Tamara Quick
Kentwood,MI
Summary
Payment Resolution Specialist with proven expertise in claims processing and appeals management at Trinity Health. Achieved significant improvements in approval rates and payment timelines through meticulous attention to detail and effective problem-solving. Skilled in insurance verification and mentoring, leading to enhanced reimbursement processes and successful discrepancy resolution.
Overview
14
14
years of professional experience
Work History
Payment Resolution Specialist Level II
Trinity Health
03.2020 - 07.2025
- Expedited claims payment through diligent follow-ups on physician billing.
- Ensured accurate processing of medical claims by verifying insurance eligibility.
- Enhanced approval rates by coordinating with coding department on second-level appeals.
- Identified trends and resolved issues in collaboration with provider representatives.
Medical Biller/Coder
Gastroenterology Associates of Western Michigan
08.2019 - 03.2020
- Executed prior authorizations and medical billing for gastroenterologists, ensuring accurate charge posting.
- Contacted insurance companies to verify eligibility and resolve discrepancies.
- Submitted medical records with appeals and filed corrected claims to enhance reimbursement processes.
Reimbursement Specialist
Advanced Radiology
05.2015 - 07.2019
- Executed insurance follow-up for BCBS and Medicare Advantage, achieving timely payments over two years.
- Processed work aged reports and filed appeals to recover outstanding payments.
- Contacted insurance companies to facilitate reprocessing of claims.
- Submitted corrected claims, ensuring bypass of timely filing limits on older claims.
Extern
Metro Health Professional Billing
02.2011 - 03.2011
- Executed accounts payable and accounts receivable processes.
Education
Medical Billing/ Coding Certificate - Medical Insurance Billing, Office Admin
Ross Medical Education Center
MIHigh School Diploma - undefined
Lee High School
MISkills
- Attention to detail
- Trend analysis
- Claims processing and correction
- Demographic analysis
- Mentoring and coaching
- Punctuality and work ethic
- Insurance verification
- Appeals management
- Payment reconciliation
- Problem solving and improvement
- Epic super user
- Microsoft 365 applications
- Citrix expertise
- Payer website navigation
- De-escalation techniques
- Assertiveness
- Conflict resolution skills
- Document preparation
- Adaptability and flexibility
- Professional ethics
- Task prioritization
- Stress tolerance
- Self motivation
- Analytical thinking
- Conflict resolution
Time management abilities
Accomplishments
- Trained New Employees
Timeline
Payment Resolution Specialist Level II
Trinity Health
03.2020 - 07.2025
Medical Biller/Coder
Gastroenterology Associates of Western Michigan
08.2019 - 03.2020
Reimbursement Specialist
Advanced Radiology
05.2015 - 07.2019
Extern
Metro Health Professional Billing
02.2011 - 03.2011
Medical Billing/ Coding Certificate - Medical Insurance Billing, Office Admin
Ross Medical Education Center
High School Diploma - undefined
Lee High School
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