Tammy DeHaan

• 2nd Project-FTI Consulting/Georgetown Memorial & Waccamaw Community Hospitals & Physician Billing.

Responsibilities (Both Projects)

• Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
• Researched and resolved billing discrepancies to enable accurate billing.
• Identified, researched, and resolved billing variances to maintain system accuracy and currency.
• Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
• Optimized workflow processes for increased productivity within the Billing Department, enabling staff members to focus on more strategic tasks.
• Developed customized reports for management, providing valuable insights into trends, anomalies, and opportunities for improvement in the billing process.
• I was made aware when this was brought up at an Interview as it was told on LinkedIn when I was verified. I was told it would have been better if I had disclosed the information and explained ahead of time.
• Continuously updated billing policies and procedures, ensuring that the department remained agile in response to evolving business needs.
• Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
• ** I was made aware when this was brought up at an Interview as it was told on LinkedIn when I was verified. I was told it would have been better if I had disclosed the information and explained ahead of time.
• Disclosure of Attachment Copy: My Yearly Review was to be 04/26/2024, but in 12/2023 Providence Fired FTI and the group was transferred to the only other Client. 03/29/2024 I received 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. I was let go 04/29/2024 for 2 calls w/Insurance total 22min(2nd Project) and 36 sec (1st Project) in 12 Months.
• The Attachment includes the reason of why I had to finish the calls. FTI Consulting apparently had something going on and all of us employees and 1 client? I'm not here to say or judge.

• 1st Project-FTI Consulting/Providence Medical Center/Home Infusion
• SC- Providence Medical Center had fired FTI Consulting and our group will start next project 01/01/2024.
• I would say completed
• Responsibilities same as above

• Project: Completed

Responsibibilities

• Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
• Updated patient records with accurate, current insurance policy information.
• Increased patient satisfaction by promptly addressing concerns regarding insurance coverage or billing issues.
• Optimized productivity within the department by prioritizing tasks according to urgency and importance levels.

• Several Companies During the COVID did not keep track (Paid as Cash and did 1099) at the time nobody new when offices would be able to open.

Responsibilities

• Assisted colleagues during peak periods or absences, showcasing teamwork skills while maintaining personal workload demands efficiently.
• Posted payments and processed refunds.
• Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
• Worked with outside entities to resolve issues with billing, claims, and payments.
• Achieved a significant reduction in aged accounts receivable through diligent follow-up efforts with both patients and insurers.
• Monitored flags and resolved urgent items with accuracy and efficiency.
• ***Also sanitized the Offices for when Employee's came back to Workforce.***

Responsibilities

• Maintained high levels of data accuracy with meticulous attention to detail in processing insurance claims and updating patient records.
• Promoted a culture of continuous improvement within the Patient Accounts team by participating in regular staff meetings, offering constructive feedback on department processes, systems, tools for achieving objectives more effectively.
• Expedited claim resolutions by skillfully navigating complex insurance policies, regulations, and guidelines.
• Enhanced team productivity by sharing knowledge, best practices, and providing cross-training opportunities for colleagues in the Patient Accounts Department.
• Fostered strong relationships with insurance representatives to facilitate smooth communications regarding claim submissions, denials, appeals, or underpayments issues that arose during processing stages.
• Increased revenue recovery rates by identifying trends in denied claims, researching root causes, implementing corrective measures to prevent future occurrences accordingly.

• Truman Medical Center East, Lee’s Summit, MO & Truman Medical Center West - Kansas City, MO

Responsibilities

• Followed all company policies and procedures to deliver quality work.
• Developed strong client relationships through consistent communication and attentive service.
• Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.
• Earned recognition as a top performer consistently exceeding targets throughout my tenure as a specialist in the field.
• Reduced costs by identifying inefficiencies in operations and implementing cost-saving measures.

Responsibilities

• Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
• Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
• Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
• Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
• Ensured prompt resolution of denied claims through comprehensive analysis of denial reasons and timely submission of necessary documentation for reconsideration or appeal.
• Evaluated trends in authorization denials to identify areas for improvement in both internal processes and external communications with payers.
• Trained staff on current eligibility requirements and policies.

• Assisted colleagues during peak periods or absences, showcasing teamwork skills while maintaining personal workload demands efficiently.
• Posted payments and processed refunds.
• Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
• Streamlined billing processes for increased efficiency in managing patient accounts.
• Achieved a significant reduction in aged accounts receivable through diligent follow-up efforts with both patients and insurers.
• Negotiated payment plans with patients experiencing financial difficulties, supporting them in meeting their obligations without undue stress.
• Kept up-to-date on industry trends, sharing knowledge with team members to support their professional development and enhance overall performance.
• Researched billing errors and discrepancies to initiate corrective action.

• Lee's Summit Hospital - Lees Summit, MO (Closed C bought out by HCA)
• Responsibilities
• Communicated with insurance providers to resolve denied claims and resubmitted.
• Posted and adjusted payments from insurance companies.
• Located errors and promptly refiled rejected claims.
• Identified and resolved patient billing and payment issues.
• Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
• Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.

• Kansas University Cancer Center – 3901 Rainbow Blvd, Kansas City, KS
• Educated clients on available community resources, fostering a sense of empowerment and selfsufficiency.
• Improved client satisfaction through consistent communication, empathy, and understanding of their unique challenges.
• Acted as client advocate to coordinate required services or resolve emergency problems in crisis situations.
• Coordinated referrals between agencies to ensure seamless transitions for clients receiving multiple services.

• Assisted colleagues during peak periods or absences, showcasing teamwork skills while maintaining personal workload demands efficiently.
• Posted payments and processed refunds.
• Demonstrated adaptability in navigating complex payer guidelines to maximize reimbursement opportunities for the organization.
• Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.

• Estes Park Medical Center - 555 Prospect Ave
• Estes Park, CO 80517

Responsibilities

• Assisted colleagues during peak periods or absences, showcasing teamwork skills while maintaining personal workload demands efficiently.
• Posted payments and processed refunds.
• Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
• Achieved a significant reduction in aged accounts receivable through diligent follow-up efforts with both patients and insurers.
• Negotiated payment plans with patients experiencing financial difficulties, supporting them in meeting their obligations without undue stress.
• Demonstrated adaptability in navigating complex payer guidelines to maximize reimbursement opportunities for the organization.