Summary
Overview
Work History
Education
Skills
Timeline
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Tashara Bellamy

Conway,SC

Summary

Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

15
15
years of professional experience

Work History

NSA Intake Coordinator

MultiPlan
04.2023 - Current
  • Evaluate and research cases, coordinate documentation, research claims for next steps using various systems
  • Perform timely data entry of necessary information
  • Perform adjustments on medical claims
  • Perform written outreach to customers to obtain necessary details on medical claims
  • Research appropriate systems to identify data needed to complete cases

MEDICAL CLAIMS PROCESSOR (CONTRACT)

Conduent
10.2022 - 10.2023
  • Reviewed provider coding information to report services and verify correctness.
  • Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
  • Paid or denied medical claims based upon established claims processing criteria.
  • Managed large volume of medical claims on daily basis.

INSURANCE BILLING SPECIALIST

SOCASTEE EYE CLINIC
03.2017 - 02.2020
  • Handled account payments and provided information regarding outstanding balances.
  • Verified accuracy of accounts payable payments, resulting in Number% reduction in payment errors and check reissues.
  • Reconciled accounts receivable to general ledger.
  • Responded to customer concerns and questions on daily basis.
  • Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.

MEDICAL INSURANCE BILLER

Conway Obstetrics & Gynecology
04.2012 - 11.2015
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Liaised between patients, insurance companies, and billing office.
  • Prepared billing statements for patients and verified correct diagnostic coding.
  • Trained new employees on multiple medical billing programs and data entry software.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.

CLAIMS PROCESSOR

Blue Cross & Blue Shield Of SC
10.2009 - 08.2012
  • Collaborated with claims department and industry anti-fraud organizations to resolve claims.
  • Followed up with customers on unresolved issues.
  • Evaluated accuracy and quality of data entered into agency management system.
  • Utilized excellent analytical and problem-solving skills to quickly and accurately assess insurance claims.
  • Reviewed applications and supporting documents to verify claims eligibility and accuracy.

Education

CERTIFICATE IN CERTIFIED MEDICAL ASSISTANT IN MEDICAL ASSISTING -

Horry-Georgetown Technical College
Conway, SC
01.2022

ASSOCIATE IN HEALTHCARE MANAGEMENT IN HEALTH ADMINISTRATION -

ULTIMATE MEDICAL ACADEMY
Clearwater, FL
10.2017

Skills

  • Electronic Claims Processing
  • Electronic Health Records
  • Data Entry Software
  • Medical Terms and Procedure Knowledge
  • ICD 10 & Cpt coding
  • Billing Insurance Claims
  • Medical Terminology
  • Electronic Medical Record
  • Microsoft Office Suite
  • Claim Validity Determination
  • Knowledge of CMS & UB04 claim form
  • Insurance Verification

Timeline

NSA Intake Coordinator

MultiPlan
04.2023 - Current

MEDICAL CLAIMS PROCESSOR (CONTRACT)

Conduent
10.2022 - 10.2023

INSURANCE BILLING SPECIALIST

SOCASTEE EYE CLINIC
03.2017 - 02.2020

MEDICAL INSURANCE BILLER

Conway Obstetrics & Gynecology
04.2012 - 11.2015

CLAIMS PROCESSOR

Blue Cross & Blue Shield Of SC
10.2009 - 08.2012

CERTIFICATE IN CERTIFIED MEDICAL ASSISTANT IN MEDICAL ASSISTING -

Horry-Georgetown Technical College

ASSOCIATE IN HEALTHCARE MANAGEMENT IN HEALTH ADMINISTRATION -

ULTIMATE MEDICAL ACADEMY

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Tashara Bellamy