Tameka Starling

• Verifying payments by accessing multiple hospital systems.
• Entering data related to payments and accounts.
• Understanding and applying Coordination of Benefits rules.
• Closing and returning invoiced accounts upon resolution.
• Training other employees on specific systems.
• Researching and resolving claims for commercial health, Medicare, and Medicaid.
• Filing appropriate claim forms with insurance companies.
• Preparing documentation for billing and follow-up.
• Conducting follow-up activities to determine claim status.
• Responding to email and phone correspondence.
• Participating in training and professional development.
• Assisting with new employee training.
• Completing special reports and projects.
• Working with medical records and insurance company guidelines.
• Preparing and submitting appeal letters
• Increased revenue by streamlining billing processes and implementing effective collection strategies.

• Coordinated various aspects of real estate transactions such as inspections, appraisals, and financing arrangements, minimizing delays and challenges for clients.
• Built lasting relationships with clients through excellent communication, personalized service, and dedication to their needs.
• Developed strong knowledge of local market conditions, allowing for accurate pricing strategies and targeted marketing efforts.
• Enhanced client satisfaction with diligent follow-up after closing, ensuring a positive experience overall.

• Examined reports, accounts and evidence to determine integrity and accuracy of information.
• Worked productively in fast-moving work environment to process large volumes of claims.
• Assured timely verification of insurance benefits prior to patient procedures or appointments.
• Maintained strong knowledge of basic medical terminology to better understand services and procedures.
• Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.

This position was a contract role through the temporary service Tailored Management.

• Established rapport and relationships with patients and external partners to cross-train and support medical staff.
• Encouraged patients to schedule recommended tests and procedures.
• Connected patients with available community and charitable resources.
• Maintained confidentiality of patient data and condition at all times to safeguard health information.
• Sent and handled electronic requests for new medications and medication refills.
• Acted as main point of contact for patients, doctors and hospital staff by closely reviewing medical charts and maintaining high levels of communication.

• Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
• Used computer programs and registration systems to schedule patients for routine and complex procedures.
• Scheduled, rescheduled and handled cancelled appointments for patients.
• Obtained payments from patients and scanned identification and insurance cards.
• Checked patient data including insurance, demographic and health history to keep information current.

• Examined claims forms and other records to determine insurance coverage.
• Reconciled data in direct collection system with accounting system to address discrepancies.
• Documented all investigation activity and presented reports to management.
• Trained other claims staff members on proper handling and evaluation of injury claims.
• Substantiated legitimate claims and denied unjustified claims.