Summary
Overview
Work History
Education
Skills
References
Timeline
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JENNIFER TAMBURRO

West Mifflin,PA

Summary

Results-driven AR Account Specialist at UPMC Corporate Services with expertise in financial data analysis and problem resolution. Demonstrated success in resolving complex billing issues, leading to enhanced operational efficiency. Strong analytical skills and effective communication ensure prompt payments and high-quality customer service. Proven ability to work independently while maintaining professionalism in all interactions.

Overview

24
24
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
  • Complete routine and complex account updates to resolve problems
  • Review account activity to assess financial status and evaluate discrepancies
  • Reconcile customer accounts and identify discrepancies for further investigation
  • Analyze financial data, and generate accurate, insightful reports for management.
  • Perform effectively in a self-directed work environment, managing day-to-day operations and decisions.
  • Identify discrepancies between billing statements, vendor records, and other documents to facilitate the resolution of disputes.
  • Utilize strong problem-solving skills to quickly resolve customer inquiries and complaints.
  • Process transactions accurately, while ensuring compliance with applicable laws and regulations.
  • Demonstrated excellent communication, negotiation, and organizational skills in managing accounts receivable and payable.

Senior Account Representative

UPMC Corporate Services
Pittsburgh
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
Pittsburgh
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
  • Provided outstanding customer service and support to clients, resolving inquiries efficiently and effectively.
  • Utilized knowledge of products and services to resolve customer issues efficiently and effectively.
  • Utilized problem-solving skills to identify solutions for difficult customer issues.
  • Protected patients' rights by maintaining confidentiality of personal and financial information.
  • Maintained up-to-date knowledge of company policies and procedures to ensure compliance with regulations.

3rd in Charge Management

Citizen's Bank
West Mifflin
08.2005 - 12.2007
  • 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
  • Demonstrated ability to manage multiple tasks while remaining adaptable and flexible.
  • Committed to delivering excellent customer service while working in a fast-paced environment.
  • Provided efficient and courteous service to customers at all times.

Co - Manager

Fashion Bug
West Mifflin
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
  • Performed daily audits of registers to ensure accuracy of financial records.
  • Created strategies to increase sales and improve overall store performance.
  • Prepared detailed reports on store performance, competitor analysis, market trends.
  • Addressed and resolved customer inquiries to foster superior standards of service.

Education

Academic studies

Serra Catholic High School
PA
05.1990

Skills

  • Critical thinking and problem-solving
  • Teamwork and collaboration
  • Communication and networking
  • Data analysis
  • Customer service
  • Self-motivated and independent
  • Microsoft Office proficiency
  • Professionalism and ethics
  • Leadership
  • Dependability and responsibility
  • Revenue cycle management
  • Claims processing
  • Financial analysis
  • Regulatory compliance
  • Operational reporting
  • Insurance verification
  • Account reconciliation
  • Time management

References

References available upon request

Timeline

AR Account Specialist

UPMC Corporate Services
08.2012 - Current

Senior Account Representative

UPMC Corporate Services
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 - 12.2007

Co - Manager

Fashion Bug
04.2001 - 08.2005

Academic studies

Serra Catholic High School

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