TABIE REED
Wittmann,AZ
Summary
An enthusiastic individual, who is driven, dependable and possesses an ability to build professional relationships that foster loyalty and trust.
Overview
16
16
years of professional experience
Work History
RCM/QA Supervisor
Peregrine Healthcare
01.2023 - Current
- Assigns and monitors work queues/weekly assignments ensuring that work is always moving efficiently and effectively
- Ensures queues are being worked according to need and reviews audits
- Responsible for maximizing the collection of medical services payments and reimbursements from patients and insurance carriers
- Finding missing or unapplied payments/ EOBs on multiple software’s so money can be posted
- Assist Human Resources and department leaders with functions relative to the interviewing, selection, orientation, education/training, feedback, performance evaluation and policy and procedure development
- Works with RCM leader to develop, implement and report quality and productivity measures to endure best in glass RCM results and reporting to clients
- Serves as subject matter expert resource on all insurances changes, software tips and tricks and potential changes in the healthcare field that could affect client and company as a whole
QA Lead
Peregrine Healthcare
04.2022 - 01.2023
- Review claims for 15 different provider specialties to have help staff get to a resolution
- Review Policies and procedure for Insurances to make sure we are meeting the expectation of our contract with that provider
- Sign up for EFT and ERA through different software’s to get the providers money in a timely manner
- Making sure doctors’ credentials are up to date with the insurance companies
- Billing Multiple insurance companies via paper or electronic through system
RCM Specialist
Peregrine Healthcare
05.2019 - 01.2022
- Specializing in pain and Anesthesia billing and accounts receivable
- Dealing with patients’ concerns about their bills
- Investigated rejected claims to see why denials were issued and correct claims
- Supports additional coding, billing, and practice management projects as needed
Out of State Medicaid Specialist Biller
Caid Solutions
12.2017 - 05.2019
- Responsible for billing 30 states for hospitals to out of state Medicaid
- Keeping up on different state requirements and changes
- Electronic billing of claims to different sights
- Update our state billing books per our company guidelines
- Working with other areas from follow up to verification to make sure claims are billed effectively
- Following up on claims if they are paid and posting
Practice Manager
AB Mobile Therapy
01.2015 - 12.2017
- Credentialed of new Therapist
- Post all AR that came in
- Weekly payroll for 30 Employees
- Weekly billing for 200 plus visits
- Contracts with Hospices
- Got the company EMR complaint
- Kept all credentialing updated
- Handle all calls for the company
- Hire all new therapist /employees
- Handled weekly payroll
- Make sure AR is up to date
- Handled all employee disputes
- Credential with additional insurance
- Collected secondary insurances they were not doing before
Business Office Manager
Desert Mirage Surgery Center
Surprise, AZ
10.2012 - 01.2015
- Credited for turning a million-dollar AR current in just a few months
- Stepped in and did Administrator job in the absence
- AP checks runs and account billing through Quick Books
- Trouble accounts were given to me to fix and get paid on
- Keep the office updated on current insurance changes and how affect us
- Keep Doctor Credentialing updated
- QB accounting software kept current with Bank records
- Track and manage times cards for 20+ employees
- HR duties as well i.e
- Benefits and payroll issues
- Responsibly for Weekly & Monthly reports i.e.: financial reports, budget reports, projected revenues, and expenses
- Insurance contract validation when paying our claims
- Updated the Doctors Op report to sign electronically
- Daily deposits posted and taken to the bank
EP/Cath Lab Office Manager
Banner Boswell
Sun City, AZ
09.2008 - 05.2012
- In charge of making million-dollar device orders on a quarterly basis
- Running and maintaining a smooth office
- ICD tracking and Medical Necessity
- Take initiative in manager’s absence
- Credited for updating and managing the Spacetrax software for all supplies used within the department
- To ensure things are tracked and charged correctly
- Creates a Motivating and energizing atmosphere
- In charge of maintaining timecards and hours for 11 employees
- In charge of any CPT codes changes that will affect the departments
- Registering all ICD that are done with the National Database as required by Medicare
Education
Skills
- Microsoft Office
- Word
- Excel
- PowerPoint
- Outlook
- Quick Books
- ECW
- Cerner
- IMS
- Availity
- Epic
- Oral communication
- Written communication
- Interpersonal skills
- Medical experience
Certificationsandskills - Proficiencies
- Microsoft Office: Word, Excel, PowerPoint, Outlook, Quick Books.
- Multiple medical based software ECW, Cerner, IMS, Availity and Epic.
- Excellent oral and written communication skills and professional interpersonal skills.
- 24 plus years of medical experience at all levels.
Personal Information
Title: Solid medical office management experience, Expertise in medical billing and understanding of insurance., Areas of expertise include helping to develop employees, managing, corresponding with patients, insurance companies and physicians in a professional manner., Directly responsible for achieving company goals with the effective use of organizational and customer service skills., Proficient in various computer programs.
Timeline
RCM/QA Supervisor
Peregrine Healthcare
01.2023 - Current
QA Lead
Peregrine Healthcare
04.2022 - 01.2023
RCM Specialist
Peregrine Healthcare
05.2019 - 01.2022
Out of State Medicaid Specialist Biller
Caid Solutions
12.2017 - 05.2019
Practice Manager
AB Mobile Therapy
01.2015 - 12.2017
Business Office Manager
Desert Mirage Surgery Center
10.2012 - 01.2015
EP/Cath Lab Office Manager
Banner Boswell
09.2008 - 05.2012