Tamara D. Sparks

813-***-**** **** Cheswick Drive

Holiday, Florida 34691

ad3vp6@r.postjobfree.com

OBJECTIVE

To obtain a full-time position where my 20 years of customer service and insurance knowledge combined with leadership skills and initiative can facilitate corporate development.

PROFILE

• Motivator, efficient, innovative, and timely.

• Problem solver with over twenty years of customer service experience.

• Knowledge of business and project management concepts and tools.

• Aptitude for leadership, planning, development, decision-making, critical thinking, and team building.

• Skilled in Medicare and Medicaid Reimbursement, Soarian, PMMC, MS Word, WordPerfect, Excel, PowerPoint, and Access.

EXPERIENCE

BayCare Health System – Clearwater, Florida

PROJECT TECH LEAD (JULY 2021– NOV 2023)

• Provide customer service and manage for system loading of urgent care occupational medicine contracts

• Analyze and model contract data reviewing for revenue opportunities

CONFIGURATION SUPERVISOR (JULY 2019– JULY 2021)

• Manage team for system loading of ambulatory surgery, hospital, imaging, and physician contracts

• Analyze contract data and understand system detail and functionality for contract loading while developing loading standard of practice

CONFIGURATION SPECIALIST (MARCH 2016 – JULY 2019)

• Provide customer service for system loading of ambulatory surgery, hospital, imaging, and physician contracts

• Analyze contract data and understand system detail and functionality for contract loading

• Understanding of APC, APR DRG, DRG, EAPG, and commercial reimbursement methodologies

CONTRACT ANALYST (JANUARY 2013 – MARCH 2016)

• Provide customer service for hospital contracts

• Analyze contract data and support contract negotiations

• Assist with contract loading

Educational Services Company – Indianapolis, Indiana

BENEFITS SPECIALIST (January 2012 – Nov 2012)

• Executive Assistant to Owner

• Oversee customer service and assist with benefit consulting for Indiana school districts.

• Develop and analyze Health, RX, Dental, Vision, Life, LTD, STD, HSA, Dependent Audit, and VEBA RFP/Bids.

• Manage and service 30 key accounts.

Matrix Group Benefits, LLC - Indianapolis, Indiana

COMPLIANCE MANAGER (June 2004 - Oct 2010)

• Direct workflow and maintain administration for operations including RFP, contracts, and system.

• Planned, managed, and implement operation setup project.

• Teach corporate workflow and system technology.

• Oversee contract issuance, system support, and agent/agency licensing/appointments.

• Process billing invoices and create corporate and commission reporting.

• Managed and serviced 142 key accounts.

J. Allan Hall & Associates, Inc. - Indianapolis, Indiana

COMPLIANCE MANAGER (September 2001 - June 2004)

• Developed and documented efficient corporate workflow and processes.

• Trained, supervised, and evaluated associates.

• Planned, implemented, and managed filing and support system project.

• Improved processes and contract language to comply with state/federal regulations.

American United Life Insurance Company – Indianapolis, Indiana

MUS UNIT LEADER/GROUP COMPLIANCE LIAISON (October 1994- Sept. 2001)

• Planned, created, and implemented procedures for medical underwriting administration.

• Trained, supervised, and evaluated specialists.

• Reduced administrative processing time from six months to twenty-three days.

• Utilization of time studies to evaluate process and administrative needs.

• Development of integrate workflow and documentation for Key Accounts.

• Created inventory control system that reduced losses in production and improved accuracy.

• Created and documented the process of electronic fund transferring.

• Assisted with quality improvement program.

EDUCATION

BACHELOR OF SCIENCE DEGREE IN BIOLOGY - Indiana University, Bloomington, Indiana

MASTER OF BUSINESS ADMINISTRATION - Indiana Wesleyan, Marion, Indiana

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