Tammy Sipple

sipplet**@gmail 816-***-****

SUMMARY

Management & Leadership

Medicaid/Medicaid guidelines and regulations

CPT, ICD-9, HCPCS coding

Regulatory Compliance

Medical Records Management

Training & Development

Meditech, Athena, E-Clinical Works, EPIC, Greenway EHS, E-MD’s, Centricity, ICMISCS, NexGen, ATS ICIMS, PeopleSoft, Kronos, MD Cloud, PC7, PFS

Medical Terminology

Budgets & Cost Control

EXPERIENCE

Texas Surgical Hospital March 2022 – Current

Patient Access Team Lead

Responsible for supervision of the Hospital Registration, In and Outpatient, Financial Counseling and Central Scheduling along with the PBX department

Follow up with the insurance verification department for benefits of patient care

Resolve problems and issues accurately, appropriately and independently

Offers guidance to employees related to Point-of-Service collective activity

Make sure Manager of Patient Access or Director of Patient Financial Services are informed of any unusual and significant issues that may affect patient satisfaction, timeliness of services or reimbursement or general patient flow

Responsible for continuing staff education and training

US Anesthesia Partners, TX August 2019 - August 2020

Pre-payment Team Lead (Furloughed/Laid Off)

Reviewed anesthesia schedules with the Providers and surgery centers

Contacted surgeon’s offices to obtain additional information regarding pre-payments as needed, CPT codes

Posted pre-pay checks to system and rectify all old A/R accounts and merge documents through Special projects

Communicated problems with manager or scheduler regarding loss of coverage or refusal to pay

Entered demographics into the system for all pre-payment and insurance patients

Updated demographics when charge ticket is received

Contacted patients to decide prior to services being rendered.

Monitored accounts to ensure pre-payments are posted to the correct charge

Created statements to be mailed to the providers for prepayment checks

Provided insurance quotes, co-insurance, deductible and verify insurance for patients while collecting payments

Crossmark, TX May 2019 - August 2019

Retail, Engagement Specialist Recruiter

Managed full life cycle process from specification through the employment offer

Led a team of up to direct reports comprised of recruiters & coordinator

Consulted with hiring managers on recruiting process, strategy, and expectations

Prepared candidates for interviewing with specific hiring managers by providing detailed information on the company, business strategy, job descriptions and expectations

Organized post-interview debrief/feedback with interview teams and candidates

Maintained records on department specific recruiting activities via detailed metrics and reporting

Developed effective pipeline of key talent potentially available for hire as succession planning needs dictate

Stayed informed of trends and innovative recruiting techniques to attract and complete for top talent in the market

Organized and efficient with daily practices including ATS, reporting, iCIMS, Excel, active and closed requisitions, new requisition guidelines, interview procedures and training, workflow processes and other team responsibilities

Foremost Healthcare Centers, TX February 2016 - August 2018

Consultant/Revenue Cycle Manager, Manager

Created, monitored, and reviewed Quality Assurance reports

Conducted internal audits regarding retention of patient medical records and insurance information to ensure HIPAA compliance and company procedure

Reviewed medical claims ensuring timely and accurate filing, monthly and quarterly analysis of patient counts, approval of entries and reconciliations, EOB’s, ICD, and CPT coding, billings

Communicated with employees with Microsoft 360, HRSA, along with CMS PS&R reports

Managed and handled escalated patient calls from call center employees and patient complaints and issues Monitored bump list, appointment cancellations, and approve overbooking appointments

Managed front desk, weekly deposits, insurance verification for Medicare/Medicaid and commercial plans

Implemented and wrote company policies and procedure for the front office staff and call center

Partnered with outreach specialist to develop marketing strategy, ensure community presence, and drive revenue

Led system conversion project for EMR upgrade and managed system access by ensuring each employee had appropriate and required access as the company’s Super User

Worked with IT company with Cloud based systems, set-up phone systems, troubleshoot system issues, HIPAA

Responsible interviewing, onboarding, new hire paperwork, training, conducting staff meetings, implementing KPI’s for call center and coaching employee, setting team goals, and payroll approval

Texas Back Institute, TX March 2015 - March 2016

Patient Services, Team Lead

Responsible for the supervision and training front desk staff members; payroll approval and petty cash

Worked closely with patients and acting financial counselor to assist in identifying and collecting of financial

payments. Assisted patient with surgery and pain management cost and treatment.

Coordinated and worked closely with TBI approved and preferred facilities and vendors

Provided side by side training to all new patient services staff as well as provided ongoing training to associates.

Worked with staff ensuring accurate registration for patients by scheduling appointments, scheduling follow up visits, checking patients in/out, verifying insurance coverage, collecting co-pays and balances, answering questions, and resolving patient complaints

Collaborated with insurance providers and clinic for referral and pre-authorizations

Assisted with billing and credentialing for Medicare, Medicaid, commercial insurance, and 3rd party billing

RMB Foot & Ankle, TX May 2014 - March 2017

Patient Services Coordinator

Assisted patients and vendors and maintained inventory of medical supplies

Facilitated all patient care by providing check in/out services, collect co-pays, answering phones, scheduling appointments/surgeries, and verifying insurance

Completed referrals for physical therapy and pain management for patients and surgery

Assisted physician with maintaining patient charts/records and processing doctors’ dictations.

Completed and processed X-rays for the provider to ensure accurate patient diagnosis

Set up all facilities and billing codes for surgical patients as well as explaining cost

Wingspan Portfolio, TX December 2011 - August 2013

Research Analyst

Collected and audited documents for Modification Agreements

Handled Appraisal/Title invoices and photos of commercial or residential properties

Implemented/maintained E-check in form for Mortgage Extension of Time, BPO, Special Forbearance agreements, HOA’s, Bankruptcy Sheets and other documents to file FHA 601/P260 claims

Researched comps and appraisals, escrows, and preliminary title information to complete the file

Prepared payoff demands to ensure all executed documents are received and reviewed with Bank of America

Ensured documents are delivered to homeowner in timely manner and communicated with Title company

Used systems such as BOA systems AS400, Excel, Lotus 1-2-3, wrote rejection or acceptance letters

Planned Parenthood, MO October 2008 - January 2010

Clinical Business Operations Manager

Managed and supported multiple clinical offices and coordinated promotional and community events.

Responsible for all human resources, employee relations and payroll, inventory, Accounts Receivables, Accounts Payables, daily deposits petty cash, and payment postings for both clinics.

Developed and implemented annual center budgets and monthly financial statements

Completed non-clinical audits and assists QMC in medical audits with appreciate chart selections

Ensured compliance with all HIPAA, state and federal requirements and processes.

Reviewed and approved patients for the Sliding Fee Scale based on income for services rendered by the clinic

Maintained and ensured compliance with PPMM medical protocols and procedures, HIPAA, DHS, OHSA, CLIA, Environmental health, Title X, state pharmacy regulation, center agency QA requirements, Risk Management, and Quality Assurance

EDUCATION

Penn Valley Community College

Associates of Applied Science, Minor

Contact this candidate