Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
Generic
Tammy DeHaan

Tammy DeHaan

Kansas City,Missouri

Summary

Detail-oriented and methodical in Patient accounts offering 30 years of experience in related roles. Exceptional abilities in conducting research, problem-solving and prioritizing simultaneous tasks. Leverages resourcefulness, critical thinking skills and superior work ethic for top job performance.


Overview

31
31
years of professional experience

Work History

Billing Specialist PAR II

TRC Healthcare Staffing/FTI Consulting-2nd Project
01.2024 - 05.2024
  • 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.
  • Identified, researched, and resolved billing variances to maintain system accuracy and currency.
  • Researched and resolved billing discrepancies to enable accurate billing.
  • Audited and corrected billing and posting documents for accuracy.
  • Verified accuracy of accounts payable payments, resulting in 80% reduction in payment errors and check reissues.

Billing Specialist PAR II

TRC Healthcare Staffing/FTI Consulting-1st Project
04.2023 - 12.2023
  • 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.
  • Identified, researched, and resolved billing variances to maintain system accuracy and currency.
  • Researched and resolved billing discrepancies to enable accurate billing.
  • Audited and corrected billing and posting documents for accuracy.
  • Verified accuracy of accounts payable payments, resulting in 60% reduction in payment errors and check reissues.

Insurance Verification Specialist

Prestige Staffing/Gentiva
02.2022 - 06.2022
  • 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.
  • Updated patient records with accurate, current insurance policy information.
  • Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
  • Complied with HIPAA guidelines and regulations for confidential patient data.

Patient Account Representative II

Several Dr. & Business Offices-During COVID-1099
07.2020 - 01.2022
  • 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.

SR Patient Account Specialist/ABA MDCD Specialist

Ability KC
03.2016 - 07.2020
  • 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.
  • Electronically submitted bills according to compliance guidelines.
  • Responded to patient, family and external payer inquiries.
  • Verified accuracy of accounts payable payments, resulting in 80% reduction in payment errors and check reissues.
  • Responded to customer concerns and questions on daily basis.

Payment Variance Specialist-RCM

Truman Medical Center East & West
09.2015 - 01.2016
  • 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.
  • Generated reports detailing findings and recommendations.
  • Developed effective improvement plans in alignment with goals and specifications.

Prior Authorization Specialist

Truman Medical Center East & West
09.2014 - 09.2015
  • 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.

Patient Account Representative/Medical Billiing

HCA Healthcare/Parallon
08.2006 - 08.2014
  • 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.
  • Utilized computer programs to create invoices, letters and other documents.
  • Electronically submitted bills according to compliance guidelines.
  • Responded to patient, family and external payer inquiries.

Patient Account Representative

Lee's Summit Hospital (HCA Bought Out in 2006)
03.2003 - 08.2006
  • Submitted appeals on behalf of patients when appropriate based on findings from research conducted into denied claims.
  • Researched billing errors and discrepancies to initiate corrective action.
  • Monitored customer accounts for payment delinquency and initiated collection efforts.
  • Worked with outside entities to resolve issues with billing, claims, and payments.
  • Utilized computer programs to create invoices, letters and other documents.
  • Responded to patient, family and external payer inquiries.

Finance Counselor

KU Medical Center/Salick Healthcare
01.2000 - 04.2002
  • 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.
  • Listened to clients' concerns and provided encouragement and support.
  • Provided comprehensive case management services, created treatment plans, and connected clients and families to appropriate resources.

Patient Account Representative

KU Cancer Center/SalickHealthcare
03.1995 - 01.2000

Posted payments and processed refunds.

  • Utilized computer programs to create invoices, letters and other documents.
  • Worked with outside entities to resolve issues with billing, claims, and payments.
  • Electronically submitted bills according to compliance guidelines.
  • Responded to patient, family and external payer inquiries.
  • Worked with customer to create debt repayment plan based on current financial condition.
  • Researched billing errors and discrepancies to initiate corrective action.

Patient Account Representative

Estes Park Medical Center
08.1993 - 01.1995
  • 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 .
  • Utilized computer programs to create invoices, letters and other documents.
  • Researched billing errors and discrepancies to initiate corrective action.

Education

High school diploma -

Raytown High School
Raytown, MO
05-1982

Skills

  • Healthcare Industry
  • Insurance Billing
  • Physicians Billing
  • DDE
  • Collections
  • Coding proficiency
  • e-Solutions
  • Problem-solving abilities
  • Verbal and written communication
  • Follow-up skills
  • Hospital operations
  • Payment Processing
  • Medical Terminology
  • Research and due diligence
  • Insurance Verification
  • Medical billing and collections
  • HIPAA Compliance
  • Billing dispute resolution
  • Revenue Cycle Management
  • Billing cycle management
  • Claims Processing
  • Payment posting
  • Accounts receivable management
  • Medical coding knowledge
  • Accounts receivable expertise
  • Billing systems and software
  • Data entry proficiency
  • Patient account management
  • Audit Procedures
  • Insurance confirmation

Additional Information

Specialty in Radiology, Cardiology, ABA, Home Infusion, Oncology and Hospital Billing and DRG.

Platforms include: Epic, Imagine, Meditech, Onbase, Relias and Artiva



Timeline

Billing Specialist PAR II

TRC Healthcare Staffing/FTI Consulting-2nd Project
01.2024 - 05.2024

Billing Specialist PAR II

TRC Healthcare Staffing/FTI Consulting-1st Project
04.2023 - 12.2023

Insurance Verification Specialist

Prestige Staffing/Gentiva
02.2022 - 06.2022

Patient Account Representative II

Several Dr. & Business Offices-During COVID-1099
07.2020 - 01.2022

SR Patient Account Specialist/ABA MDCD Specialist

Ability KC
03.2016 - 07.2020

Payment Variance Specialist-RCM

Truman Medical Center East & West
09.2015 - 01.2016

Prior Authorization Specialist

Truman Medical Center East & West
09.2014 - 09.2015

Patient Account Representative/Medical Billiing

HCA Healthcare/Parallon
08.2006 - 08.2014

Patient Account Representative

Lee's Summit Hospital (HCA Bought Out in 2006)
03.2003 - 08.2006

Finance Counselor

KU Medical Center/Salick Healthcare
01.2000 - 04.2002

Patient Account Representative

KU Cancer Center/SalickHealthcare
03.1995 - 01.2000

Patient Account Representative

Estes Park Medical Center
08.1993 - 01.1995

High school diploma -

Raytown High School
Tammy DeHaan