Tabatha Cameron
New Augusta,MS
Summary
Proactive Medical Claims Specialist with extensive experience in improving claim processing efficiency and reducing submission errors. Strong skills in Medicare/Medicaid regulations, ICD-10 coding, and training staff on coding techniques. Brings meticulous attention to detail, problem-solving abilities, and a commitment to optimizing financial outcomes.
Experienced healthcare professional with strong background in processing and managing medical claims. Skilled in analyzing complex data, ensuring compliance with regulations, and resolving claims efficiently. Known for collaborative approach and adaptability, consistently delivering results in dynamic environment. Reliable team player with expertise in medical billing software, HIPAA regulations, and customer service.
Overview
33
33
years of professional experience
Work History
Medical Claims Specialist
Hattiesburg Clinic
08.2013 - Current
- Reduced errors in claims submissions through meticulous attention to detail and thorough review processes.
- Improved claim processing efficiency by streamlining workflows and implementing best practices.
- Educated staff members on proper coding techniques through comprehensive training seminars.
- Skillfully navigated Medicare/Medicaid regulations in order to secure maximum reimbursement rates for qualifying services provided.
- Monitored outstanding accounts receivable balances for trends that could indicate payer issues or potential collection problems.
- Managed high volume of claims, consistently meeting deadlines without compromising accuracy or quality.
- Enhanced team productivity by providing training sessions on claim processing software and regulatory updates.
- Contributed to the overall financial stability of the healthcare facility by consistently meeting or exceeding billing and collection targets.
- Submitted electronic/paper claims documentation for timely filing.
- Utilized advanced knowledge of ICD-10 codes to accurately process complex medical claims.
- Effectively resolved claim disputes by conducting thorough investigations and presenting findings to stakeholders clearly and concisely.
- Collaborated with interdisciplinary teams to ensure smooth processing and accurate reimbursement of medical claims.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Researched and resolved complex medical claims issues to support timely processing.
- Verified patient insurance coverage and benefits for medical claims.
- Monitored and updated claims status in claims processing system.
- Managed large volume of medical claims on daily basis.
- Reviewed provider coding information to report services and verify correctness.
- Responded to correspondence from insurance companies.
- Followed up on denied claims to verify timely patient payment and resolution.
- Identified and resolved discrepancies between patient information and claims data.
- Checked documentation for accuracy and validity on updated systems.
Medical Claims Specialist
MPC Mississippi Physician Corporation
09.2009 - 07.2013
- Reduced errors in claims submissions through meticulous attention to detail and thorough review processes.
- Improved claim processing efficiency by streamlining workflows and implementing best practices.
- Educated staff members on proper coding techniques through comprehensive training seminars.
- Identified opportunities for cost savings by analyzing medical billing patterns across various departments.
- Skillfully navigated Medicare/Medicaid regulations in order to secure maximum reimbursement rates for qualifying services provided.
- Monitored outstanding accounts receivable balances for trends that could indicate payer issues or potential collection problems.
- Managed high volume of claims, consistently meeting deadlines without compromising accuracy or quality.
- Submitted electronic/paper claims documentation for timely filing.
- Utilized advanced knowledge of ICD-10 codes to accurately process complex medical claims.
- Researched and resolved complex medical claims issues to support timely processing.
- Verified patient insurance coverage and benefits for medical claims.
Medical Assistant
Dr Bagnato
06.2005 - 06.2008
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Obtained client medical history, medication information, symptoms, and allergies.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Performed medical records management, including filing, organizing and scanning documents.
- Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
- Assisted in minor surgical procedures, ensuring sterile environment and patient comfort.
SECRETARY
Petal High School
05.2004 - 05.2005
- Handled sensitive information discreetly, maintaining confidentiality when managing personnel files or financial data.
- Answered multi-line phone system and enthusiastically greeted callers.
- Maintained daily report documents, memos and invoices.
- Scheduled appointments and conducted follow-up calls to clients.
- Prepared professional correspondence, including memos, letters, and emails, ensuring accuracy and timeliness.
- Responded to emails and other correspondence to facilitate communication and enhance business processes.
- Provided clerical support to company employees by copying, faxing, and filing documents.
- Contributed to a positive work environment by providing support to colleagues when needed in various tasks or projects.
Medical Assistant
Hattiesburg G.I. Associates
05.1992 - 06.2004
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Obtained client medical history, medication information, symptoms, and allergies.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Performed medical records management, including filing, organizing and scanning documents.
- Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Performed phlebotomy tasks efficiently while ensuring minimal discomfort for patients during blood collection procedures.
Education
High School Diploma -
JCJC
Ellisville MSHattiesburg High School
Hattiesburg, MS05-1989
Skills
- Healthcare compliance
- Payment posting
- Medical software navigation
- Medical record review
- Insurance claims processing
- Thorough claims reviews
- HIPAA
- Insurance claims management
- Problem-solving abilities
- Multitasking
- Claims Investigation
- Multitasking Abilities
- Reliability
- Teamwork skills
- Computer Proficiency
- Documentation skills
- Team building
- Claims adjustment
- Conflict Resolution
- Prior authorization processing
- Document Review
- Professionalism
- Time management abilities
- Adaptability
- Denied claims identification
- Policy analysis
- Office Equipment Operation
- Problem-solving aptitude
- Dispute Resolution
- Patient contact
- Policy update coordination
- Communication Skills
- Multi-tasking
- Claims documentation
- Insurance coverage limits
- Detail orientation
- Allocating claims
- Insurance terminology
Timeline
Medical Claims Specialist
Hattiesburg Clinic
08.2013 - Current
Medical Claims Specialist
MPC Mississippi Physician Corporation
09.2009 - 07.2013
Medical Assistant
Dr Bagnato
06.2005 - 06.2008
SECRETARY
Petal High School
05.2004 - 05.2005
Medical Assistant
Hattiesburg G.I. Associates
05.1992 - 06.2004
High School Diploma -
JCJC
Hattiesburg High School
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