Summary
Overview
Work History
Education
Skills
Certification
Assessments
Timeline
Generic

Tameka Crews

Denver,Colorado

Summary

Detail-oriented Medical biller offering 3 years of experience in related roles. Exceptional abilities in conducting research, problem-solving, and prioritizing simultaneous tasks. Leverages resourcefulness, critical thinking skills, and superior work ethic for top job performance.

Overview

14
14
years of professional experience
1
1
Certification

Work History

Billing Specialist, Verification Specialist

Planned Parenthood
02.2023 - Current
  • Reviewed and informed patients about credits and balances on their accounts
  • (NextGen)
  • Scrub and audit charts for corrections and completeness.(NextGen)
  • Research denied claims and prepared them for corrected claim status.
  • Reduced errors in financial records by conducting regular audits of billed accounts.
  • Handled account payments and provided information regarding outstanding balances.
  • Researched and resolved billing discrepancies to enable accurate billing.
  • Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
  • Verified the accuracy of accounts payable payments, resulting in a 60% reduction in payment errors and check reissues.

Medical Billing Specialist

Clinic Service Corporation
04.2021 - 01.2023
  • Completed appropriate documentation and system data entry regarding claim/encounter information.
  • Examined patients' insurance coverage, deductibles, insurance carrier payments, and remaining balances not covered under policies when applicable.
  • Collected payments and applied them to patient accounts.
  • Initiated insurance appeals for denials of payments for services rendered.
  • Prepared and submitted claims electronically using PMD(Pay My Doc)
  • Posted and adjusted payments from insurance companies.
  • Communicated with insurance providers to resolve denied claims and resubmitted.

Cleaning Technician

NewComb group
08.2020 - 06.2022
  • Performed inspections and maintenance on the facility.
  • Carried out deep sanitation to building and other particular cleaning tasks.
  • Performed deep-cleaning tasks for optimal sanitation levels in high-traffic areas.
  • Delivered quality customer service to address urgent needs and cleaning requests.
  • Used time management and efficient cleaning methods to meet deadlines.

Warehouse Technician

Caterpillar
01.2020 - 11.2020
  • Performed functions to check, receive, and verify accurate parts, locations, and quantities.
  • Conducted first-line basic quality assessments on parts for damage and defects.
  • Adhered to safety guidelines consistently, reducing workplace accidents significantly.
  • Collaborated with team members to achieve daily targets and maintain a high level of productivity.
  • Pulled and packed shipments to prepare for UPS, FedEx, and freight pickup.
  • Completed over 20 customer orders each day in a warehouse setting.

Tool Technician

Band-It
09.2016 - 12.2019
  • Primarily responsible for building and maintaining all IT air-powered tools.
  • Familiar with tool instruments and calibration devices.
  • Supported quality control initiatives by performing meticulous and thorough inspections of tools before deployment to job sites, ensuring the highest standards of quality.
  • Conducted comprehensive assessments of new tools, evaluating their effectiveness in meeting project requirements and making informed recommendations based on findings.
  • Provided consistent, high-quality customer service by ensuring all tools met established performance standards before use.
  • Improved tool performance by conducting regular maintenance and repairs on equipment.

Precertification Clerk

National Jewish
04.2014 - 07.2014
  • Ensured that prior authorizations are in order for scheduled procedures.
  • Verified insurance coverage in Affinity and Passport One Source.
  • Utilized strong multitasking skills to manage multiple priorities and tasks, ensuring timely completion of each assignment.
  • Interacted with customers by phone, email, or in-person to provide information.

Eligibility Specialist

Randstad/Maximums
10.2011 - 05.2013
  • Determined financial eligibility for government-funded health insurance.
  • Performed data entry and processed insurance applications accurately and timely with the EDMS system.
  • Updated the database to reflect changes in circumstances or eligibility status.
  • Reduced errors in eligibility determinations by maintaining thorough knowledge of program guidelines and regulations.
  • Resolved discrepancies with client applications to verify eligibility.
  • Processed and certified documents for accuracy and compliance with government regulations.

Call Center Representative

WellPoint Inc
09.2010 - 07.2011
  • Processed and analyzed prescription medication plans and benefits.
  • Multitasking phone lines and data entry.
  • Determined eligibility for covered medications.
  • Managed high call volumes while providing exceptional customer support and maintaining professional composure.

Education

Bachelor's degree - Healthcare Management

WGU
Salt Lake City, UT
07.2024

No Degree - Medical Billing & Coding

Penn Foster
Scottsdale, AZ
04.2021

Skills

    • EHR Systems
    • Medical Billing and Coding
    • Insurance Verification
    • Medical Terminology
    • Medical Office Experience
    • Revenue cycle management
    • Communication skills
    • Nextgen Enterprise PM, EHR/ Pay My Doc
      • Knowledge of CPT Codes and ICD-10
      • Medical Terminology
      • Comply with insurance standards and regulations
      • HIPAA Compliance
      • Billing systems and software
      • Invoice Processing
      • Claim submission
      • Month-end closing procedures

Certification

  • CCA, 04/01/21, 04/01/23, 244202
  • NHA CERTIFIED BILLING CODING SPECIALISTS, 12/01/21, 12/01/25, S9W6J6Q4
  • CBCS, Medical Coding Certification

Assessments

  • Protecting patient privacy, Proficient, 12/01/22, Understanding privacy rules and regulations associated with patient records
  • Administrative assistant/receptionist, Proficient, 10/01/22, Using basic scheduling and organizational skills in an office setting
  • Customer service, Proficient, 04/01/20, Identifying and resolving common customer issues
  • Medical billing, Proficient, 12/01/22, Understanding the procedures and forms used for medical billing

Timeline

Billing Specialist, Verification Specialist

Planned Parenthood
02.2023 - Current

Medical Billing Specialist

Clinic Service Corporation
04.2021 - 01.2023

Cleaning Technician

NewComb group
08.2020 - 06.2022

Warehouse Technician

Caterpillar
01.2020 - 11.2020

Tool Technician

Band-It
09.2016 - 12.2019

Precertification Clerk

National Jewish
04.2014 - 07.2014

Eligibility Specialist

Randstad/Maximums
10.2011 - 05.2013

Call Center Representative

WellPoint Inc
09.2010 - 07.2011

Bachelor's degree - Healthcare Management

WGU

No Degree - Medical Billing & Coding

Penn Foster
Tameka Crews