Tammy DeHaan
Kansas City,MO
Summary
Dedicated administrative professional well-versed in communication and team building. Knowledgeable in medical terminology and scheduling. Ready to bring 27 years of relevant work experience to the team. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Dedicated administrative professional well-versed in communication and team building. Knowledgeable in medical terminology and scheduling. Detail-oriented Managed patient-related accounts receivables at large medical facility and achieved 85% repayment rate. Excellent communications skills and empathetic nature enabled achievement of positive outcomes. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Look forward to speaking with you.
Overview
31
31
years of professional experience
1
1
Certificate
Work History
Senior Patient Access Representative
TRC Staffing- 2nd Project/FTI Consulting
01.2024 - 04.2024
- Conducted Hospital & Physician Billing
- Implemented the RCM process from beginning to end, review of EOB's and denials to reconcile outstanding accounts and Complex billing issues.
- Researched billing errors and discrepancies to initiate corrective action of the individual guidelines of each Insurance to Coding Review.
- Identified and corrected denied Authorization for In- Patient claims, and changed to Out-Patient /ER claims, verify claims and payments and post adjustments.
- Coordinated pre-authorization requests with insurers efficiently reducing medical claim denials.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Resolved patient billing issues in line with established guidelines.
- Disclosure of Attachment Copy: The 1st project ended as, Providence had let FTI Consulting go 12/2023 and was transferred the only other project. My 1year Anniversary was coming up 4/24. On 03/29/2024 Corrective Action: Unsatisfactory Work Attendance "Tammy has accrued 2 instances in a 12-month rolling period of unauthorized overtime that was not approved by Leadership and has Exhibited a record of attendance that does not align with the Handbook Agreement she signed. Employee's have a 30-minute window of 39.75 and 40.25 to end the week. As as a result was let go 04/29/2024 for 22 min and 38 sec of overtime in a 12 mo period. The Attachment includes the reason of why I had to finish the calls. TRC/FTI Consulting apparently had something going on and all of us employees and 1 client.
Senior Patient Account Representative
TRC Staffing -1st Project-FTI Consulting
04.2023 - 12.2023
- Home Infusion
- Reconciled account discrepancies to maintain accurate records of payments received from both patients and insurance companies.
- Streamlined the revenue cycle process for increased efficiency and timely reimbursements.
- Improved collections rate by proactively identifying trends within outstanding accounts and developing targeted solutions.
- Collaborated closely with clinical staff to ensure proper coding of diagnoses and procedures for accurate billing purposes.
- Formulated strategic plans aimed at increasing patient retention rates by offering various payment plan options tailored to individual financial needs.
- Maintained strict confidentiality while handling sensitive patient information in accordance with HIPAA regulations.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
Insurance Verification Specialist
Prestige Staffing
02.2022 - 05.2022
- Contributed to company''s bottom line by reducing write-offs due to incorrect or outdated insurance information through diligent verification efforts.
- Updated patient records with accurate, current insurance policy information through E-Solutions.Demonstrated a high level of professionalism and attention to detail in all aspects of insurance verification specialist role, consistently exceeding performance expectations.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
Sr. Patient Account Representative
Several Billing Offices In KC
07.2020 - 01.2022
- Bring outstanding accounts to a Resolution: Track rejections and denials for possible trends.
- Managed high-volume accounts, ensuring accurate and prompt payment of outstanding balances.
- Initiated thorough audits of past-due accounts to identify areas requiring immediate attention or potential writeoffs.
- Reduced aged accounts receivables by implementing effective follow-up strategies with patients and insurers.
- Streamlined the revenue cycle process for increased efficiency and timely reimbursements.
- Utilized knowledge of electronic medical record systems and medical terminology to perform reconsideration and appeals.
- Assisted in serialized offices for return to the work force.
Sr Patient Account Specialist/Medicaid Specialist
Ability KC
03.2016 - 07.2020
- Maintained high levels of data accuracy with meticulous attention to detail in processing insurance claims
- Expedited claim resolutions by skillfully implementing the RCM process and insurance policies, regulations, and guidelines.
- Increased revenue recovery rates by identifying trends in denied claims, researching root causes, implementing corrective measures to prevent future occurrences
- Researched billing errors and discrepancies to initiate corrective action of the individual guidelines of each Insurance to Coding Review.
- Assisted patients in understanding their financial responsibilities by explaining healthcare benefits, coverage limitations, and out-of-pocket costs clearly and concisely
- Fostered strong relationships with insurance representatives to facilitate smooth communications regarding claim submissions, denials, appeals, or underpayments issues that arose during processing stages.
Variance Payment Specialist
Truman Medical Centers East And West
09.2015 - 01.2016
- Implemented software solutions for better tracking of key performance indicators within the revenue cycle process and resolved billing errors.
- Provided regular updates on billing status to upper management through detailed reports
- Created and maintained precise and accurate models, charts and reports.
- Increased revenue by, submitting Appeals for unresolved Outstanding Accounts
Authorization Specialist/Specialty Clinics
Truman Medical Centers East And West
12.2014 - 09.2015
- Obtained referrals for radiology and cardiac cath
- Submitted appeals for the radiology and cardiac cath departments.
- Developed strong relationships with insurance representatives to expedite approvals and resolve issues promptly.
