Summary
Overview
Work History
Education
Skills
Competenciesandskills
Priorexperience
Educationcertificationsandtraining
Careerhighlightsandachievements
Timeline
Generic

Tamara Smith

Clover,SC

Summary

Highly resourceful, proficient, and solutions-oriented Revenue Cycle Specialist with extensive experience in client relationship management, accounts receivable/payable, medical billing/coding, and office administration. Recognized for strong commitment to business priorities, organizing financial data, prioritizing projects, and driving process improvement. Vastly adept at improving operational billing and coding processes and creating effective solutions for patient/client issues. Ultimate goal is to expand career brand and secure a position to utilize expertise and experience for value and achievement of business objectives. Experienced Credit Manager with in-depth knowledge of creditworthiness and document review. Highly effective at optimizing credit policies to balance profit and loss.

Overview

25
25
years of professional experience

Work History

Credit Balance Specialist

Savista
02.2024 - Current
  • Responsible for credit balances, undistributed payments and requests for refunds
  • Conducts timely and accurate review of undistributed payments, overpayments, credits and requests for refunds in the patient accounting system.

Credit Balance Analyst

Huron Consulting Group
10.2022 - 01.2024
  • Responsible for timely research and resolution of insurance credit balances on highly complex cases
  • Performs necessary functions to refund overpayments from insurance carriers within 30 days of receipt.

Revenue Cycle Specialist

Kintegra Health
08.2019 - 10.2022
  • Serve as a liaison between the insurance companies and the Kintegra Health medical office in regard to pre-authorizations, billing, collections, and client relations.

Insurance Follow Up/Claim Edits

Parallon
10.2018 - 02.2019
  • Oversaw all aspects of follow up and collections by managing and maintaining desk inventory, completing reports, and resolving high priority and aged inventory.

Medical Support Assistant/Scheduler

Joel Health Clinic/Womack Army Medical Center (DOBH)
06.2016 - 06.2017
  • Managed and accurately maintained schedules for 4 Behavioral Health Physicians and 8 Behavioral Health School Based Social Workers.

Medical Support Assistant

Clark Clinic/Womack Army Medical Center
08.2015 - 06.2016
  • Accountable for overseeing all administrative activities including recordkeeping and miscellaneous clerical duties within the ambulatory settings.

Medical Support Assistant

Womack Army Medical Center/Department of Defense (DODH)
11.2012 - 08.2015
  • Oversaw office operations including, scheduling appointments, overseeing billing procedures, collecting patient information, ordering office supplies.

Emergency Room Coder

Southwestern Medical Center
01.2010 - 01.2012
  • Accurately coded all Emergency Department services including ensuring healthcare providers meet specific documentation requirements.

In Patient Rehab Coder/Biller

Health South Inpatient Rehab/LTAC
01.2008 - 01.2010
  • Achieved objectives by accurately coding inpatient rehab, outpatient pain management, and pediatric rehab services.

Regional Account Manager

Aim Health Care Services
01.2006 - 01.2008

Emergency Room Coder/Biller

Holy Spirit Hospital - Camp Hill, PA
01.2004 - 01.2006

Patient Account Representative/ Medical Claims, Billing, Follow Up, Collections

Select Medical
01.2000 - 01.2004

Education

Associate of Arts - Health Information

Columbia Southern University
Orange Beach, AL
01.2022

Skills

  • Healthcare Revenue Cycle
  • Accounts Receivable
  • Financial Data Analysis
  • Invoicing/Bookkeeping Systems
  • Auditing Financial Records
  • Coding CPT, ICD-10 CM
  • Medical Coding and Billing
  • Medical Insurance
  • Health Insurance Providers
  • Data Confidentiality and Privacy
  • Workflow Management
  • Process Improvement
  • Staff Training and Development

Competenciesandskills

  • Strategic Planning
  • Medical Terminology
  • Relationship Building
  • Effective Communication
  • Medical Coding Understanding
  • Client Relationship Management
  • Complex Problem Solving
  • Medical Code Accuracy
  • Collaborative Teamwork
  • Epic and Microsoft Excel

Priorexperience

  • Regional Account Manager, Aim Health Care Services, 01/01/06, 12/31/08
  • Emergency Room Coder/Biller, Holy Spirit Hospital - Camp Hill, PA, 01/01/04, 12/31/06
  • Patient Account Representative/ Medical Claims, Billing, Follow Up, Collections, Select Medical, 01/01/00, 12/31/04

Educationcertificationsandtraining

  • Associate in Science (AS) in Health Information Management, Columbia Southern University, Orangeburg, SC, 01/01/22
  • South Carolina Notary Public

Careerhighlightsandachievements

  • Kintegra Health, Acknowledged for partnering with colleague and serving as a primary role for creating and training a covid relief billing team, which resulted in 4 million dollars of revenue to our facility.
  • Kintegra Health, Maximized efficiency and growth by providing assistance to our credentialing department, which resulted in receiving 80+ facilities and providers credentialed for the Medicaid Managed Care Transformation.

Timeline

Credit Balance Specialist

Savista
02.2024 - Current

Credit Balance Analyst

Huron Consulting Group
10.2022 - 01.2024

Revenue Cycle Specialist

Kintegra Health
08.2019 - 10.2022

Insurance Follow Up/Claim Edits

Parallon
10.2018 - 02.2019

Medical Support Assistant/Scheduler

Joel Health Clinic/Womack Army Medical Center (DOBH)
06.2016 - 06.2017

Medical Support Assistant

Clark Clinic/Womack Army Medical Center
08.2015 - 06.2016

Medical Support Assistant

Womack Army Medical Center/Department of Defense (DODH)
11.2012 - 08.2015

Emergency Room Coder

Southwestern Medical Center
01.2010 - 01.2012

In Patient Rehab Coder/Biller

Health South Inpatient Rehab/LTAC
01.2008 - 01.2010

Regional Account Manager

Aim Health Care Services
01.2006 - 01.2008

Emergency Room Coder/Biller

Holy Spirit Hospital - Camp Hill, PA
01.2004 - 01.2006

Patient Account Representative/ Medical Claims, Billing, Follow Up, Collections

Select Medical
01.2000 - 01.2004

Associate of Arts - Health Information

Columbia Southern University
Tamara Smith