Tammie L. Feiner
San Antonio,TX
Summary
Experienced Billing Office Management and Administration Professional with 15 years of experience optimizing productivity, efficiency and service quality across various environments. Highly dependable, ethical and reliable support specialist and leader that blends advanced organizational, technical and business acumen. Works effectively with cross-functional teams in ensuring operational and service excellence.
Overview
19
19
years of professional experience
Work History
Insurance Verification Specialist
Hackensack Meridian Health
Hackensack, NJ
04.2017 - Current
- Verified insurance coverage and obtained pre-authorizations.
- Educated patients about surgeries and provided treatment plan documentation.
- Reviewed medical histories and current information to provide accurate information to surgeons.
- Confirmed patient appointments day before scheduled.
- Affirmed or denied coverage fairly based on thorough investigations.
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Investigated Claims, gathering information from diverse sources and delivering comprehensive reports.
- Assisted legal team in defending company against guilty parties.
- Followed up with customers on unresolved issues.
- Carried out administrative tasks by communicating with clients, distributing mail and scanning documents.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Medical Billing Manager /Claims Processor/Surgical,Coordinator
Blue River Women’s Healthcare
Paterson, NJ
03.2010 - 03.2017
- Analyze claims to determine extent of company’s liability, make approval or denial decisions and negotiate settlements with claimants in accordance with policy provisions.
- Collaborate with insurance agents and interview claimants to correct errors, rectify omissions and investigate questionable issues Payment Applications, Refunds.
- Outcomes: Completed more than 1,500 claims throughout tenure.
- Provided optimum service to Patients, Selected by supervisor to assist with file closures; resolve complex claims-processing issues; participate in quality-control audits; and monitor claim status updates.
- Maintained a superior quality rating of 94% in file handling and claims resolution from 2011 to 2012, exceeding the 85% departmental goal.
Medical Billing/Claims Processor/Cash Applications
CareStation Physicians
Linden, NJ
07.2002 - 03.2009
- Analyze claims to determine extent of company’s liability, make approval or denial decisions and negotiate settlements with claimants in accordance with policy provisions.
- Collaborate with insurance agents and interview claim correct errors, rectify omissions and investigate questionable issues Payment Applications, Refunds Outcomes: Accompanied insurance agents in the field to investigate claims Selected by supervisor to assist with file closures; resolve complex claims-processing issues; participate in quality-control audits; and monitor claim status updates.
Education
Associate of Arts - Medical Billing Management
Berdan Institute
Totowa, NJ09.1999
Passaic County Technical High School
Wayne, NJ06.1994
Skills
- Insurance Verification
- Cash Applications
- Refunds
- Claims Follow-up
- Surgical Coordinator
- Pre-Cert Coordinator
- Credentialing
- Claims Handling and Investigations
- Claims Reports and Documentation
- Confidential Records Management
- Claims Appeals
- Updating charts
- EMR/EHR systems expertise
- Comfortable with but not limited to Citrix, Epic, Kareo, E-clinical Works
- Verifying insurance
- Medical terminology
- Multi-line phone systems
Timeline
Insurance Verification Specialist
Hackensack Meridian Health
04.2017 - Current
Medical Billing Manager /Claims Processor/Surgical,Coordinator
Blue River Women’s Healthcare
03.2010 - 03.2017
Medical Billing/Claims Processor/Cash Applications
CareStation Physicians
07.2002 - 03.2009
Associate of Arts - Medical Billing Management
Berdan Institute
Passaic County Technical High School
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