Jennifer Tamburro
West Mifflin,PA
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Seeking to expand my career as an Accounts Payable Analyst by drawing upon my set effective priorities, assessing abilities, strategic planning efficiency and a solid back round of project organization, data assimilation, analytical skill and workflow prioritization to achieve immediate and long-term goals.
Skilled in consumer and provider relations, analysis of medical claims for billing, payment, and registration issues, medical/behavioral health benefits and guidelines, medical management, insurance verification, and customer service. Experienced in retail inventory, developing marketing and advertising strategies, and consumer sales expansion. Proficient in Microsoft Office and Excel. Consistent in recommendations for procedural enhancement and personnel management. Also experienced in retail management, consumer sales, and medical terminology.
Overview
26
26
years of professional experience
Work History
AR Account Specialist
UPMC Corporate Services
08.2012 - Current
- Design, develop and analyze system edits, payer and provider system maintenance, electronic submission errors and financial/statistical reports that support the operational needs of the central business office
- Develop and monitor reports that measure the overall effectiveness of system reconciliation of the Central billing office claims submission output and acceptance to payer adjudication systems
- Provide weekly/monthly operational summaries to the management team
- Responsible for all fiscal functions necessary to ensure the prompt and correct payment to the provider of all monies owed by insurers
- Communicate with insurance companies, patients, physicians, and vendors regarding payment issues and recommend write-offs according to UPMC policies
- Responsible for working edits/accounts, reviewing posting and balancing of payment/denial and adjustment transactions necessary for closing accounts
- Responsible for account balances according to their respective payer when applicable, and for timely and accurate billing in accordance with Third Party regulations.
- Completed routine and complex account updates to resolve problems
- Reviewed account activity to assess financial status and evaluate discrepancies
- Reconciled customer accounts and identified discrepancies for further investigation
- Analyzed financial data and generated accurate, insightful reports for management
- Prepared and submitted timely invoices, statements and payment reminders for customers
- Performed effectively in self-directed work environment, managing day-to-day operations and decisions
Senior Account Representative
UPMC Corporate
10.2009 - 07.2012
- Responsible for verifying insurance for outpatient procedures at all UPMC facilities
- Also responsible for registration of outpatient procedures, obtaining appropriate authorizations from various insurance companies, verifying patient's medical benefits, and financially consulting patients without insurance
- Daily interaction with physician offices, insurance companies, and patients via outbound calls
- Insured that CPT and ICD-9 codes were correct for patient's scheduled procedures and diagnosis for accurate billing.
- Identified and qualified accounts to assess revenue potential
- Met or exceeded quotas on consistent basis
- Identified issues with proactive approach and resolved or escalated problems
- Processed client payments and updated accounts
- Analyzed accounts for delinquencies and other ongoing issues
Medical Review Representative (Medical Management/ Behavioral Health)
UPMC Health Plan
12.2007 - 10.2009
- Responsible for communication with UPMC Health Plan internal and external customers, communication with respective Case Management Specialists, Health Management Specialists, Utilization Management Specialists, Social Workers and Outreach Representatives
- Responsible for follow up with hospitals on member discharges
- Inbound behavioral health calls from members and providers regarding benefits, referrals, triage, and precertification.
- Other tasks include building cases for inpatient admissions, ER/Direct admissions, and admissions to Skilled Nursing or Rehab facilities
- Also assisted Training department with records, filing, data entry, classroom setup, and register classes in ULearn.
3rd in Charge Management
Citizen's Bank
08.2005 - 05.2007
- Teller transactions, regulations, and procedures
- Personal/business account sales, maintenance, and customer service
- Personal loan sales, applications, and closings
- Building banking relationships with customers by informing them of specific products and best fit for their financial needs
- Setting appointments with prospective new customers and following up with existing customers.
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions
- Opened and closed location and monitored shift changes to uphold successful operations strategies and maximize business success
- Established team priorities, maintained schedules and monitored performance
- Used industry expertise, customer service skills and analytical nature to resolve customer concerns and promote loyalty
Co - Manager
Fashion Bug
04.2001 - 08.2005
- Process various account and sales transactions, reconcile and deposit daily funds
- Handle all customer service issues, cash/credit refunds, open credit card accounts, inform customer of current promotions, and return policies
- Orient, train, supervise, and delegate tasks for new hires
- Execute signature functions and provide input for system enhancement
- Direct sales floor activities
- Handle all merchandising, inventory, ordering, cash control, and maintenance functions
- Coordinate special promotions and events
- Prepare daily sales reports
- Interact with corporate personnel at all levels.
Customer Service Representative Level 2
Echostar
06.1998 - 04.2001
- Customer service representative for inbound call center
- Demonstrated ability in provision of sales support services
- Sale of satellite television equipment, billing, and technical support
- Respond to and resolve customer issues
- Coordinate delivery schedules and monitor delivery personnel.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Handled customer inquiries and suggestions courteously and professionally.
- Answered constant flow of customer calls with minimal wait times.
- Participated in team meetings and training sessions to stay informed about product updates and changes.
Education
Cosmetology -
Allegheny Beauty Academy
Dravosburg, PA05.1993
Academic studies -
Serra Catholic High School
McKeesport, PA05.1990
Skills
- Microsoft Office Proficiency
- Billing Resolutions
- Data Analysis
- Financial Analysis
- Account Management
- Financial Reporting
- Problem Solving
- Multitasking
- Organizational Skills
- Analytical Thinking
- Attention to Detail
- Quality Assurance
- Customer Service
- Fiscal Management
- Business Analysis and Reporting
Timeline
AR Account Specialist
UPMC Corporate Services
08.2012 - Current
Senior Account Representative
UPMC Corporate
10.2009 - 07.2012
Medical Review Representative (Medical Management/ Behavioral Health)
UPMC Health Plan
12.2007 - 10.2009
3rd in Charge Management
Citizen's Bank
08.2005 - 05.2007
Co - Manager
Fashion Bug
04.2001 - 08.2005
Customer Service Representative Level 2
Echostar
06.1998 - 04.2001
Cosmetology -
Allegheny Beauty Academy
Academic studies -
Serra Catholic High School
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