TAMMIE HUDSON
Mobile,AL
Summary
Dedicated and results driven Specialist Level II with 12+ years in Healthcare, Finance, and Human Resources. Proven track record of providing exceptional service and leadership, implementing new processes, exceeding metrics, strategic problem solving abilities, and attention to detail. Possesses excellent communication skills, both verbal and written. Seeking to leverage expertise and drive for excellence to contribute to the success of this dynamic organization.
Overview
19
19
years of professional experience
Work History
Insurance Customer Service Representative II
Ttec (TeleTech) - HealthCare Solutions
10.2023 - Current
- Answered incoming phone calls to articulate product value to prospective customers and support current policyholders.
- Reviewed and adjusted customer coverage levels to address, identify, and resolve customer conflicts.
- Documented customer interactions and transactions for accurate, up-to-date records.
- Processed insurance policy cancellations and renewals quickly to meet call time targets.
- Set up customer payment plans to cover annual policies and renewals.
- Maintained confidentiality of patient finances, records, and health statuses.
- Collected premiums and issued accurate receipts.
- Communicated verification and authorization status updates to facilitate decision-making for patient admissions and insurance coverage.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Calculated adjustments, premiums and refunds.
- Prepared insurance claim forms or related documents and reviewed for completeness.
Sleep Supply Coding Specialist
Apria Healthcare
08.2021 - 09.2023
- Serve as primary patient point of contact for inbound and outbound sales/service calls, identifying patient needs
- Assigned appropriate codes to diagnosis, durable medical equipment orders, and services
- Collaborated with billing staff and healthcare providers to resolve coding related issues and ensure timely reimbursement
- Confirm accuracy of patient's eligibility and medical information to effectively facilitate order fulfillment
- Accurately processes orders, returns or incorrect orders by working through complex systems and processes
- Utilized coding software and tools to streamline coding processes and increase productivity
- Initiate product return and order cancellation when medical equipment is no longer needed
- Provide conflict resolution when issues arise to ensure patient and client retention and avoid issue escalation.
Account Servicing Specialist
Capital One/Sykes Work at Home
02.2020 - 08.2021
- Diagnose and resolve issues with product functionality
- Reported issues through appropriate channels within company
- Provided assistance with locating prior years' return to print or save
- Assisted with product purchase and recommendations according to customer need
- Provide excellent customer service via phone, email, virtual fax, and chat platform
- Operational support for product refund processing, debt reconciliation, debt validation, and payment arrangement where applicable.
Mac IT Specialist Training Mentor
Kelly Services/Apple, Inc.
03.2017 - 01.2020
- Effectively communicated (verbal & written) information with team members and customers
- Mentoring new hire employees during nesting phase of training
- Diagnosed provided a path to resolving various technical issues
- Reported issues through the appropriate channel
- Provided data recovery and data backup for the customers and businesses
- Process payments for new products and replacement parts outside of warranty
- Remote assistance with technical issue resolution.
HR Benefits Coordinator Administrator
Southern AG Carriers, Inc
10.2014 - 10.2016
- Administer various employee insurance benefits programs, such as group health, dental and vision, accident and disability, life insurance, and wellness benefits
- Establish payroll deductions for all employee insurance coverage, processing payments for missed premiums
- Maintain employee benefits filing systems and ensure benefits changes are entered into database
- Provide patient education regarding how to understand their Explanation of Benefits
- Review and respond to unemployment claims with appropriate documentation
- Review monthly unemployment statements
- Assist with building health, dental, vision, and disability plan rates and fee schedules into the contracting database
- Coordinate Disability claims with third-party administrators and follow up on claims submitted
- Assist HR Director by obtaining statistics and information in the renewal process for health, life and retirement plans
- Host new hire orientation meetings designed to help employees obtain information and understand company benefits and other employment related incentive programs
- Prepare and mail claims to the insurance carriers and or upload documents to other billing platform
- Reconciling company Health Insurance bill invoices and remitting payment on corrected statements
- Host Annual Open Enrollment for Benefits and reviewing employee submissions for accuracy prior to group submission.
