MICHELE TALLY
PICKENS,SC
Summary
Effective Medical Claims Processor with a background communicating with insurance representatives to discuss claim status or claim denials. Driven performer equipped to handle multiple administrative tasks effectively. Considered an exemplary worker with highly investigative skills when processing claims.
Experienced with revenue cycle processes, including billing and claims management. Utilizes analytical skills to identify and resolve discrepancies efficiently. Track record of effective communication and collaboration to enhance financial performance.
Overview
11
11
years of professional experience
Work History
Revenue Cycle Specialist
Internal Medicine and Cardiology
08.2019 - Current
- Trained new team members on revenue cycle best practices, contributing to a more knowledgeable workforce.
- Increased revenue by identifying and resolving billing errors in a timely manner.
- Balanced and reconciled accounts.
- Improved cash flow with diligent follow-up on pending claims and appeals processes.
- Posting of large deposits from commercial insurance and private pay patients in electronic formats, paper EOBs and daily correspondents.
- Improved patient satisfaction by providing clear, concise explanations of billing procedures and insurance coverage.
- Followed-up on claims submitted to insurance companies to mediate disputes and obtain reimbursement for services rendered .
- Verified bank deposits matched daily with payments posted as well as month end
Billing Specialist
FirstChoice Healthcare
12.2014 - 08.2019
- Effectively resolved claim disputes by conducting thorough investigations.
- Maintained knowledge of benefits claim processing, claim principles, medical terminology and procedures and HIPPA regulations
- Identified, researched and resolved billing variances to maintain system accuracy
- Answered patient phone calls with regards to billing questions
Skills
- Medical billing experience
- Medicare, Medicaid statutes and regulations
- Medical terms and procedure knowledge
- Collection practices
- Telephone etiquette
- Accounts payable and receivable
- Professionalism and ethics
- Payment posting
- Attention to detail
Timeline
Revenue Cycle Specialist
Internal Medicine and Cardiology
08.2019 - Current
Billing Specialist
FirstChoice Healthcare
12.2014 - 08.2019
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