500 claims throughout tenure. Provided optimum service to Patients, Selected by supervisor to assist with file closures; resolve complex claims-processing issues; participate in quality-control audits; and monitor claim status updates.

Maintained a superior quality rating of 94% in file handling and claims resolution from 2011 to 2012, exceeding the 85% departmental goal.

Medical Billing/Claims Processor/Cash Applications, 07/2002 to 03/2009 CareStation Physicians – Linden, NJ

Analyze claims to determine extent of company's liability, make approval or denial decisions and negotiate settlements with claimants in accordance with policy provisions. Collaborate with insurance agents and interview claim correct errors, rectify omissions and investigate questionable issues Payment Applications, Refunds Outcomes: Accompanied insurance agents in the field to investigate claims Selected by supervisor to assist with file closures; resolve complex claims- processing issues; participate in quality-control audits; and monitor claim status updates. Associate of Arts: Medical Billing Management, 09/1999 Berdan Institute - Totowa, NJ

Medical Billing, Medical Terminology,Billing Mangement 06/1994

Passaic County Technical High School - Wayne, NJ

Majored in Diploma

EDUCATION

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