Tamila K. Stafford
Kalamazoo,MI
Summary
Dynamic Medical Billing and Coding Specialist with extensive experience at Family Health Center, excelling in denial management and revenue cycle optimization. Proven ability to enhance patient financial outcomes through effective communication and problem-solving skills, ensuring compliance with HIPAA regulations while maintaining confidentiality and accuracy in billing processes.
Overview
28
28
years of professional experience
Work History
Medical Billing and Coding Specialist
Family Helath Center
Kalamazoo, Michigan
02.2026 - Current
- Submitted clean claims electronically to insurance carriers, facilitating timely payment processing.
- Reviewed denied claims and corrected coding errors, enhancing accuracy of resubmissions.
- Followed HIPAA guidelines and regulations to protect sensitive patient information.
- Maintained confidentiality of patient records by implementing secure storage practices. and billing details through strict confidentiality practices.
Patient Access Supervisor / R1
R1 RCM Inc.
Kalamazoo, Michigan
01.2016 - 11.2025
- Provided analytical expertise in revenue cycle management, identified workflow issues, communicated client problems, and escalated root cause issues. Reported and analyzed KPI metrics daily, weekly, and monthly, offering subject matter expertise to resolve issues.
- Managed business office functions, ensuring accuracy and efficiency with a strong customer and patient focus.
- Administered payroll, managed disciplinary actions, and trained staff on new process changes.
Patient Financial Specialist / R1
Borgess Medical
Kalamazoo, Michigan
01.2015 - 11.2025
- Verified patient insurance coverage and eligibility for Borgess Medical services.
- Facilitated patient applications for prior balances and charity care through MI.Gov, Medicaid, and other financial programs to ensure access to necessary healthcare services.
- Explained billing statements and payment options to patients and families.
- Processed patient payments and updated account balances in financial systems.
Insurance Billing Specialist/Patient Access Service Representative
Accretive Health
Kalamazoo, MI
01.2008 - 01.2015
- Billed facility and clinical claims for multiple hospitals, ensuring accuracy and compliance with insurance regulations, Investigated insurance claim denials to identify root causes, facilitating successful rebilling to insurance plans and assisting with patient balance billing, Registered patient demographic information, contributing to accurate patient records and streamlined billing processes
- Processed insurance claims within revenue cycle workflows for hospital patient accounts.
- Reviewed claim denials and routed appeals for corrected submission.
- Verified coverage and eligibility using payer portals and Accretive Health billing systems.
Billing Specialist
Frontier Healthcare
Charlotte, North Carolina
03.2014 - 12.2014
- Reviewed healthcare claims for Frontier Healthcare billing accuracy and completeness.
- Verified insurance coverage and benefits before claim submission.
- Posted patient payments and adjustments to billing accounts.
- Managed incoming patient calls for ambulatory surgery procedures, addressing billing inquiries and facilitating insurance provider rebilling.
Intake Specialist
Elizabeth Upjohn Community Healing Center
Kalamazoo, MI
01.2005 - 01.2008
- Managed client intake calls for community healing center behavioral health services.
- Scheduled intake appointments and coordinated follow-up visits with clinical staff.
- Collected demographic, insurance, and referral information during new client screenings.
- Verified benefits and pre-certified visits for mental health and substance abuse counseling, advocating for client linkage to appropriate programs.
Outreach and Emergency Utilization Worker
Family Health Center
Kalamazoo, MI
01.2004 - 01.2005
- Educated patients on scheduling clinical appointments, facilitating better access to care and aiming to decrease ER usage.
- Supported patient flow at family health center front desk and waiting areas.
- Prepared exam rooms with supplies, linens, and sanitation materials.
- Facilitated patient transport between exam rooms and waiting areas.
Member Service Team Leader
CBCA, Inc.
Kalamazoo, MI
01.1999 - 01.2004
- Supervised representatives, ensuring quality assurance and fostering individual development.
- Monitored representatives' call statistics to ensure adherence to company standards.
- Managed web-based correspondence with clients to address inquiries and provide support.
- Collaborated with upper management to develop and implement an employee recognition program.
Education
Associate's degree - Business Information
Davenport College
01-1990
Skills
- Healthcare Billing Software
- Claims processing
- Insurance Claims Management
- Denial management
- Insurance verification
- Accounts Receivable/Payable
- Revenue cycle oversight
- Revenue cycle
- Patient registration
- Problem resolution
- Communication
Accomplishments
- awarded $1000.00 bonus for boosting the insurance revenue as a supervisor in Emergency Room Borgess medical / R1 rcm's revenue above 50%
Timeline
Medical Billing and Coding Specialist
Family Helath Center
02.2026 - Current
Patient Access Supervisor / R1
R1 RCM Inc.
01.2016 - 11.2025
Patient Financial Specialist / R1
Borgess Medical
01.2015 - 11.2025
Billing Specialist
Frontier Healthcare
03.2014 - 12.2014
Insurance Billing Specialist/Patient Access Service Representative
Accretive Health
01.2008 - 01.2015
Intake Specialist
Elizabeth Upjohn Community Healing Center
01.2005 - 01.2008
Outreach and Emergency Utilization Worker
Family Health Center
01.2004 - 01.2005
Member Service Team Leader
CBCA, Inc.
01.1999 - 01.2004
Associate's degree - Business Information
Davenport College