Customer Service/Medical Billing/Accounts Receivables

Tammy Stapleton Sims

Email: ******************@*****.***

Phone: 423-***-****

During my work history, I have had varying experiences in several different fields. From Medical Accounts Receivables and Collections to Front Office Receptionist and/or Medical Biller to Administrative Assistant duties in the Association Management field and Nuclear Engineering with Tennessee Valley Authority to Retail Merchandising. Listed below is an example of the many job responsibilities I have fulfilled:

● Accounts Receivables Collections working current and aging AR reports. Acted as a liaison between client office staff, processing staff (billers, data entry) and insurance companies to correctly submit Medical Claims Identify and correct rejected claims on batch reports every day

● Identify denied claims from AR reports, determine the reason for denials, submitted corrected claims with any supporting documentation including medical records.

● Ensured all secondary claims and any other claims that require a paper submission were submitted correctly to the proper insurance companies

● Communicated with correct clients' offices to ensure receiving correct documentation needed for claim submission

● Processed refunds, sent patient aging over 90 days to collection agency/attorney

● Processed incoming payments, posted to correct accounts, and taking correct write-offs from Explanations of Benefits from Insurance companies

● Knowledge of various Medical Insurance plans, contractual

● Insurance Verification and filing

● Insurance Verifications - Review patients' insurance policies and confirm Insurance information and that they do have an active policy. Obtain copay and deductible information

● Office purchasing agent - Review and inventory Office Supplies, Ordering Items as needed or according to office policy

● Collaborated with Instructional Designers to create corporate training programs for several companies such Abbott Laboratories, Ameritech Phone company, McDonald's, etc.

● Began working as an independent contractor as a Retail Merchandiser; a part-time employee for Hallmark as a Retail Merchandiser in several stores • Working as an independent contractor with Spar Field Services, ability to complete resets, revision, audits, etc.

● Supervise other independent contractors with store resets

● Great working relationships with store contacts

Work Experience

AADocDesign and Billing Owner

1996 - present

I am the sole proprietor of this business providing Document Design services to many Instructional Designers. Produced Corporate Training Materials for both students and Facilitators. The different fields we provided these services for were fast food corporations, Phone Corporations, Pharmaceuticals, Banks, Gas and Oil, etc. I transferred the instructional designers course notes into Teaching Materials and Audio/Visual Presentations. I also authored and produced Procedure Manuals for several different fields. Self-Employed Contractor - Retail Merchandising

Works for various Merchandising companies completing store resets, monthly updating product services, product audits and returns. Ability to read Planograms and supervise other merchandisers. Ability to communicate effectively with clients. Experience merchandising pharmacies, auto parts stores, discount stores, gas stations, etc.

Check out - Insurance Billing and Coding

Dr. Kapperman, White and McGarvey - Chattanooga, TN July 2010 to September 2012

● Collected payments for insurance Copays/Deductibles and payments of vision wear, Code all Insurance Claims and submitted it electronically

● Dispensed materials such as Glasses and/or contacts

● In charge of sending referrals and medical records to other physicians Account Receivable Specialist

North American Collection Services, Medical Billing Technology - Chattanooga, TN July 2007 to February 2010

● Worked the Insurance Cycle to find outstanding payments from Insurance Claims • Researched outstanding claims working with Insurance Provider Computer Portals or Verbally by phone • Completed Payment Appeal letters, or sent Corrected Claims/New claims to Insurance companies on paper or electronic Claims

● Worked as a Payment Poster on an as-needed basis Check Out/Account Receivables

Hixson Eye Care - Dr. Clayton Rhodes - Hixson, TN

March 2004 to April 2007

● Check out patients, collect copays, deductibles, and material charges

● Code and Submit Insurance Claims

● Worked with Private and Government Insurance Companies to process claims correctly

• Filed Corrected/New claims in order to closeout open Account Receivable Accounts

• Filed Insurance Credentialing for the physician when appropriate Education

Junior in Computer Science

Athens State University - Athens, AL

August 1993 to May 1995

2 years in Accounting and Computer Science

Chattanooga State Technical College - Chattanooga, TN August 1985 to May 1988

Graduate high School in Business

Red Bank High School - Chattanooga, TN

September 1982 to June 1985

License in Cosmetology

Phillips College - Chattanooga, TN

Skills

• Medical Collection

• Purchasing

• Medical Billing

• Office Administration

• Insurance Verification

• Accounts Receivable

• ICD-9

• Medical Records

• CPT Coding

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