Summary
Overview
Work History
Education
Skills
Certification
Timeline
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Tamara Syas

Tamara Syas

Dallas,TX

Summary

Accomplished management professional, specializing in administration. Recognized for team building and team motivation. Able to manage multiple tasks, meet tight deadlines and increase player performance. A driven, self-starter who is adept at negotiation, decision-making, relationship building and getting results. Thorough Billing Specialist offers account management, account reconciliation, and invoicing expertise coupled with outstanding time management and data entry capabilities. Focused and meticulous professional with many years of comprehensive experience developing and sending bills to customers for services. Solid grasp of MS Office and ER software.

Overview

17
17
years of professional experience
1
1
Certification

Work History

Billing Coordinator

LIFESTANCE
Phoenix, AZ
02.2025 - Current
  • Completed documentation, reports and spreadsheets of financial information.
  • Input details into accounts and tracked payments.
  • Prepared accounts for financial audits and supported audit process.
  • Kept up-to-date with details of insurance plans and company requirements.
  • Applied organizational policies and complied with regulations for patient privacy.
  • Compared statements against patient files.
  • Processed refunds, disbursements, and payments.
  • Organized and maintained office supplies to promote team productivity.

BAYLOR SCOTT AND WHITE
Dallas, TX
02.2022 - Current
  • Successfully prevented timely filing issues by reviewing claims that needed to be corrected or filed with correct codes or billing modifiers
  • Accurately filed and processed 1st level and 2nd level appeals to various insurance companies with the proper supporting documentation
  • Correctly filed state appeals
  • Professionally handled insurance verification over the phone or online
  • Made numerous fee schedule look ups
  • Entered corrected claims online or mail in corrected claims
  • Contact insurance to ask questions about claims denials
  • Corrected held revenue and contractual adjustments, including offs
  • Processed prior authorizations
  • Assigned to handle and complete an aging report starting with the oldest claims to newest
  • Successfully prevented timely filing issues by reviewing claims that needed to be corrected or filed with correct codes or billing modifiers

Account Service Representative/Insurance Verification

HEARTPLACE
Phoenix, AZ
02.2008 - Current
  • Multitasked by answering inbound and outbound calls, while processing patient payments, as well as verifying insurances for future cases.
  • Once information was obtained, it was input into the system.
  • Handled both patient and insurance cases while mapping error reports.
  • Successfully organized daily activities and lesson plans.
  • Approved and backed-out patient refunds or adjustments.
  • Assigned and processed financial hardship applications, making determinations to approve or deny.
  • Accurately followed up daily with outstanding AIR, all types of payers, including self-pay, commercial, and worker's compensation.
  • Maintained positive account relationships through regular contact and knowledgeable service for every need.
  • Updated and maintained account records to adequately track current revenue and stay on top of communications.
  • Reviewed accounts regularly to assess adequacy of current coverage and identify sales opportunities.
  • Resolved account issues with strengths in research, problem-solving and solution development.
  • Completed documentation, reports and spreadsheets of financial information.
  • Input details into accounts and tracked payments.
  • Prepared accounts for financial audits and supported audit process.
  • Kept up-to-date with details of insurance plans and company requirements.

Billing Specialist

AIS HEALTHCARE
Dallas, TX
06.2020 - 05.2021
  • Recognizes patients' rights and responsibilities and supports them in the performance of job duties, respects patient's rights to privacy and confidentiality
  • Verifies collection accounts to ensure that all payments are accounted for and properly posted
  • Makes calls to troubleshoot payment discrepancies and establish resolution
  • Documents, in detail, phone calls, phone number, person spoken to, and call details on a consistent basis
  • (Who, What, When, Where & Why)
  • Consistently maximums reimbursement of claims
  • Resolves issues that created a denial within 5 days of receipt of denial
  • Collector makes good judgment calls regarding adjustments, credits, and refunds
  • Maintains a thorough understanding of NDC (National Drug Code) numbers, metric quantities, and knowledge of infusion supplies
  • Maintains a broad range of knowledge of insurance plans, medical terminology, billing procedures, government regulations, and medical codes
  • Share's knowledge gained with other staff members and works as a team member
  • Interacts with others in a positive, respectful, and considerate manner
  • Performs other job-related duties as assigned

A/R Billing Coordinator

MANACARE HEALTH
Farmers Branch, TX
05.2019 - 08.2020
  • Provide exceptional coding of inpatient and outpatient lab testing from operative reports by using ICD 10 and CPT codes, while applying modifiers when needed
  • Effectively research and resolve denied ERA rejections within standard billing cycle time frame
  • Collaborate with medical staff to ensure that the proper medical records were received for claim processing
  • Correct and resubmit laboratory claims denied by the insurance company
  • Properly scan and uploaded all test requisition forms, testing results, and medical records into LabGen
  • Appeal claims denied for medical necessity and deemed investigational
  • Professionally request diagnosis codes from the physician's office

