Summary
Education
Skills
Timeline
Work History
Overview
Generic

Tammy Barclay

Daytona Beach,FL

Summary

Results-driven Medical Biller with extensive experience at Maine Healthcare, adept at reducing claim denials through meticulous insurance verification and coding practices. Proven track record in managing appeals and ensuring timely payments, while demonstrating strong customer service and proficiency in electronic claims processing. Committed to maintaining HIPAA compliance and enhancing billing accuracy.

Education

Master Of Applied Science - Healthcare Science Administration

Purdue University
West Lafayette, IN
06.2021

Bachelor Of Administration - Medical Billing And Coding

Kaplan University
Davenport, IA
05.2019

Skills

  • Insurance claims
  • Medical billing
  • Insurance billing
  • Electronic claims
  • HIPAA compliance
  • Insurance verification
  • Billing and collection procedures
  • CPT knowledge
  • Customer service
  • Patient billing
  • Accounts receivable
  • Insurance claims processing
  • Claim submission
  • Data entry
  • Medicare and medicaid process
  • CMS-1500 billing forms
  • Claims processing
  • Payment posting
  • ICD-10
  • Electronic health record software
  • Claims review
  • Medical terminology expert
  • Patient account analysis
  • Medical claims submission
  • Software use
  • Collections management
  • Proficiency in software

Timeline

Medical Biller

SAAFE Behavioral Health
10.2024 - Current

Billing Specialist

Charter Communications, Time Warner Cable
02.2020 - 02.2024

Medical Biller

Maine Healthcare

Master Of Applied Science - Healthcare Science Administration

Purdue University

Bachelor Of Administration - Medical Billing And Coding

Kaplan University

Work History

Medical Biller

Maine Healthcare
  • Verified insurance of patients to determine eligibility.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
  • Filed and updated patient information and medical records.
  • Ensured timely payments from insurance providers through submission of accurate and complete claims.
  • Collected payments and applied to patient accounts.
  • Posted payments and collections on regular basis.
  • Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
  • Liaised between patients, insurance companies, and billing office.
  • Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.

Medical Biller

SAAFE Behavioral Health
10.2024 - Current
  • Verified insurance of patients to determine eligibility.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
  • Filed and updated patient information and medical records.
  • Ensured timely payments from insurance providers through submission of accurate and complete claims.
  • Collected payments and applied to patient accounts.
  • Posted payments and collections on regular basis.
  • Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
  • Liaised between patients, insurance companies, and billing office.
  • Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.

Billing Specialist

Charter Communications, Time Warner Cable
02.2020 - 02.2024

Addressed billing issues to maintain smooth financial processes.

Overview

2026
2026
years of professional experience
Tammy Barclay