Tameka N. Gaither
Memphis,TN
Summary
Result-driven hardworking employee with collections and customer service, multitasking and time management skills. Proven track record of maximizing collections and reducing outstanding balances. Experienced in handling patient and provider inquiries. Strong researcher and dynamic problem solver. Strong work ethic, adaptability, and exceptional interpersonal skills. Adapt at working effectively unsupervised and quickly mastering new skills.
Overview
15
15
years of professional experience
Work History
Remote Collections Associate I
Conduent Payment Integrity Solutions
, TN
10.2022 - Current
- Perform provider calls and maintain contact with providers to obtain payment information for Medicare overpayments
- Document provider account activities by entering detailed notes
- Create invoices for delinquent accounts
- Proofread EMR documentaion prior to scanning into chart
- Check for grammatical errors prior to sending out documents
- Work closely with the accounts payable department
- Review bad debt and write-offs
- Create Excel spreadsheet reports for month-end closing reports.
- Resolve billing or invoice questions
PRN Admissions Rep Financial
Baptist Women's Hospital
Memphis , TN
08.2021 - 10.2022
- Accurately registered patients for their appointments daily
- Assisted patients with properly filling out their paperwork
- Entered clinical information into charts
- Collected on patient liability
- Often worked as a screener screening patients at the door with routine Covid questions
- Observed the lobby for seating capacity
Billing Manager
Cordova Pediatrics
Memphis , TN
10.2020 - 02.2021
- Billed office claims out to various insurance companies
- Verified that each claim form was accurately charted before processing the claim
- Consulted with Doctor and Nurse Practioner on missing charges and diagnosis in patient charts
- Made payment arrangements with parents on balances due on accounts
- Obtained Prior Authorization for Tricare patients
- Covered shifts for the front desk during lunchtime
- Assisted with check-in, and check-out procedures
- Verified insurance on patient accounts for the week
Call Center Rep
Regional One Health
Memphis , TN
01.2014 - 10.2020
- Billed and processed Medicare claims using CMS 1500, UB04, and UB92 forms
- Answered inbound calls and scheduled for multiple clinic specialties, processing of external and internal referrals, and made outbound calls and pre-authorizations requests
- Follow up with patients after ER visits/ hospital discharges to assist in the coordination of quality patient care
Patient Representative
St. Jude Children's Research Hospital
Memphis , TN
01.2011 - 01.2014
- Coordinated and facilitated the collection of patient information upon arrival for office visits
- Knowledge of patient scheduling systems adamantly followed HIPAA guidelines
- Answered patient inquiries via telephone and email
- Communicated patient messages with clinical staff and directed calls to desired departments
- Ordered all administrative office supplies
Billing Specialist
Smith & Nephew
Memphis , TN
01.2010 - 01.2011
- Reviewed DME orders to ensure accurate/ clean processing of insurance claims
- Re-filing and following up with rejected claims
- Posting payments, working denials, and filing appeals
- Keen knowledge of Medicare, Medicaid, Private Insurance, and Worker's Compensation guidelines
Education
EDUCATION CERTIFICATION -
CROSS MEDICAL BILLING, LLC
01.2013
MEDICAL OFFICE PROFESSIONAL -
CONCORDE CAREER COLLEGE
01.2002
High School Diploma -
South Side High School
Memphis , TN 05-2000
Skills
- SAP
- HIPAA Compliant
- Knowledge of ICD-10-CM
- HCPCS
- CPT codes
- Medical Billing
- Medicare and Commercial Insurance payer regulatory proficiency
- Cerner
- NextGen
- EPIC
- Soarian Financial
- EMR, EHR, EDI
- Availity
- Excel, Microsoft Word, Outlook
- OneChart
Leadership Experience
Help oversee day-to-day operation in a high-volume accounts payable environment. Take the initiative in assisting teammates with effective research and account resolution.
Timeline
Remote Collections Associate I
Conduent Payment Integrity Solutions
10.2022 - Current
PRN Admissions Rep Financial
Baptist Women's Hospital
08.2021 - 10.2022
Billing Manager
Cordova Pediatrics
10.2020 - 02.2021
Call Center Rep
Regional One Health
01.2014 - 10.2020
Patient Representative
St. Jude Children's Research Hospital
01.2011 - 01.2014
Billing Specialist
Smith & Nephew
01.2010 - 01.2011
EDUCATION CERTIFICATION -
CROSS MEDICAL BILLING, LLC
MEDICAL OFFICE PROFESSIONAL -
CONCORDE CAREER COLLEGE
High School Diploma -
South Side High School