Financial Representative Customer Service

TARSHA GEDDIE

Laurel, MD ***** 240-***-**** ********.**@*****.***

Summary

Meticulous Senior Reimbursement Counselor with a 15-year background in the medical industry. Talented at processing claims, coding, and compiling statistical data for reports. Strong attention to detail and exceptional coordination skills.

Skills

Medicaid knowledge

Patient rapport

Exceptional recordkeeping abilities

Insurance plan verification

Background in insurance

Electronic authorization processing

Reimbursements

Account follow-up

Insurance claims

Submission of medical claims

Claim review

Medical coding understanding

Experience

Senior Reimbursement Counselor 07/2015 to 03/2020

Amerisource Bergen -Lash Group Rockville, MD

Checked documentation for appropriate coding, catching errors and making revisions.

Updated patient and insurance data and input changes into company's computer system.

Verified patients had proper insurance coverage prior to procedures or appointment scheduling.

Independently analyzes, reports, and communicates any reimbursement trends/delays (e.g. billing denials, claim denials, pricing errors, payments, etc.).

Examined claims, records and procedures to grant approval of coverage.

Responsible for various reimbursement functions, including but not limited to accurate and timely claim submission, claim status, collection activity, appeals, payment posting, and/or refunds, until accounts receivable issues are properly resolved.

Retained strong medical terminology understanding in effort to better comprehend procedures.

Provides training and support to inter-departmental associates.

Senior Reimbursement Counselor 11/2014 to 03/2015

Amerisource Bergen -Lash Group Rockville, MD

Responsible for various reimbursement functions, including but not limited to accurate and timely claim submission, claim status, collection activity, appeals, payment posting, and/or refunds, until accounts receivable issues are properly resolved

Collects and reviews all patient insurance information needed to complete the billing, collections, appeal, and/ or cash processes.

Completes and submits all necessary insurance forms and electronic claims to process the claims in a timely manner as required by all third-party payors.

Researches and resolves any electronic claim denials. Effectively utilizes various means for collections, including but not limited to phone, fax, mail, and online methods.

Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.

Maintains frequent phone contact with provider representatives, third party customer service representatives, pharmacy staff, and case managers.

Financial Representative 10/2012 to 08/2014

MedStar Washington Hospital Washington, DC

Worked with customers to determine needs, evaluate financial means and check eligibility for products or services.

Reviewed customer applications and pursued missing information to complete submissions.

Boosted revenue, cultivating client relations, resolving issues and executing proficient account maintenance to develop new customer accounts.

Processed and documented customer and institutional payments.

Eliminated financial discrepancies, accurately ensuring correct reporting to senior leadership.

Completed Pre-Registration and financial clearance activities in the patient access area of ER.

Collected Copayments and Deductibles for services.

Verified Insurance (all Carriers)

Collected and documented patient demographics and Insurance info.

Maintained exemplary levels of customer service in all interactions.

Education and Training

High School Diploma 06/1990

Bowie High School Bowie, MD

Certificate of Training: Medical Office Administration 11/1998

Applied Career Training Rosslyn VA

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