A/R Specialist/Team Lead

CREDENCE MANAGEMENT SOLUTIONS
Dallas, TX
12.2018 - 02.2019
  • AR phone agent that professionally answered inbound calls from patients daily about their bills or Eob's they received from the insurance
  • Made professional outbound calls to patients to discuss their billing issues
  • Worked closely with co-pay assistance programs, to help patients get their medications
  • Processed credit card payments by phone or mail in from patients or insurance
  • Assisted patients with payment plans and assisted with patient disputes regarding their bills or insurance
  • Made daily fee schedule look ups
  • Processed Prior Authorizations
  • Sent claims back to rebilled for coding and billing issues
  • Process patient statements
  • Added and updated patient insurance so claims get paid correctly
  • Corrected held revenue to get all claims out to insurance with a clean claim
  • Assist other team members with help on the floor, helped resolved their issues with patients
  • Professionally handled irate calls from patients
  • Stepped in and assisted with other team members' assignments when requested

Billing Specialist

DME MEDICAL SUPPLIES
Richardson, TX
04.2018 - 04.2018
  • Assigned to handle and complete an aging report starting with the oldest claims to newest
  • Successfully prevented timely filing issues by reviewing claims that needed to be corrected or filed with correct codes or billing modifiers
  • Accurately filed and processed 1st level and 2nd level appeals to various insurance companies with the proper supporting documentation
  • Correctly filed state appeals
  • Professionally handled insurance verification over the phone or online
  • Made numerous fee schedule look ups
  • Entered corrected claims online or mail in corrected claims
  • Contact insurance to ask questions about claims denials
  • Corrected held revenue and contractual adjustments, including offs
  • Processed prior authorizations

A/R Specialist/Lab Collector

CERGIS BILLING
Dallas, TX
12.2014 - 03.2018
  • Followed up with accounts that were at least 120 days past due/outstanding with patients, professionally explaining insurance balances
  • Answered incoming calls about patient balances
  • Monitored accounts that needed follow up services within a certain time
  • Properly adjusted patient's accounts, to reflect how the insurance processed the claim
  • Read lab reports for patients, sending the information to physicians, receiving proper medication
  • Work all reports in a timely and efficient manner, meet all scheduled deadlines
  • Accurately filed appeals on insurance claims that were denied by insurance company
  • Correctly entered lab billing charges sent over by physicians
  • Assigned to handle and complete an aging report starting with the oldest claims to newest

Senior Account Representative

McKESSON MEDICAL – SURGICAL
Plano, TX
08.2010 - 12.2014
  • Followed up daily with outstanding A/R; all types of payers, including self-pay, commercial, as well as worker's compensation
  • Dealt with denials, finding successful resolutions
  • Properly handled all correspondence related to accounts that were received, i.e., contacting insurance carriers and/or other facilities as needed, to ensure a maximum payment result
  • Successfully identified issues or changes that needed to be addressed to achieve the best profitability for our client
  • Handled EDI transactions and ERA files, including reconciling carrier submissions, edits, and rejection reports
  • Called upon by management to perform special projects, which include researching multiple claims issues and bringing them to satisfaction
  • Accurately processed all secondary payers
  • Posted contractual adjustments and deductibles
  • Followed up with accounts that were at least 120 days past due/outstanding with patients

Education

Major - Criminal Justice

University of Phoenix
01.2016

Skills

  • Operations
  • Administration
  • Communication
  • Data and Analysis
  • Personnel Management
  • Training & Development
  • Leadership
  • Management
  • Project Management
  • Research
  • Dispute resolution
  • Audits
  • Accuracy and precision
  • Deadline oriented
  • Document review
  • Data entry proficiency
  • Billing cycle management
  • Billing dispute resolution
  • Attention to detail
  • Medical billing and collections
  • Decision-making
  • Denial management
  • Revenue cycle management
  • Claims processing
  • Insurance claim processing
  • HIPAA compliance
  • Problem-solving
  • Collections
  • Medical billing expertise
  • Insurance confirmation
  • Month-end closing procedures
  • Monthly billing management
  • Claim submission
  • Team collaboration
  • Customer service
  • Conflict resolution
  • Contract preparation

Certification

  • Sports Broadcasting, Sports Management Worldwide, Portland, Oregon, USA, 2022
  • Athlete Management, Sports Management Worldwide, Portland, Oregon, USA, 2022
  • Pharmacist Technician Certification, 2001
  • X-Ray Technician Certificate, 2000

Timeline

Billing Coordinator

LIFESTANCE
02.2025 - Current

BAYLOR SCOTT AND WHITE
02.2022 - Current

Billing Specialist

AIS HEALTHCARE
06.2020 - 05.2021

A/R Billing Coordinator

MANACARE HEALTH
05.2019 - 08.2020

A/R Specialist/Team Lead

CREDENCE MANAGEMENT SOLUTIONS
12.2018 - 02.2019

Billing Specialist

DME MEDICAL SUPPLIES
04.2018 - 04.2018

A/R Specialist/Lab Collector

CERGIS BILLING
12.2014 - 03.2018

Senior Account Representative

McKESSON MEDICAL – SURGICAL
08.2010 - 12.2014

Account Service Representative/Insurance Verification

HEARTPLACE
02.2008 - Current

Major - Criminal Justice

University of Phoenix

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Tamara Syas