Tammy SalamaRasulullah

**** *. ********, ***, ******** 73110

Home: 405-***-****

Professional Summary

To obtain full time employment with a growing company, this will utilize my skills to provide an opportunity for

growth.

License

Medical Assistant/Phlebotomy certification

Skill Highlights

Proficient with Medical Manager as well as HMS,

Medic, PPM and Claim buster software, data Entry, 10 key

Knowledgeable in Windows and most general

software applications including Excel, working

knowledge of ICD-10 and CPT coding

Professional Experience

Precertification Specialist

Dean McGee Eye Institute

2017-Current

Pre-certify evaluation and treatment as required by insurance provider.

Verify insurance eligibility and benefits online or by phone. Update insurance policy information in EMR as required

Verify receipt of all necessary pre-authorization documents prior to treatment.

Provide patients with estimated written documentation of covered therapy benefits per patients insurance.

Communicate patient responsibility and provide complete financial clearance for patients insurance coverage

Assist as back up for existing operational roles within the office as needed(Collections, Customer service).

Precertification Specialist

2014 to 2017

Digestive Disease Specialist Inc.

Responsible for obtaining accurate insurance information, benefit verification and investigating coverage issues

Responsible for obtaining, communicating and pre-authorizations per insurance company requirements

Checking insurance eligibility for outpatient surgeries and diagnostic and radiology procedures

Correspondence

2012 to 2014

Chickasaw Nation Industries -OK

Assist Beneficiary and Attorneys, TPA's, Insurance Companies regarding active Liability, WC Comp, No fault

cases with Medicare

Review incoming Proof of Representation and Consent to Release Forms, Notice of settlements and Policy

limits.

Receipt Poster/ Patient Account Rep

2007 to 2012

Healthcare Partner Inc. -Okla. City, OK

Post payments, denial and adjustments for hospitals from insurance EOBS

Assist with refunds and credits on patient accounts

Post out-of-network adjustments

Obtain cost of implant invoices for WC claims

Handling denials, mailing Medicare secondary claims and responding to letters sent from Companies and

Insurances in a timely manner

Education and Training

Healthcare Administration: HealthCare

University of Phoenix-Okla. City, OK

Medical Assistant certificate: Healthcare, 1998

Platt College-Okla. City, OK

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