Tami Swinney-Gilliam
Saratoga,TX
Summary
Competent Home Health, Hospice and Physician biller with many years of experience in handling a wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices.
Overview
21
21
years of professional experience
Work History
Medical Billing Coordinator and Specialist
Harbor Healthcare System
04.2011 - 07.2016
- Increased revenue collection by diligently following up on outstanding payments and negotiating payment plans with patients when necessary.
- Verified insurance of patients to determine eligibility.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Ensured compliance with industry regulations by staying current on changes in medical coding guidelines and maintaining accurate records.
- Filed and updated patient information and medical records.
- Contributed to the development of best practices for medical billing operations, ensuring consistency across all departments within the organization.
- Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
- Utilized various software programs to process customer payments.
- Used data entry skills to accurately document and input statements.
- Liaised between patients, insurance companies, and billing office.
- Coordinated with clinical teams to ensure proper documentation was received for accurate coding and claim submissions, reducing delays in reimbursements.
- Audited and corrected billing and posting documents for accuracy.
- Reduced claim denials and rejections by conducting thorough audits and addressing discrepancies prior to submission.
- Collaborated with insurance providers to expedite claims processing and secure timely payments for services rendered.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Identified areas for process improvement within the billing department, leading to increased productivity among team members with the Home Health Agency.
- Generated monthly billing and posting reports for management review.
- Posted payments and collections on regular basis.
Home Health Medical Biller and Office Manager
Angels Above Us HomeHealth
09.2007 - 04.2011
- Streamlined billing processes by implementing efficient procedures to improve accuracy and reduce errors.
- Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
- Trained new team members in medical billing software, increasing efficiency within the department.
- Organized filing system for patient records, expediting access to essential documents when needed.
- Verified insurance of patients to determine eligibility.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Filed and updated patient information and medical records.
- Responded to customer concerns and questions on daily basis.
- Streamlined office operations by implementing efficient filing systems and organizational strategies.
- Coordinated office events and meetings, ensuring timely execution and optimal scheduling for all participants.
- Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
- Answered all incoming patient calls, distributed to departments as needed if unable to assist.
- Served as a liaison between upper management and staff members, facilitating open channels of communication to address concerns or issues promptly.
- Oversaw facility maintenance requests, coordinating with building management to address repairs or improvements efficiently.
Receptionist and Claims Denial Coordinator
Eye Center Of East Texas
05.2002 - 06.2006
- Streamlined front desk operations for increased efficiency by effectively managing phone calls, emails, and walk-in clients.
- Maintained a well-organized reception area with updated materials, contributing to a welcoming environment for visitors.
- Improved appointment scheduling system, reducing wait times and increasing client satisfaction.
- Provided administrative support to staff members by handling correspondence, filing documents, and managing office supplies inventory.
- Contributed to team success by cross-training in various administrative roles, providing backup support when necessary.
- Demonstrated strong multitasking abilities while managing numerous tasks simultaneously under tight deadlines.
- Supported office efficiency by performing clerical tasks such as data entry, photocopying, scanning, and faxing documents.
- Cultivated positive relationships with clients through professional demeanor and excellent interpersonal skills.
- Handled sensitive information with discretion while maintaining strict confidentiality standards.
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Confirmed appointments, communicated with clients, and updated client records.
- Kept reception area clean and neat to give visitors positive first impression.
- Answered phone promptly and directed incoming calls to correct offices.
- Responded to inquiries from callers seeking information.
- Made appointments for all patients new and established.
- Corresponded with clients through email, telephone, or postal mail.
- Handled cash transactions and maintained sales and payments records accurately.
- Maintained confidentiality of information regarding clients and company.
- Answered central telephone system and directed calls accordingly.
- Called on all denied claims, corrected and resubmitted for payment.
- Assisted coworkers with in office surgery procedures, triage, and optical purchases.
Data Entry
Southwestern Consolidated Directories
06.1995 - 11.1998
- Managed time efficiently in order to complete all tasks within deadlines.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Demonstrated creativity and resourcefulness through the development of innovative solutions.
- Strengthened communication skills through regular interactions with others.
- Paid attention to detail while completing assignments.
- Developed and maintained courteous and effective working relationships.
- Excellent communication skills, both verbal and written.
- Completed paperwork, recognizing discrepancies and promptly addressing for resolution.
Receptionist Coordinator
Tejas Land Company
08.1997 - 08.1998
- Enhanced customer satisfaction by efficiently managing a high volume of incoming calls and greeting clients in a professional manner.
- Optimized organizational systems for payment collections, AP/AR, deposits, and recordkeeping.
- Expedited problem resolution for dissatisfied customers by escalating concerns to appropriate managers or supervisors when necessary.
- Managed confidential information with discretion while processing sensitive documents such as employment applications or financial records.
- Generated monthly water company invoices.
- Assisted with land deeds.
Education
No Degree - Medical Billing/Office
Metro Business Academy
Amarillo, TX01.1994
No Degree - Business
Clarendon Junior College
Clarendon, TX12.1984
Skills
- Electronic Claims
- Kinnser Software and various others
- Insurance Verificaiton
- Medical Billing
- Deadline Adherence
- Claims review
- Commercial and Private Insurance
- Medical coding knowledge
- Insurance Claims
- A/P and A/R expertise
Timeline
Medical Billing Coordinator and Specialist
Harbor Healthcare System
04.2011 - 07.2016
Home Health Medical Biller and Office Manager
Angels Above Us HomeHealth
09.2007 - 04.2011
Receptionist and Claims Denial Coordinator
Eye Center Of East Texas
05.2002 - 06.2006
Receptionist Coordinator
Tejas Land Company
08.1997 - 08.1998
Data Entry
Southwestern Consolidated Directories
06.1995 - 11.1998
No Degree - Medical Billing/Office
Metro Business Academy
No Degree - Business
Clarendon Junior College
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