Abbey Tucker
Upland,IN
Summary
Skilled professional offering 10 years experience in healthcare and customer service. Exceptional interpersonal and problem-solving skills. Effectively mediates customer disputes and collects payment in timely manner. Outgoing and team player. Willing to learn from others and create solutions that will satisfy all parties. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Patient Accounts Representative
IU Health
09.2021 - Current
- Worked with outside entities to resolve issues with billing, claims and payments.
- Prepared reports detailing billing actions, flags and other key information.
- Input all patient data regarding claims and prior authorizations into system accurately.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Researched denied claims and contacted insurance companies to resolve these issues.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Verified eligibility and compliance with authorization requirements for service providers.
Trauma Registrar
IUH Ball Memorial
01.2018 - 09.2021
- Exceeded department-specific productivity standards, collection targets, quality audit scores for accuracy productivity and collection standards for registrations and insurance verifications.
- Utilized audits and controls to accurately manage cash.
- Upheld HIPAA regulations and standards for protecting patient information.
- Retrieved medical data for physicians and patients.
- Performed regular quality and validation assessments on patient data to verify accuracy.
- Coded and abstracted medical records according to ICD-10-CM and CPT coding guidelines.
- Conducted quality improvement and customer satisfaction surveys to evaluate patient care.
Medical Office Assistant
06.2017 - 12.2017
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Provided prompt, polite and professional in-person and telephone customer service.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Updated patient information and insurance details for accurate electronic medical records.
- Obtained pre-authorization from insurance companies ahead of medical services.
Pharmacy Technician
CVS Pharmacy
06.2014 - 06.2017
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
- Ordered medicines daily to replenish stock and increase inventory in anticipation of need.
- Resolved third-party billing, computer system and customer service issues.
Education
Associate of Business Administration -
Ivy Tech Community College
2024
High School Diploma -
Georgetown High School
Georgetown, TXSkills
- ICD-10
- Medical Terminology
- Insurance Verifications/Prior Authorizations
- Medical Records
- Computer Skills
- Medical Scheduling
- Typing speed: 70WPM
- CPT/Medical Billing and Coding
- Hospital Operations
- Administrative Support
- HIPAA Understanding
Certification
American College of Surgeons Bleeding Control
CPR- ALS/BLS
AAPC-ICD-10 Coding
Trauma Quality Improvement- College Board of Surgeons
Pharmacy Technician State of Indiana
Timeline
Patient Accounts Representative
IU Health
09.2021 - Current
Trauma Registrar
IUH Ball Memorial
01.2018 - 09.2021
Medical Office Assistant
06.2017 - 12.2017
Pharmacy Technician
CVS Pharmacy
06.2014 - 06.2017
Associate of Business Administration -
Ivy Tech Community College
High School Diploma -
Georgetown High School