Data Integrity Specialist Auditor
Turner Job Corps Center
07.2012 - 10.2014
- Conduct quarterly audits for active and separated students accounts to ensure adherence to state and federal ordinances
- Monitors and maintains current inventory quarterly
- Provide support to other department personnel by responding to requests for information and assistance
- Reconciles discrepancies in inventories and notifies supervisors of irregularities
- Generate reports, spreadsheets, and forms
- File correspondence in alphabetical order according to subject matter.
Customer Service Representative II
Teleperformance USA
01.2011 - 08.2012
- Professionally resolve customer questions, complaints, and billing inquiries
- Collecting revenues and making credit adjustments when appropriate to retain business
- Handling business transactions in connection with activation of new customer accounts
- Establishing payment arrangements when original due date of invoice was not kept
- Quality and accuracy auditing of client calls to ensure team metric adherence.
Certified Patient Access Specialist
Phoebe Putney Memorial Hospital
06.2005 - 11.2010
- Pre-Registration for outpatient surgical procedures and securing co-payments in advance
- Collecting copays, deductibles, and outstanding debts for services rendered or establishing payment arrangements for outstanding balances
- Printing insurance documents, collecting electronic signatures, faxing insurance and progress notes for prior authorization
- Review and analysis of outpatient failed bill reports to locate and reconcile erroneous coding entry to recover delayed monetary compensation by insurance payers for services rendered
- Answering inbound and making outbound calls to schedule surgical procedures on Outpatient/Inpatient basis
- Perform ongoing analysis of medical record charts for the appropriate coding compliance and patient demographics
- Chronological record keeping of Physicians orders, clinical progress notes, and insurance prior authorization documents
- Appointment Scheduling for Inpatient/Outpatient medical procedures and follow-up visits
- 10-key entry, CPT, HCPC Medical coding of inpatient/outpatient surgical procedures and diagnostic testing
- Obtain prior-authorization for services rendered to ensure timely services and payor reimbursements for services rendered.
Education
B.S. Global Business Management -
Strayer University
High School Diploma -
Albany High School
Skills
- Relationship Management Skills: I will lead with confidence when addressing and resolving issues or conflicts I will use strong problem solving skills to identify root causes, propose solutions, and work diligently with others to reach mutually beneficial outcomes I will maintain the integrity and core values of the company at all times
- Strategic Mindset: I will analyze client feedback, market trends, and industry best practices to identify areas for improvement and implement effective strategies to enhance the client experience I will collaborate with cross-functional teams to align business objectives with client needs I will build trust and reinforce the importance of teamwork by being reliable to the team and industry of which I serve at all times
- Customer Service Experience: With a solid background in customer service, I understand the importance of building strong relationships with clients I will leverage my experience to develop strategies and processes that enhance the overall client experience and exceed their expectations
- Attention to Detail
- Critical Thinking
- Effective Communication
- Policy Understanding
- Performance Monitoring
References
Available upon request
Timeline
Insurance Customer Service Representative II
Ttec (TeleTech) - HealthCare Solutions
10.2023 - Current
Sleep Supply Coding Specialist
Apria Healthcare
08.2021 - 09.2023
Account Servicing Specialist
Capital One/Sykes Work at Home
02.2020 - 08.2021
Mac IT Specialist Training Mentor
Kelly Services/Apple, Inc.
03.2017 - 01.2020
HR Benefits Coordinator Administrator
Southern AG Carriers, Inc
10.2014 - 10.2016
Data Integrity Specialist Auditor
Turner Job Corps Center
07.2012 - 10.2014
Customer Service Representative II
Teleperformance USA
01.2011 - 08.2012
Certified Patient Access Specialist
Phoebe Putney Memorial Hospital
06.2005 - 11.2010
B.S. Global Business Management -
Strayer University
High School Diploma -
Albany High School
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