Dynamic Medical Billing Specialist with 20+ Years Experience
Resume:
TAMMY
CURTIS
T
C Waterford, MI *****,
****************@*****.***
PROFESSIONAL SUMMARY
Dynamic Medical Billing Specialist with over 20 years of experience, including at McLaren Health Care. Proven expertise in medical claim denial management and patient service, consistently achieving timely payments and enhancing revenue cycle efficiency. Adept at utilizing EHR systems and fostering strong client relationships to resolve billing inquiries effectively.
SKILLS
• Microsoft Outlook • Medical claim denial management • Diagnostic laboratory experience
• Root cause analysis • Patient service • Insurance verification
• Medical terminology • Accounting and finance experience • Organizational skills
• Data conversion • Collection management • HCPCS Level II
• Call center experience • Practice Fusion • Allscripts
• Patient interaction • Inpatient Ambulatory surgery center experience
•
• Phone communication • Physician's office experience Medical explanation of benefits reviews
•
• CMS regulatory compliance • Medical claim corrections • Profit & loss Electronic health record (EHR)
management for billing and coding
• • Cardiology Medical billing and coding
experience in cardiology
•
• Technical Proficiency • Revenue cycle management Medical coding - Medical coding experience (6-10 years)
•
• Typing • ICD-10-PCS • Medical office experience
• Accounts payable Medical billing discrepancy
resolution
• • Medicaid
• Medicare • Medical claim status updates Electronic health records (EHR) management
•
• Decision making • Data sorting • EClinicalWorks
Medical billing and coding
communication with insurance
companies
• • Computer operation • Office experience
• 10 key typing • Hospital experience • Medical software Medical insurance appeals
management
• • Insurance third-party billing • Software troubleshooting
• Clerical experience Medical Insurance, Medical Coding, Medical Billing
• • Insurance claim appeals processing
Medical billing and coding
experience in radiology
• • Medical Records • Medical denial trend identification
• Customer service • Outpatient Centers for Medicare & Medicaid Services (CMS) billing regulations
•
• Client interaction via phone calls Handling insurance claims - Largest number of insurance claims
managed simultaneously (More than
30 claims)
• • Task prioritization
• Accounting • Medical claims processing Health insurance verification via payer websites
•
• Private health insurance • Fraud prevention and detection • Windows Medical denial root cause analysis
(RCA)
• • Research • CPT coding
• Medical billing inquiries • Document review (document control) • Attention to detail
• DRG • Health insurance claim processing • Aging report preparation
• Record keeping • CRM software Medical billing and coding experience in emergency medicine
•
Centers for Medicare and Medicaid
Services (CMS)
• • Maintaining patient confidentiality • EMR systems
• ICD-10 • Microsoft Excel • Microsoft Word
Records management - Records
management experience (6-10 years)
• • Health insurance knowledge • Outpatient clinic experience
• Cerner Medical billing - Medical billing
experience (More than 20 years)
• • ICD-10-CM
• ICD-9 • Medical collection • Computer literacy
• Account management • HCPCS • Productivity software EXPERIENCE
Customer Support Specialist June 2024 - December 2025 EZClaim Rochester, MI
• Answered customer calls about the easy Claim billing system. Reset password and installed RDA for their systems handled several computer issues and questions on where to add diagnosis names, insurances, and everything pertaining to their bills and claims.
•
Insurance Follow-up Specialist April 2022 - June 2024 McLaren Health Care Shelby Charter Township, MI
• I did follow-up for medicare and Medicare advantage plans.
• Worked on rejections for Medicare and Medicare Advantage plans.
• Responsible for front and back in at reports, researching insurances and working rejections.
• Follow up and data entry with all insurances.
Medical Billing and Coding Specialist February 2019 - April 2022 Michigan Healthcare Professionals Bloomfield, MI
• Billing follow up and some coding
Medical Billing Specialist March 2017 - February 2019 Wayne State University Troy, MI
• Represent several Physicians
• Follow up, Billing, collections
Collection Specialist October 2015 - February 2017 GREAT LAKES MEDICAL LABORATORY
• Co-Manager of billing department
• Process high-volume billing for 500,000 patients
• Represent multiple physicians
• Responsible for front and back-end edit reports, researching insurances, posting payments and work rejections Medical Billing Specialist January 2002 - December 2015 McLAREN-OAKLAND
• Team Lead
• Process high-volume billing for 400,000 patients
• Represent multiple physicians
• Billing for Medicare, Blue Cross Blue Shield, secondary billing, and Medicaid billing
• Reporting and confirming all information and deadlines to ensure accurate, timely payment EDUCATION
High school diploma
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