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TARA BOMAN

adc2mg@r.postjobfree.com

423-***-****

Overland Park, KS

Professional Summary

·Healthcare professional with 5+ years of experience in patient coordination, healthcare administration and pre-billing.

·Handled and worked with 50+ patients on daily basis in previous role.

·Worked with Medicare, Medicaid and commercial insurances at Prime Healthcare.

·Responsible for acting as advocate for patients through claims, billing and denials process

·Spoke with patients, insurance companies and payers through submission and appeal process

·Coordinated utilization review process in order to account for all appeals and denials

·Software experience includes Epic, One Source and Microsoft Office.

·Can interview and start as soon as possible.

Education

Jacksonville State University

Major – Sociology

Minor – English

Experience

Prime Healthcare May 2016 to Janurary 2020

Account Coordinator

·Responsible for quality and resource management of all patients (new and existing) that are admitted into facility

·Acted as point of contact from admissions through claims, billing and collections process

·Coordinated utilization review process in order to manage and process appeals as part of denial management initiatives

·Followed up on denials while working with other departments, business locations and case managers.

·Spoke with payers, specialist locations, providers and patients regarding audits for government processing.

Site Coordinator

·Uploaded new and existing correspondence

·Managed and corrected claims based on denial code and reason

·Acted as liaison between patient and other departments for claims, billing and payment processing.

·Worked with patients on additional inquiries as needed.

Outpatient Registrar

·Secured and managed insurance and patient demographics

·Worked with eligibility, registration and outpatient facilities

·Spoke with patients, insurance companies and payers in term of insurance financial payments

·Updated account and insurance information as needed.

ED Admitting Clerk

·Responsible for new and existing patients that arrived in emergency room

·Registered and admitted patients that were new and existing based on need

·Ensured all forms and patient data was up to date

·Completed and managed all Worker’s Compensation forms

·Worked with Epic to ensure all medical records were up to date

·Communicated with family members regarding care, flow, support and any discharges

US Department of Veteran Affairs January 2015 to May 2016

Medical Support Specialist

· Scheduled, cancelled and rescheduled patient appointments, consultations and nursing visits.

Determined eligibility, insurance, copayments as well as pre authorization requirements

Worked with Tricare for Life, Veterans choice and sharing agreements.

Monitored and managed inpatient and outpatient appoints

Worked with primary care, mental health, outpatient, lab/imaging and dental care accounts.

Strayer University December 2013 to August 2014

Admissions Manager

·Managed admissions staff to reach new student enrollment & conversion objectives.

·Ensured all new student inquiries & applications were accurately and securely entered student support dashboard

·Followed University admissions standards & procedures to secure that ethical expectations were always communicated to new employees & upheld .

·Worked diligently with campus leadership team to schedule campus tours, new student orientation, on-line orientation and hosted campus open house events. Ensured all department leaders were informed & on-board creating a positive student experience with the goals of student satisfaction, retention & referrals.

The Rose Estates, Overland Park, KS November 2008 to September 2011

Admissions Associate

·Worked with hospitals, providers, home health agencies and other referral sources within the community as partners.

·Managed and communicated with patients, families regarding openings at community location.

·Followed up with patient and family regarding opening and what was required

·Coordinated with all levels of nursing care and worked closely with nursing team to determine need of care.

·Responsible for daily marketing to other healthcare professionals in medical field

·Coordinated community events

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