ROBERTA TULLEY

I have over 18 years of experience in the healthcare industry, specifically in Medicare B program rules and regulations. I have a strong background in training and educating physicians, healthcare providers, hospitals, billing staff, and beneficiaries on claims processing guidelines, rules and regulations. I am skilled in media production and have a passion for developing educational media and publications to reach my audience and my educational goals. I was highly respected in my field.

My career goals include working in the healthcare industry, specifically in roles related to education, outreach, and media production. I would be interested in job titles such as Media Production Specialist, Healthcare Outreach Coordinator, or Healthcare Communications Manager. Due to my Medicare experience I would be an asset to any healthcare organization. My skills in coding, claims processing, policy interpretation, review, hearings and claims that need to go to the administrative law judge, medical knowledge, training, educating, and developing educational media make me a strong candidate in the healthcare industry.

I am a dynamic property manager with a proven track record as an independent owner operator, excelling in tenant relations, and property compliance. I have over forty years of experience on all aspects of property management. I handle issues while enhancing tenant satisfaction. My strong organizational skills drive operational excellence. Fostering lasting relationships. Skilled in relationship building, communication, and strategic planning. Known for adaptability and reliability, ensuring effective responses to changing needs. Proven ability to engage communities, promote initiatives, and drive successful outcomes.

Health Insurance Associate (HIA), HIAA (Health Insurance Association of America), 05/1995, None

Certificate of Completion

CPT- A Comprehensive Study

Adams and Associates, Inc. 04/06/1998

I have several certificates in AI. I am currently working towards more. I can share upon request.

• I birthed two sets of twins that were 19 months apart. I continued to work. I still went to all their events, worked the food huts and participated in and was the Team Mom.
• Leader of my TOPS (Take Off Pounds Sensibly) Club for three years and produced and published a newsletter for our group. I also devised and held our meetings along with my co-leader.
• I worked my way up from claims processor to Provider Relations and Educational Outreach Representative for the State Of Massachusetts for Medicare B.
• While a beneficiary Customer Service Representative, I identified an issue with Medicare Secondary Payment processing issue. Claims were not processing correctly. I created a questionnaire for each issue: accident, VA, workers comp and work insurance. This enabled us to get the information, update our system and reprocess the claims correctly or finalize any claims in suspense.
• Helped the extended shift as a back up team leader. Provided training for all the new hires. I worked my job from 7 to 4 and worked with second shift review from 4 - 10 for a year.
• Cross-trained on review, suspense, customer service, claims, and general correspondence.
• Active member of Diversity and ESI groups. Community Service
  Representative for five years.
• Participated in Large Scale Overpayment Group, Psyche Group and
  many others over the years. I have taken several courses on presentations, business writing, speaking, etc..
• I was part of Massachusetts Department of Health Pandemic committee.
• I educated many of the Department of Heath offices in Massachusetts on the billing of the flu shot.
• In 1981, I walked 26 miles three weeks after having my first set of twins. It was a fundraiser put on by Nike for MS. I collected the most money and I finished third over all and the first woman.
  
  NOTE: I have several examples of letters from providers and beneficiaries thanking me for going above and beyond to assist them. I can provide them upon request.