Tammy DeHaan

• Researched and resolved billing discrepancies to enable accurate billing
• Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments
• Monitored accounts receivable activity to ensure timely payment of invoices.

• Researched and resolved billing discrepancies to enable accurate billing
• Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments
• Monitored accounts receivable activity to ensure timely payment of invoices.

• Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
• Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
• Maintained accurate documentation on all pre-authorization requests.

• Analyzed claims denials from third party payers and identified potential solutions for reimbursement.
• Submitted appeals on behalf of patients when appropriate based on findings from research conducted into denied claims.
• Communicated frequently with healthcare providers regarding payment status updates on their claims submitted.
• Collaborated with relevant parties to resolve billing issues, insurance claims and patient payments.

• Achieved significant reduction in aged accounts receivable by diligently following up with patients and insurers, showcasing thoroughness and dependability
• Conducted research on customer accounts to identify any outstanding balances or issues that need resolution.
• Reviewed monthly aging reports to determine which accounts are past due or require follow up action.
• Participated in special projects as assigned by management team.
• Collaborated with relevant parties to resolve billing issues, insurance claims and patient payments.

• 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
• Fostered strong relationships with insurance representatives to facilitate smooth communications regarding claim submissions and underpayments issues
• Identified areas for improvement, narrowing focus for decision-makers in making necessary changes.

• Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
• Reviewed prior authorization requests to ensure accuracy and completeness of required information.
• Coordinated with other departments to obtain additional information needed for prior authorization.

• Researched discrepancies in patient accounts to determine appropriate resolution.
• Analyzed claims denials from third party payers and identified potential solutions for reimbursement.
• Submitted appeals on behalf of patients when appropriate based on findings from research conducted into denied claims.
• Submitted electronic bills following facility and legal compliance standards.

• Submitted appeals on behalf of patients when appropriate based on findings from research conducted into denied claims. Collaborated with relevant parties to resolve billing issues, insurance claims and patient payments. Communicated frequently with healthcare providers regarding payment status updates on their claims submitted.

• Educated clients on available community resources, fostering a sense of empowerment and self-sufficiency. 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.

Assisted colleagues during peak periods or absences, showcasing teamwork skills while maintaining personal workload. efficiently. Posted payments and processed refunds. Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy

• 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 andinsurers.