TAMARA REYNOLDS

REVIEW PAYER REJECTIONS AND DENIALS. CONTACT VARIOUS PAYERS TO OBTAIN CLAIM STATUS BY

TELEPHONE, INTERNET AND FAX. SUBMIT APPEALS AND RECONSIDERATIONS WITH VARIOUS PAYERS.

IDENTIFY BILLING ISSUES AND TRENDS. Skilled in utilizing healthcare industry software and

databases like FinThrive, Excellent problem-solving skills to resolve claims denials

efficiently. Responsible for researching and resolving claims by identifying patterns.

Successfully identified Medigap denials of Medicare non covered services that were pt

resp, thereby reducing AR over 30K$ by working claims in bulk. Identified claims with

notifications from Molina to the tune of over 40K$ that were not truly recouped,

working with cash department reposting those payments. Effectively communicate with

payor representatives to call out and identify claims issues.

• Review payer rejections and denials. Contact various payers to obtain claim status by telephone, internet and fax. Submit appeals and reconsiderations with various payers. Identify billing issues and trends. Skilled in utilizing healthcare industry software and databases like FinThrive, Excellent problem-solving skills to resolve claims denials efficiently. Responsible for researching and resolving claims by identifying patterns. Successfully identified Medpage denials of Medicare non covered services that were pt resp, thereby reducing AR over 30K$ by working claims in bulk. Identified claims with notifications from Molina to the tune of over 40K$ that were not truly recouped, working with cash department reposting those payments. Effectively communicate with payor representatives to call out and identify claims issues.

• Assess and collect all patient and insurance payments, Re-file or appeal any denied medical claims. Coordinate appointment calendar Physician and Nurse appointments and procedures, enter coding information for billing, assess and collect insurance and private payments, process daily deposits.

• Manage multiple phone lines, Coordinate appointment calendar Physician and Nurse appointments and procedures, enter coding information for billing, assess and collect insurance and private payments, process daily deposits. Arrange and make ready charts, Notify patients with all pathology, lab and radiology results. Make any necessary referrals.