Tracey Tamblyn
Billings,MT
Summary
Skilled leader that possesses 20+ years in the medical office industry. Thrive in fast-paced environments. Work independently, with minimal supervision, and pitch in to complete tasks. Strong work ethic and adherence to company policy and procedures, Excellent communication skills, adaptability, and problem-solving abilities.
Overview
25
25
years of professional experience
Work History
Provider Enrollment Specialist
SCL Health, Rocky Mountain Health Network
Billings, MT
01.2018 - 09.2021
- Receives information regarding new practitioners from Clinics, Onboarding, Medical Staff Office and Office Managers and ensure applications are appropriately signed, complete and accurate.
- Responds promptly in professional manner to all requests for enrollment documentation and/or questions. Enters and saves application data into credentialing software database.
- Prepares approval letters, credentialing lists for committee review, panels, and spreadsheets for submission to commercial payers.
- Submits BCBS onboarding form to enroll providers via BCBS website Maintain necessary logs, lists, records, and current documentation required for provider credentialing and re-credentialing.
- Communicates with various payers, clinics, billing offices, practitioners, and leadership regarding status of enrollments on ongoing basis.
- Ability to prioritize tasks and projects assigned to meet deadlines.
- Excellent organizational skills and attention to detail
- Manage and maintain Companies’ Website and Directory.
- Adheres to all HIPPA Laws.
- Monitored credentials and contacted practitioners when expiration dates were nearing.
- Used Intellisoft/MD Staff to enter provider effective dates into enrollment database.
- Conversed effectively with various parties on daily basis using polished interpersonal and active listening skills.
- Used Excel to maintain over 1800 candidate files and file notes.
Patient Service Representative
Avadyne Health
Billings, MT
03.2007 - 09.2017
- Worked in call center that handles self-pay and third-party accounts for multiple out of state hospitals. Responsible for taking over 100 inbound and outbound calls for hospital billing offices. Following very strict HIPAA guidelines, having exemplary communication skills and customer service, processed payments, set up payment plans, added insurance and demographic information, pre-qualify low-income patients for financial assistance, explain to patients how their insurance processed their medical claims, dealing with upset patients by diffusing their anger and making them happy by end of call.
Business Office Representative & Computer Operator
Ortho Montana PSC
Billings, MT
05.1995 - 01.2004
- Supervised and trained employees for business office and reception desk. Excellent ten-key and data entry skills. Strong knowledge in medical terminology, ICD9, CPT, modifiers, submission of HCFA forms and insurance guidelines. Assisted patients with insurance problems, payment/payment plans. Monitored accounts receivable, processed insurance and patient refunds.
- As Computer Operator, Entered provider charges, Insurance and personal payments along with PPO adjustments. Processed end of day balance sheets, month-end close and prepared daily bank deposit.
Education
High School Diploma -
Bakersfield High School
Bakersfield, CA06.1980
Skills
- Microsoft Windows
- Microsoft Word
- Microsoft Office Suite
- Microsoft Outlook
- MD Staff
- Intellisoft
- IDX
- Epic
- Cerner
- Meditech
- Excel
- Facs Workstation
- Data Entry
- Practitioner enrollment
- Effective communication skills
- Critical Thinking
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Provider Enrollment Specialist
SCL Health, Rocky Mountain Health Network
01.2018 - 09.2021
Patient Service Representative
Avadyne Health
03.2007 - 09.2017
Business Office Representative & Computer Operator
Ortho Montana PSC
05.1995 - 01.2004
High School Diploma -
Bakersfield High School