Tamika Boykin
Eatontown,New Jersey
Summary
Medical Billing Specialist with 8 years of professional experience, with expertise in conducting Medical Billing and filing Insurance Claims with Medicare, Medicaid, Commercial, No-Fault/Auto and Worker's Compensation carriers. Experience managing resolution of billing appeals as required by State regulated guidelines. Experience dealing with Appeals with regards to various insurance carriers including BCBS, Nationwide Insurance Company, Aetna, and Emblem Health. Experience working with AIG for 5 years as a Dental Claims Specialist. Excellent communication and interpersonal skills. Able to work in fast paced environment. Resourceful and highly motivated. Can be counted to get the job done without supervision. Highly dependable, punctual, and efficient.
Overview
24
24
years of professional experience
Work History
Patient Account Representative
Account Temps
01.2016 - Current
- Company Overview: Centra State Hospital
- Perform medical billing for Blue Cross, Blue Shield, Horizon New Jersey Health claims
- Enter 45 Codes on Inpatient and Outpatient claims
- Work on a variety of medical billing projects for continuous process improvements
- Review medical bill rates to ensure consistency
- Collaborate with insurance companies on denied claims
- Centra State Hospital
Quality Control Inspector
The Work Group
12.2014 - 04.2015
- Company Overview: Excelsior Medical
- Inspected and packed medical devices for the use of harmful substances
- Ongoing training to ensure safety and compliance
- Provide training to new employees
- Excelsior Medical
Medical Billing Specialist/ Representative
Dominion Medical Management
04.2010 - 11.2013
- Filed Insurance Claims to Medicare, Medicaid, Commercial, No-Fault/Auto and Worker's Compensation carriers
- Performed heavy customer service duties to ensure customer claims and concerns were handled in a timely manner
- Performed collections on aged residuals
Call Center Representative/Third party Administration
Empact EBS/Secova
10.2009 - 04.2010
- Company Overview: TPA
- Third party administration of employee benefits: including FSA balances, medical claims assistance/advice, and family status changes
- New Employee benefits enrollment, 401k enrollment, and managed open enrollment for employers
- Posted Medical Policy Premium payments daily
- Direct contact with payers for claim resolution on behalf of the claim
- Dealt with Insurance Benefits of patients and appropriately resolved it
- TPA
Sales Collections
Marketing Plus
05.2008 - 03.2009
- Check to ensure that appropriate changes were made to resolve customers' problems
- Refer unresolved customer grievances to designated departments for further investigation
- Solicit sales of new or additional services or products
- Contact prospective customers to present information and explain available services
- Prepare forms or agreements to complete sales
Dental Claims Specialist
American International Group
06.2000 - 09.2005
- Company Overview: AIG
- Identify and research problems and respond to customer concerns in a timely manner
- Ability to handle premium issues concerning claims
- Managed resolution of billing appeals as required by State regulated guidelines
- Act as liaison between insurer and plan administrator answering questions concerning benefits and eligibility issues
- Handle a heavy call volume100-125 calls per day
- AIG
Education
Bachelors - Labor Studies
RUTGERS UNIVERSITY
New Brunswick, NJ12.2016
Associate of Arts - Broadcasting
BROOKDALE COMMUNITY COLLEGE
Lincroft, NJ05.2008
Skills
- MS Word
- MS Excel
- Internet
- Medical Billing
- ICD-9 codes
- CPT
- HIPAA
- Knowledge of Medicaid
- Medical Claims
- Commercial
- No-Fault/Auto Claims
- Worker's Compensation Claims
Timeline
Patient Account Representative
Account Temps
01.2016 - Current
Quality Control Inspector
The Work Group
12.2014 - 04.2015
Medical Billing Specialist/ Representative
Dominion Medical Management
04.2010 - 11.2013
Call Center Representative/Third party Administration
Empact EBS/Secova
10.2009 - 04.2010
Sales Collections
Marketing Plus
05.2008 - 03.2009
Dental Claims Specialist
American International Group
06.2000 - 09.2005
Bachelors - Labor Studies
RUTGERS UNIVERSITY
Associate of Arts - Broadcasting
BROOKDALE COMMUNITY COLLEGE
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