Summary
Overview
Work History
Education
Skills
Timeline
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Heather Leach

Culleoka,TN

Summary

Dedicated to working with people of all ages in need of assistance with developing foundational speech abilities. Well-versed in early intervention, oral-motor control and vocalization techniques. Integrates technology and tackles individual issues with persistent and driven approach.

Overview

8
8
years of professional experience

Work History

Medical Claims Auditor/Customer Care Representative

InAssist
Franklin, TN
10.2023 - Current
  • Analyzed data collected during audit process to determine patterns of abuse or incorrect payments.
  • Performed detailed reviews of invoices submitted by providers for payment accuracy.
  • Provided feedback on identified issues, ensuring corrective action was taken as needed.
  • Investigated and evaluated claims for accuracy and completeness according to established standards.
  • Reviewed, analyzed and documented claim files to ensure compliance with government regulations.
  • Provided excellent customer service, resolving claimant concerns and queries promptly.
  • Answered customer inquiries over the phone and via email.
  • Followed up on customer inquiries not immediately resolved by providing timely updates on the status of their requests.
  • Assisted customers in navigating through website features and functions to locate desired information or products.

Fourth Grade Classroom Teacher

Maury County Board of Education
Columbia, TN
09.2022 - 05.2023
  • Cultivated relationships with parents and guardians to ensure successful communication between home and school.
  • Developed and implemented lesson plans to meet individual student needs.
  • Created safe, nurturing environment of trust and respect.
  • Communicated regularly with parents and guardians regarding student progress and concerns.
  • Fostered a classroom culture that supports diversity and inclusivity.
  • Collaborated with colleagues to develop interdisciplinary lessons that maximized student engagement.
  • Led after-school tutoring sessions for students needing additional help.
  • Attended in-service training and professional development courses to stay on top of policy and education changes.
  • Assessed student learning through varied formative and summative assessments.

Billing Specialist

Outpatient Imaging Affiliates
Franklin, TN
05.2016 - 02.2021
  • Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances.
  • Verified the accuracy of claim data prior to submission to insurance carriers.
  • Reviewed patient records for accuracy and completeness of information in medical billing system.
  • Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
  • Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
  • Researched complex billing issues involving multiple providers or services rendered over a period of time.
  • Maintained detailed records of all billing activities including denials, adjustments, and payments received.
  • Adhered to HIPAA regulations when handling confidential patient information.
  • Provided customer service support to patients who had questions about their bills or payments due.
  • Submitted appeals for denied claims when appropriate according to the insurance company's criteria.

Education

Bachelor of Science - Communication Disorders

Middle Tennessee State University
Murfreesboro, TN
08-2022

High School Diploma -

Holly High School
Holly, MI
06-1994

Some College (No Degree) - Elementary Education

Eastern Michigan University
Ypsilanti

Some College (No Degree) - Liberal Arts

Oakland Community College
Bloomfield Hills, MI

Skills

  • Strong attention to detail
  • Excellent oral and written communication skills
  • Teacher Education
  • Project Collaboration
  • Team Collaboration and Cooperation
  • Continuous improvement planning
  • Tutoring and student assistance
  • Meeting deadlines
  • Speaking clearly
  • Customer Service
  • Medical billing and collections
  • Error Revision
  • Billing systems and software
  • Diagnosis codes
  • Knowledge of Medical Terminology

Timeline

Medical Claims Auditor/Customer Care Representative

InAssist
10.2023 - Current

Fourth Grade Classroom Teacher

Maury County Board of Education
09.2022 - 05.2023

Billing Specialist

Outpatient Imaging Affiliates
05.2016 - 02.2021

Bachelor of Science - Communication Disorders

Middle Tennessee State University

High School Diploma -

Holly High School

Some College (No Degree) - Elementary Education

Eastern Michigan University

Some College (No Degree) - Liberal Arts

Oakland Community College

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Heather Leach