Summary
Overview
Work History
Education
Skills
Certification
Systems
Timeline
Generic

Tamara Lauriano

Richardson

Summary

Dynamic Billing Manager with extensive experience at Foresight Business Solutions, excelling in revenue cycle operations and financial management. Proven track record in streamlining payment processes and enhancing billing accuracy. Strong analytical skills and a commitment to compliance ensure optimal performance in fast-paced environments. Proficient in EHR systems and dedicated to exceptional customer service. Results-driven billing manager with expertise in overseeing billing processes and optimizing revenue streams. Skilled in managing billing systems, resolving discrepancies, and ensuring compliance with billing regulations. Strong leadership, analytical, and communication skills, with a focus on driving efficiency and accuracy in billing operations.

Overview

20
20
years of professional experience
1
1
Certification

Work History

Billing Manager

Foresight Business Solutions
07.2020 - Current
  • Manage revenue cycle operations for 3 medical offices Pain Management, Fertility, and Gynecology
  • Assisting and supervising daily functions of the billing department, and streamlining payment collection processes
  • IN/OP Surgery and IVF Surgical billing.
  • Assist with authorizations, funding platforms, and vendor set up
  • Identifying and correcting shortcomings in billing system improvements
  • Handling billing financial standards by providing annual billing budget information, monitoring expenditure, identifying variances, and implementing corrective actions
  • Scheduling financial counseling for patients with large medical bills, and organizing monthly meetings with insurance company
  • Ensuring that the various medical personnel and new employees are fully trained prior to accepting their duties for working directly with patients, physicians, and insurance companies
  • Reviewing disputed medical bills, and resolving them by suggesting solutions
  • Monitoring payments of medical bills for discharged patients, transmitting electronic claims, and dealing directly with the insurance companies
  • Completed quarterly and year-end billing audits.
  • Prepared reports for management and presented information in meetings.
  • EHR Setup/Onboarding
  • Oversee appointment Call Center

RCM Account Executive

Foresight Business Solutions
05.2014 - 06.2020
  • Manage revenue cycle operations for 19 medical offices with 1.5 million in receipts monthly.
  • Assisting and supervising daily functions of the billing department, and streamlining payment collection processes
  • Identifying and correcting shortcomings in billing system improvements
  • Handling billing financial standards by providing annual billing budget information, monitoring expenditure, identifying variances, and implementing corrective actions
  • Scheduling financial counseling for patients with large medical bills, and organizing monthly meetings with insurance company
  • Ensuring that the various medical personnel and new employees are fully trained prior to accepting their duties for working directly with patients, physicians, and insurance companies
  • Reviewing disputed medical bills, and resolving them by suggesting solutions
  • Monitoring payments of medical bills for discharged patients, transmitting electronic claims, and dealing directly with the insurance companies
  • Completed quarterly and year-end billing audits.
  • Prepared reports for management and presented information in meetings.
  • Monitored billing staff performance and corrected issues

Practice Manager

Summit Pain Management
Rowlett
08.2010 - 04.2014
  • Experienced in managing day-to-day administrative tasks of a healthcare to deliver a high-level of customer service, and maximize patient satisfaction along with the knowledge of current healthcare laws and procedures, medical issues, and terminology, medical billing procedures, including insurance benefits
  • Manages a staff of 19 employees and 3 office locations
  • Effective written and verbal communication skills as well as the ability to establish and maintain strong working relations with cross functional departments, co-workers, and patients
  • Solid leadership and management skills along with the ability to build professional working environment for both office management staff, and medical teams
  • Strong analytical skills along with the ability to research, evaluate, and solve complex administrative and operational problems
  • Excellent organizational and time-management skills with the ability to handle multiple priorities within specific deadlines
  • Proficiency with MS Office Suite, EHR system, database application and Internet, including knowledge of using office equipment and tools like scanners, fax and xerox machines
  • Ability to work in a fast-paced and dynamic work environment as well as handle stressful situations including staff issues or conflicts
  • Good financial skills along with the ability to prepare and manage healthcare budgets, financial reports, and statements as well as process payments
  • Strong reporting and documentation skills with the ability to handle and maintain confidentiality of medical and patient records

Front Office Manager

Shawn Hayden MD
Plano
04.2006 - 03.2010
  • Oversee daily medical office operations managing a staff of 9 employees. Responsibilities include Administrative, billing, Personal Issues, Human Resources Policies & Procedures, Payroll and Quarterly Tax preparation and submission.
  • Oversee Inventory and Purchases of Medical and Office Supplies
  • Post all charges and payments for insurance companies including transmissions of all electronic claims to clearinghouse.
  • Scheduling the appropriate coverage for office team and managing time off requests.
  • Assisting with new hire and on-going training
  • Preparing and giving the performance appraisals and evaluations.
  • Ensuring that policies and compliance in areas such as OSHA, HIPPA, Coding Issues and updating Policies and Procedures.
  • Handle provider’s daily/weekly/month surgery and on call schedule

Education

Associates - Business

Richland Community College
Dallas, TX

Medical Assistant -

Education America Learning Center
Garland, TX

Skills

  • Payment Posting
  • AZ/NY/CA/TX/SC/FL/MS/IN Medicaid/Medicare
  • Auditing
  • EHR/EMR
  • HIPPA/OSHA Compliance
  • Quick Books
  • Clearinghouse
  • Fair Debt Collector Practices
  • Accounting
  • ICD-10/HIC PIC/CPT Coding
  • Extensive billing Knowledge
  • MS Office
  • Accounting & Payroll
  • Goal-oriented
  • Time Management
  • HR Duties
  • Reporting
  • Customer Service
  • Management
  • Payroll and Taxes
  • Call Center
  • Credentialing
  • Training & development
  • Third Party Payers
  • Eclinical
  • Practice Fusion
  • Waystar
  • Athena
  • Practice Suite
  • Trizeto
  • Aprima
  • Office Practicum
  • Practice Insight
  • Advanced MD/NueMD
  • GreenWay

Certification

  • Certified Professional Coder, The American Academy of Professional Coders, 2015
  • Certified Medical Assistant, 2003

Systems

  • Eclinical
  • Practice Fusion
  • Waystar
  • Athena
  • Practice Suite
  • Trizeto
  • Aprima
  • Office Practicum
  • Practice Insight
  • Advanced MD/NueMD
  • GreenWay

Timeline

Billing Manager

Foresight Business Solutions
07.2020 - Current

RCM Account Executive

Foresight Business Solutions
05.2014 - 06.2020

Practice Manager

Summit Pain Management
08.2010 - 04.2014

Front Office Manager

Shawn Hayden MD
04.2006 - 03.2010

Associates - Business

Richland Community College

Medical Assistant -

Education America Learning Center
Tamara Lauriano
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