Professional Summary
Overview
Work History
Education
Skills
Certification
Awards
Additional Information
Timeline

Tamika Wilhite

Contemporary Womens Health
Knoxville,TN
1
Certification
7
years of professional experience

Motivated professional with experience in medical billing and coding for three years.,Involved in medical collections for three years.,Supported data entry tasks for over five years, utilizing intergy and EHR applications and handling patient information while providing customer service and patient care.

Work History

Medical Billing and Coding Specialist

2 Years 3 Months
Contemporary Womens Health | 05.2024 - Current
  • Reviewed and coded medical records for accuracy and compliance with regulatory standards.
  • Collaborated with healthcare providers to resolve coding discrepancies and improve documentation quality.
  • Maintained strict confidentiality in accordance with HIPAA regulations, ensuring secure storage and handling of sensitive patient information.
  • Collaborated with healthcare providers to clarify documentation, enhancing the accuracy of medical records.
  • Processed medical claims accurately, ensuring compliance with billing regulations and policies.
  • Managed patient accounts, resolving discrepancies and addressing billing inquiries promptly.
  • Collaborated with healthcare providers to gather necessary documentation for claim submissions.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Posted and adjusted payments from insurance companies.
  • Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
  • Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
  • Self-motivated, with a strong sense of personal responsibility.

Drug and Alcohol Technician

1 Year
Kingdom Recovery | 05.2023 - 05.2024
  • Kingdom recovery I was a drug, alcohol, and mental health technician
  • I worked closely with patients
  • Working step and plans to get them to where they needed to be in life and in the recovery
  • Distribute medicines
  • Help get jobs
  • Teaching patients how to create healthy behaviors and teaching life skills
  • Scheduling
  • Payment posting
  • Scheduling meetings and coronating applications

Medical Collections Specialist

3 Years 1 Month
Account Resolution Team | 01.2020 - 02.2023

• maintained accounts for patients as well as verifying insurances, personal, medical and billing information

• Discussing date of service, course of treatment, procedure codes with clients.

• Being well organized in a busy office setting while corresponding with 200-260 patients daily via phone or email

• Receiving/cold calling 200-360 calls a day, while multitasking checks, forms, and verification's.

• Helping patients with online portals and check by phone to resolve large accounts

• Discussing and planning steps to resolve medical bills

• Working strictly in HIPPA standards daily

• Filing information to patients personal attorney and if/why they had to obtain an attorney

• Payment posting, filing insurance, and account closings.

• Filing and correcting insurance claims for patients and third party clients

• Corresponding with place of employments to verify working patients activity

• Corresponding with insurance, attorneys, credit burrows to verify patient/account information via email, fax, and

outgoing/incoming calls

• This Job did include compensation, anywhere from 30,000 to my personal best 55,000 in collections. Each office goal

had a small bonus attached with it.

• Data entry

Education

High school diploma

Jefferson County High School

Nursing - 15 credit hours of college

Walters State Community College | Dandridge, TN

Skills

Customer inquiry handling
Conflict resolution
Data entry
Medical terminology
Organizational skills
Medicare
Health insurance authorizations
ICD-10
Computer skills
Attention to detail
Insurance verification
Insurance medical billing
Revenue cycle management
Medical records
EMR systems
HIPAA
CPT coding
Accounts receivable
Call center
Insurance claims appeal handling
Customer relationship building
Strategic planning
Delegation
On-the-job training (training delivery method)
Electronic health records (EHR) manage me t
Self-directed learning
Maintaining patient confidentiality
Insurance prior authorization

Certification

  • OSHA General Industry Safety and Health February 2019 to Present I have successfully completed a 10 hour occupational safety and health training course in General industry safety and health.
  • Driver's License
  • First Aid Certification
  • CNA
  • CPR Certification

Awards

Lowell Luther woods scholarship May 2019 This was awarded to me a year ago. It was a competitive award. I was in this competition with 12 other students and only four of us got to be picked. I’m very proud of this award. I worked very hard to achieve this award.

Additional Information

Authorized to work in the US for any employer

Timeline

Medical Billing and Coding Specialist

Contemporary Womens Health
05.2024 - CurrentRead More

Drug and Alcohol Technician

Kingdom Recovery
05.2023 - 05.2024Read More

Medical Collections Specialist

Account Resolution Team
01.2020 - 02.2023Read More

Walters State Community College

Nursing from 15 credit hours of college
Read More

Jefferson County High School

High school diploma
Read More
Tamika Wilhite