Tamenko Green
Tuscaloosa,AL
Summary
Dynamic Medicaid Billing Specialist with a proven track record at Glen Haven Health and Rehabilitation, enhancing revenue recovery through process improvements and reducing claim denials. Skilled in ICD-10 coding and effective communication, I foster collaboration and maintain HIPAA compliance, driving organizational growth and ensuring accurate data entry for optimal billing operations.
Overview
18
18
years of professional experience
Work History
Medicaid Billing Specialist
Glen Haven Health and Rehabilitation
12.2017 - Current
- Processed Medicaid claims accurately and efficiently to ensure timely reimbursements.
- Resolved billing discrepancies by collaborating with healthcare providers and insurance representatives.
- Maintained updated knowledge of Medicaid regulations to ensure compliance in billing practices.
- Assisted in training new staff on billing software and Medicaid procedures to enhance team performance.
- Reviewed patient records for completeness, ensuring all necessary documentation was included for claims submission.
- Implemented process improvements that streamlined claim submissions and reduced denial rates.
- Monitored accounts receivable reports to identify trends and recommend corrective actions as needed.
- Coordinated with interdisciplinary teams to address billing inquiries and improve overall service delivery quality.
- Optimized data entry processes by utilizing software tools designed specifically for Medicaid billing purposes.
- Implemented quality control measures that reduced errors in claims submissions, leading to fewer rejections and increased reimbursements received from Medicaid agencies.
- Increased revenue recovery with timely follow-up on outstanding claims and appeals.
- Participated in continuous improvement initiatives aimed at enhancing overall billing operations within the department.
- Participated in ongoing professional development opportunities to stay informed of best practices and changes within the Medicaid billing landscape.
- Maintained up-to-date knowledge of Medicaid regulations, ensuring full compliance in all billing practices.
- Monitored accounts receivable aging reports closely, ensuring timely collection efforts were made on overdue balances.
- Supported management with ad hoc reporting requests related specifically to Medicaid reimbursement performance.
- Collaborated with healthcare providers to obtain necessary documentation for accurate billing and reimbursement.
- Assisted in training new team members, sharing expertise on efficient Medicaid billing processes.
- Reduced claim denials by proactively addressing potential issues prior to submission.
- Streamlined the billing process for improved efficiency through implementing better organization and filing systems.
- Regularly audited client records to ensure proper coding and adherence to state guidelines.
- Prevented revenue loss by quickly identifying trends or patterns in denied claims, taking corrective action accordingly.
- Contributed to a positive work culture through effective collaboration and open communication with peers and supervisors alike.
- Managed a high volume of cases while maintaining strict attention to detail and adhering to tight deadlines.
- Served as a reliable source of information for colleagues regarding changes to Medicaid policies or procedures, promoting a well-informed team environment.
- Conducted comprehensive research to resolve complex billing issues, securing proper payment for services rendered.
- Developed strong working relationships with Medicaid representatives, facilitating smooth communication and expedited problem resolution.
- Used data entry skills to accurately document and input statements.
- Responded to customer concerns and questions on daily basis.
- Handled account payments and provided information regarding outstanding balances.
- Audited and corrected billing and posting documents for accuracy.
- Collaborated with customers to resolve disputes.
Payroll Specialist
Glen Haven Health and Rehabilitation
12.2013 - 12.2017
- Processed payroll for employees, ensuring accuracy and compliance with state regulations.
- Assisted in maintaining employee records, updating changes in status and personal information.
- Coordinated with HR to resolve payroll discrepancies and address employee inquiries efficiently.
- Utilized payroll software to generate reports, track hours worked, and verify payment calculations.
- Implemented payroll process improvements, enhancing efficiency and reducing processing time.
- Assisted employees with inquiries regarding their paychecks, deductions, and other related issues, providing clear and concise communication.
- Provided customer service to employees regarding payroll inquiries and issues.
- Performed calculations in overtime, vacation, and sick hours to provide accurate data to payroll processing database.
- Verified and submitted timekeeping information for accurate and efficient payroll processing.
- Uploaded time records into computer system and made adjustments to create accurate database for payroll processing functions.
- Reduced payroll errors by conducting thorough audits and resolving discrepancies in a timely manner.
- Created new hire and termination documents for payroll.
- Maintained strict confidentiality of all payroll information and records.
- Managed payroll data entry and processing for Number employees to comply with predetermined company guidelines.
- Prepared year-end reports for W-2s and 1099s, ensuring accuracy and timeliness in tax filing.
- Maintained confidentiality of sensitive employee information while addressing payroll concerns or disputes.
Medical Records Clerk
Glen Haven Health and Rehabilitation
11.2010 - 12.2013
- Organized and maintained electronic medical records for accuracy and compliance.
- Processed patient admissions, discharges, and transfers efficiently using health information systems.
- Assisted healthcare providers with retrieval of patient information to support clinical decisions.
- Conducted regular audits of medical records to ensure data integrity and confidentiality standards.
- Collaborated with multidisciplinary teams to facilitate timely access to patient documentation.
- Supported quality assurance initiatives by identifying discrepancies in medical records management processes.
- Ensured HIPAA compliance by adhering to strict confidentiality guidelines when handling sensitive patient information.
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Scanned medical records in digital format for easy retrieval and accessibility.
- Maintained patient records systems by archiving, scaning and indexing important documents and files.
Certified Nursing Assistant
and Rehabilitation
10.2007 - 10.2010
- Supported nursing staff through maintenance of cleanliness and organization in patient areas.
- Assisted patients with daily living activities, prioritizing comfort and safety.
- Educated patients and families on health management practices and care procedures.
- Documented all patient care activities in electronic health records system accurately.
- Reported observed changes in patients' conditions to the healthcare team promptly.
- Implemented effective infection control measures to enhance safety standards.
Education
Associate of Science -
Skills
- Organizational growth
- Critical thinking
- HIPAA compliance
- Effective communication
- Patient confidentiality practices
- Adaptable to change
- Accurate data entry
- ICD-10 coding
- Strong analytical skills
- Continuous improvement mindset
Timeline
Medicaid Billing Specialist
Glen Haven Health and Rehabilitation
12.2017 - Current
Payroll Specialist
Glen Haven Health and Rehabilitation
12.2013 - 12.2017
Medical Records Clerk
Glen Haven Health and Rehabilitation
11.2010 - 12.2013
Certified Nursing Assistant
and Rehabilitation
10.2007 - 10.2010
Associate of Science -
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