Tammy Bream
Greencastle,PA
Summary
Detail-oriented revenue cycle specialist with a systematic nature and good grasp of billing processes. Successful planner and problem-solver. Ready to apply several years' experience and take on a challenging role.
Overview
28
28
years of professional experience
Work History
Revenue Cycle Specialist
Meritus Health
Hagerstown, Maryland
07.2018 - Current
- Processed claim submissions using revenue cycle systems and payer guidelines.
- Resolved denials and reworked rejected claims for Meritus Health reimbursement.
- Processed appeals related to denied or rejected claims in a timely manner.
- Verified insurance coverage and eligibility for scheduled Meritus Health services.
- Reviewed patient accounts for Meritus Health billing accuracy and missing information.
- Communicated with patients, payers, and clinical staff on billing issues.
- Collaborated with other departments to resolve customer inquiries regarding billing issues.
- Contacted insurance providers to check patient coverage.
- Maintained current knowledge of insurance policies, procedures, regulations, and guidelines.
Authorization Coordinator
HomeCall
Frederick, Maryland
10.1998 - 07.2018
- Reviewed patient accounts for billing accuracy and identified missing information to facilitate timely resolution.
- Verified insurance coverage and eligibility for scheduled home health, securing necessary authorizations for patient care.
- Analyzed patient accounts for billing accuracy and identified discrepancies.
- Communicated with patients, payers, and clinical staff on billing issues.
- Collaborated with other departments to resolve customer inquiries regarding billing issues.
- Monitored accounts receivables daily to ensure prompt follow-up actions and maintain cash flow.
Education
Williamsport High School
Williamsport, MDSkills
- Claims processing
- Denial management
- Insurance verification
- Claims adjudication
- Authorization processing
- Attention to detail
- Time management
- Revenue cycle systems
- Appeals processing
Timeline
Revenue Cycle Specialist
Meritus Health
07.2018 - Current
Authorization Coordinator
HomeCall
10.1998 - 07.2018
Williamsport High School