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Denials specialist

Location:
Lubbock, TX
Posted:
August 05, 2023

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Resume:

TAMMY MARTIN

Lubbock, Tx *****

407-***-**** - adyqf8@r.postjobfree.com

PROFESSIONAL SUMMARY

Medical biller/accounts receivable specialist with 20+ years of experience in the medical profession. Experienced Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities.

SKILLS

Microsoft Excel, Microsoft Word,

Emdeon, HMS, PerfectCare, Medisoft,

Epic, Medicare Manager

Type 65 wpm, Ten key

Medical Terminology

Prior Authorization Processing

Data Verification

Insurance Terminology

Insurance Plan Verification

Insurance Documentation Processing

Customer Service

Denied Claims Identification

Database Management

Accounts Receivable

WORK HISTORY

02/2020 to Current Senior Collections Representative Providence Health & Services – Lubbock, TX

I am responsible for placing calls to patients & insurance companies regarding outstanding balances on accounts in attempt to collect payment, submitted appeals for claim denials, created & tracked trending denial issues spreadsheet. 10/2018 to 09/2019 Insurance Verification Specialist Orlando Health Physician Associates – Altamonte Springs, FL Performed insurance verification coverage and benefits by online portals or phone calls to insurance companies and relaying this information to physician offices. 02/2017 to 07/2018 Medical biller

Associated Billing Services – Apopka, FL

Performed all aspects of revenue management including data entry, verifying insurance, entering charges, telephoning insurance carriers/patients seeking resolutions on accounts, writing appeals, payment posting, and patient collections. 08/2016 to 02/2017 Accounts receivable

HealthCare Support – Maitland, FL

I was responsible for telephoning insurance carriers and patients seeking resolutions on outstanding accounts and writing appeal letters. 03/2015 to 09/2015 Registrar

Florida Hospital Deland – DeLand, FL

I worked in the emergency room registering patients I was responsible for providing excellent customer service, data entry, insurance verification, collecting payments, securing patient valuables in safe, and petty cash drawer.

04/2013 to 03/2015 Accounts Receivable Clerk

NCG Medical – Altamonte Springs, FL

I was responsible for entering office charges, telephoning insurance carriers/patients seeking resolutions on accounts, writing appeal letters, entering payments and adjustments, setting up payment plans, and taking payments over the phone.

05/2012 to 04/2013 Medical Biller/Medicare collector Select Staffing – Orlando, FL

I worked from home as a medical biller and Medicare collector for the Lubbock Heart & Surgical Hospital.

01/2008 to 04/2012 Biller

Lubbock Heart & Surgical Hospital – Lubbock, TX

I was responsible for downloading/uploading claims, reviewing for accuracy prior to submitting to insurance carriers, reviewed & distributed unbilled report to department directors

I was responsible for training new employees on billing and A/R Accounts Receivable:

I was responsible for telephoning insurance carriers/patients seeking resolutions on accounts, writing appeal letters, confirming claims processed correctly by contract, calculated patient's in-network share for out of network payors, taking patient payments, and setting up payment plans

I worked with all payers including Medicare, Medicaid, Tricare, commercial payers, and HMO's.

02/1999 to 04/2008 Admitting Rep

Highland Community Hospital – Lubbock, TX

Worked in the ER registering patients, data entry & collecting copays. EDUCATION

1998 Legal Assistant

International Business College - Lubbock - Lubbock, TX 1995 GED

Daytona Beach Community College - DeBary, Fl.



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