Tammi Ross
Snellville
Summary
Healthcare Administrator and Revenue Cycle Management (RCM) Professional with extensive experience optimizing financial workflows and ensuring regulatory compliance. Demonstrated success managing multi-million-dollar portfolios and navigating complex insurance frameworks. Proven ability to enhance operations through collaboration and Continuous Quality Improvement methodologies.
Overview
39
39
years of professional experience
1
1
Certificate
Work History
Business Service Manager
WESLEY WOODS TOWERS
Atlanta
04.2023 - Current
- Financial Management: Direct all accounts receivable operations, including monthly resident billing, charge posting, account tracking, and adjustments for the community.
- HUD Compliance: Efficiently manage the HUD Manager/Trace Program, executing certifications, recertifications, and housing assistance vouchers in strict accordance with federal regulations.
- Account Reconciliation: Partner with the community Administrator to audit resident accounts monthly, process move-out refunds, and track Section 8 multi-year contract income/expenses.
- Client Relations: Serve as the primary financial liaison for residents and families, maintaining positive rapport and resolving complex account inquiries.
HHH Billing Specialist
AVEANNA HEALTHCARE
Atlanta
11.2021 - 04.2023
- Portfolio Management: Analyzed unbilled reports and researched claim rejections within payer portfolio to reconcile accounts receivable.
- Month-End Reconciliation: Led month-end financial reconciliations and updated payer rules to support collection efforts and achieve management metrics.
- Compliance: Ensured daily billing operations adhered to internal and external healthcare compliance guidelines.
Administrator
FAMILY FIRST HOSPICE COMPANY LLC
Atlanta
04.2021 - 11.2021
- State Survey Leadership: Coordinated office setup, preparation, and execution of State Survey, successfully navigating audit with state surveyor.
- Operations & Financial Oversight: Implemented effective accounting and budgeting systems to secure billing accuracy for a $5.3M accounts receivable portfolio, consistently resolving daily insurance denials using Unity and HEAT systems.
- Talent Management: Managed recruitment, onboarding, employee assessments, HR documentation, and job-specific philosophy training for new hires while administering disciplinary actions.
Human Resources Onboarding Specialist
ORTHO SPORT AND SPINE PRACTICE
Atlanta
01.2021 - 04.2021
- Onboarding & Orientation: Led end-to-end new hire experience, conducting facility tours, processing compliance paperwork, and coordinating technical assistance to ensure smooth transition for new employees.
- Training Coordination: Oversaw employee training progress, provided on-the-job instruction, and communicated company regulations, schedules, and initial tasks to facilitate effective onboarding.
Administrator
LANIER HOSPICE
Buford
08.2020 - 11.2020
- Executive Leadership: Directed daily hospice operations, staff recruitment, and policy enforcement, mirroring core administrative and compliance responsibilities held at Family First Hospice.
- Contract & Budget Management: Negotiated corporate contracts, monitored annual budget hours to prevent overages, and used statistical data to audit the quality and efficiency of healthcare services.
Executive Specialist
HEAVENLY HANDS HOSPICE LLC
Smyrna
11.2018 - 11.2020
- Revenue Recovery: Recouped $20k in written-off Medicare revenue and managed weekly accounts receivable calls with an outsourced billing vendor to resolve edits and denials.
- Coordinated credentialing for major providers (Tricare, Humana, Cigna, Aetna), secured pre-authorizations, and submitted appeals for overlapping billing to ensure timely reimbursements.
- Structured patient care plans, audited nursing documentation for monthly billing, monitored 60/90-day recertification eligibility, and facilitated weekly interdisciplinary group meetings to enhance care coordination.
ARD Medicare Appeals/Denials Specialist
HOLLIS COBB AND ASSOCIATES
Duluth
11.2017 - 11.2018
- Audited hospital accounts for coding accuracy and payment compliance, adjusted claims using Direct Data Entry (DDE), and appealed denials to achieve zero balance in outstanding queues.
- Ensured compliance with Federal, State, and HIPAA regulations across commercial, no-fault, and worker's compensation billing.
Medicare/Commercial Collector
Kindred Hospice
Marietta
05.2014 - 11.2017
Patient Care Secretary / Medical Records Coordinator
Gentiva Hospice
Atlanta
01.2011 - 01.2014
COB / Subrogation Analyst (Federal Employee Programs)
Blue Cross Blue Shield of Florida
Jacksonville
01.1996 - 01.2010
Medicare Part B Customer Service Representative
Blue Cross Blue Shield of Florida
Jacksonville
01.1988 - 01.1996
Education
Master of Business Administration (MBA) -
University of Phoenix
Atlanta, Ga.Skills
- Financial & Revenue Management: Revenue Cycle Management (RCM), Accounts Receivable (A/R), Cash Posting, Bad Debt Revenue Recovery, Credit Balances & Refund Overpayments, Budgeting, Portfolio Auditing
- Billing, Claims & Coding: Medical Claims CMS-1500 / UB-04, Timely Filing, Clearinghouse EDI Operations, Insurance Verification, Authorizations, HCPCS/CPT (40000 series), ICD-10-CM Coding, Revenue Codes (06510656), Tax ID & NPI
- Healthcare & Enterprise Software: MedAssets Revenue Solutions (XClaims), Concuity Payment Integrity, Healthcare First, Cerner Imaging, McKesson-Horizon Hospice, Medicare DDE Systems / Ability Ease Medicare, AS 400, MS Project, Excel
- Operational Excellence: State Survey Preparation, Team Leadership, Process Optimization, Six Sigma Yellow Belt
Timeline
Business Service Manager
WESLEY WOODS TOWERS
04.2023 - Current
HHH Billing Specialist
AVEANNA HEALTHCARE
11.2021 - 04.2023
Administrator
FAMILY FIRST HOSPICE COMPANY LLC
04.2021 - 11.2021
Human Resources Onboarding Specialist
ORTHO SPORT AND SPINE PRACTICE
01.2021 - 04.2021
Administrator
LANIER HOSPICE
08.2020 - 11.2020
Executive Specialist
HEAVENLY HANDS HOSPICE LLC
11.2018 - 11.2020
ARD Medicare Appeals/Denials Specialist
HOLLIS COBB AND ASSOCIATES
11.2017 - 11.2018
Medicare/Commercial Collector
Kindred Hospice
05.2014 - 11.2017
Patient Care Secretary / Medical Records Coordinator
Gentiva Hospice
01.2011 - 01.2014
COB / Subrogation Analyst (Federal Employee Programs)
Blue Cross Blue Shield of Florida
01.1996 - 01.2010
Medicare Part B Customer Service Representative
Blue Cross Blue Shield of Florida
01.1988 - 01.1996
Master of Business Administration (MBA) -
University of Phoenix
Certification
Six Sigma Introduction & Six Sigma Yellow Belt Certification
Certifications And Education
Master of Business Administration, University of Phoenix, 10/01/10
Professional Accomplishments
- Successful completion of Continuous Quality Improvement (CQI) Principles and tools.
- Extensive knowledge of insurance terms and products (PPO, Traditional, Medicare, etc.) that includes thorough understanding of provider payment programs and billing practices.
- Successful completion of E Yellow Belt training.
- Completion of Six Sigma Introduction.
EDUCATION & PROFESSIONAL TRAINING
Professional Development: Continuous Quality Improvement (CQI) Principles and Tools Training