- Enhanced departmental efficiency with thorough knowledge of insurance guidelines and medical terminology.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Ensured prompt resolution of denied claims through comprehensive analysis of denial reasons and timely submission of necessary documentation for reconsideration or appeal.
Patient Account Representative Par II
HCA Healthcare Hospital / Parallon Group
08.2006 - 08.2014
- Conducted Hospital & Physician Billing
- Implemented the RCM process from beginning to end, review of EOB's and denials to reconcile outstanding accounts and Complex billing issues.
- Researched billing errors and discrepancies to initiate corrective action of the individual guidelines of each Insurance to Coding Review.
- Identified and corrected denied Authorization for In- Patient claims, and changed to Out-Patient /ER claims, verify claims and payments and post adjustments.
- Coordinated pre-authorization requests with insurers efficiently reducing medical claim denials.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Resolved patient billing issues in line with established guidelines.
-
Medical Billing Specialist
Lee's Summit Hospital
03.2003 - 08.2006
- Conducted Hospital & Physician Billing
- Implemented the RCM process from beginning to end, review of EOB's and denials to reconcile outstanding accounts and Complex billing issues.
- Researched billing errors and discrepancies to initiate corrective action of the individual guidelines of each Insurance to Coding Review.
- Identified and corrected denied Authorization for In- Patient claims, and changed to Out-Patient /ER claims, verify claims and payments and post adjustments.
- Coordinated pre-authorization requests with insurers efficiently reducing medical claim denials.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Resolved patient billing issues in line with established guidelines.
-
Finance Counselor
Kansas University Cancer Center
01.2000 - 04.2002
- Acquired insurance authorizations
- Arranged and assisted in hospital admissions
- Confirmed patient information, collected co-pays and verified insurance information, evaluated charges including dates of service, procedures, and level of care
- Helped patients qualify for Medicaid and charity
- Worked with pharmaceutical companies for possible donation of drug for indigent patients.
- Coordinated referrals between agencies to ensure seamless transitions for clients receiving multiple services
Medical Billing Specialist
Kansas University Cancer Center
03.1995 - 01.2002
- Bring Accounts to a Resolution by implementing the RCM cycle Process. Claims and Recurring accounts- Follow-Up from 90 days (about 3 months) and working denials.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Contacted patients after insurance was calculated to obtain payments.
- Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
Patient Account Representative
Estes Park Medical Center
08.1993 - 01.1995
- Bring Accounts to a Resolution by implementing the RCM cycle Process. Claims and Recurring accounts- Follow-Up from 90 days (about 3 months) and working denials.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Contacted patients after insurance was calculated to obtain payments.
- Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
Education
High School Diploma -
Raytown High School
Raytown, MO05.1982
Skills
Computer Skills
- Windows
- Computer literacy
- Writing skills
- Billing Platforms:
- Epic, Imagine, Relias
- Meditech, Onbase,Cerner
- Currance and Artivia
- Clearinghouse:
- Emdeon, Waystar
- Quadax
- Position Skills:
- Customer support
- Time Management
- Attention to Detail
- HIPAA Compliance
- Medical terminology
- EDI
- Medical Office Experience
- ICD-9 & ICD-10
- Database Management
- Insurance Billing
- Verify Insurance
- Insurance Authorizations
- Revenue cycle Management
- Medical Records
- Payment Processing
- Some CPT& ICD Coding
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Accomplishments
- Achieved 98% by completing Denials with accuracy and efficiency.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Billing Issues
- Documented and resolved Billing Issues which led to 85% less Denials.
- Achieved 50% Accuracy through effectively helping with Teams on Special Projects
Timeline
Senior Patient Access Representative
TRC Staffing- 2nd Project/FTI Consulting
01.2024 - 04.2024
Senior Patient Account Representative
TRC Staffing -1st Project-FTI Consulting
04.2023 - 12.2023
Insurance Verification Specialist
Prestige Staffing
02.2022 - 05.2022
Sr. Patient Account Representative
Several Billing Offices In KC
07.2020 - 01.2022
Sr Patient Account Specialist/Medicaid Specialist
Ability KC
03.2016 - 07.2020
Variance Payment Specialist
Truman Medical Centers East And West
09.2015 - 01.2016
Authorization Specialist/Specialty Clinics
Truman Medical Centers East And West
12.2014 - 09.2015
Patient Account Representative Par II
HCA Healthcare Hospital / Parallon Group
08.2006 - 08.2014
Medical Billing Specialist
Lee's Summit Hospital
03.2003 - 08.2006
Finance Counselor
Kansas University Cancer Center
01.2000 - 04.2002
Medical Billing Specialist
Kansas University Cancer Center
03.1995 - 01.2002
Patient Account Representative
Estes Park Medical Center
08.1993 - 01.1995
High School Diploma -
Raytown High School
Anatomy Knowledge (10+ years) CPT Coding (basic) (10+ years) (10+ years) EMR system (10+ years) Epic (10+ years) Microsoft Office (10+ years) HCPCS (10+ years) Analysis skills (10+ years) Communication skills (10+ years) Medical coding Time management
Certification
Anatomy Knowledge (10+ years) CPT Coding (basic) (10+ years) (10+ years) EMR system (10+ years) Epic (10+ years) Microsoft Office (10+ years) HCPCS (10+ years) Analysis skills (10+ years) Communication skills (10+ years) Medical coding Time management
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