Tammy Harden
Umatilla,FL
Summary
Forward-thinking Medical Practice Manager and Certified Professional Biller with a long-standing career in handling complex multitasking and claims processing tasks. Highly effective in medical practice management and team building, adept at quickly and efficiently resolving disputes with insurance companies and addressing patient inquiries. Possesses a can-do attitude and excels in collaborating with medical professionals, insurance providers, and patients to manage billing in a high-traffic office environment. Seeking a position where my practice management experience and medical billing knowledge can contribute to the financial success of the practice.
Overview
32
32
years of professional experience
1
1
Certification
Work History
Medical Practice Manager
UF Health Central Florida
04.2023 - Current
- Successfully manages productivity and budgetary line items, ensuring financial stability and operational efficiency.
- Prepares timely financial reports, analyzes results, and develops and implements action plans as necessary.
- Creates departmental schedules to meet patient, physician, and staff needs while managing staffing in a fiscally responsible manner to minimize overtime and agency usage.
- Oversees timely and accurate payroll submission.
- Selects, develops, and retains team members, ensuring they are appropriately trained, educated, and equipped to perform their roles effectively.
- Collaborates with finance and revenue cycle departments to ensure proper coding and documentation for patient billing encounters.
- Engages staff and fosters a positive team environment, ensuring fair and consistent application of policies and corrective actions.
- Conducts regular staff meetings to enhance communication, collaboration, and problem-solving.
- Analyzes financial data for practices and oversees monthly and quarterly financial operating reviews.
- Track licensure requirements for physicians and staff, ensuring all credentials are current and compliant with regulations.
- Ensures staff and departmental compliance with all policies, procedures, and regulatory standards at all times.
- Regularly attends continuing education to stay updated on new developments and trends in the field of expertise.
- Participates in leadership development programs to enhance management skills and team effectiveness.
Insurance Coordinator
UF Health Central Florida
01.2023 - 03.2023
- Manage all aspects of insurance claims, including denials, appeals, incorrect payments, and requests for additional information necessary for the processing/payment of claims.
- Handle the posting of insurance and patient payments accurately and promptly.
- Research and resolve patient billing questions or discrepancies to ensure patient satisfaction and accurate billing.
- Submit electronic and paper claims to insurance companies daily for timely reimbursement.
- Conduct electronic submission of patient statements on a weekly basis.
- Contact insurance companies to verify patient benefits and obtain pre-certification/authorization and calculate patient responsibility for necessary services.
- Analyze accounts receivable reports to maintain the revenue cycle and ensure financial health of the practice.
- Assist patients with applications for healthcare credit programs to facilitate payment options.
- Address and respond to staff and providers regarding CPT and ICD-10 coding to ensure accurate documentation and billing.
- Direct and oversee daily activities of office personnel in the absence of the practice manager, ensuring smooth operation and adherence to policies.
- Participate in educational activities to stay current on billing guidelines and maintain relevant certification.
- Establish and maintain provider enrollments and recertification with Medicare and other third-party payers.
Insurance Coordinator
Radnothy Orthopaedics, PA
05.2002 - 12.2022
- Manage all aspects of insurance claims, including denials, appeals, incorrect payments, and requests for additional information necessary for the processing/payment of claims.
- Handle the posting of insurance and patient payments accurately and promptly.
- Research and resolve patient billing questions or discrepancies to ensure patient satisfaction and accurate billing.
- Submit electronic and paper claims to insurance companies daily for timely reimbursement.
- Conduct electronic submission of patient statements on a weekly basis.
- Contact insurance companies to verify patient benefits and obtain pre-certification/authorization and calculate patient responsibility for necessary services.
- Analyze accounts receivable reports to maintain the revenue cycle and ensure financial health of the practice.
- Assist patients with applications for healthcare credit programs to facilitate payment options.
- Address and respond to staff and providers regarding CPT and ICD-10 coding to ensure accurate documentation and billing.
- CPT and ICD-10 coding of Orthopaedic charges.
- Direct and oversee daily activities of office personnel in the absence of the practice manager, ensuring smooth operation and adherence to policies.
- Participate in educational activities to stay current on billing guidelines and maintain relevant certification.
- Establish and maintain provider enrollments and recertification with Medicare and other third-party payers.
Medical Biller
The Dermatology Group
05.2001 - 05.2002
- Accurately posted insurance and patient payments, ensuring timely updates to financial records.
- Handled insurance claims, including denials, incorrect payments, and requests for additional information necessary for claim processing and payment.
- Submitted electronic and paper claims to insurance companies for reimbursement, ensuring compliance with submission guidelines.
- Analyzed accounts receivable reports to maintain an efficient revenue cycle and support the financial health of the practice.
- Utilized CPT and ICD-9 coding to ensure accurate and compliant billing practices.
Insurance Coordinator
Lake Obstetrics And Gynecology
07.1992 - 05.2001
- CPT and ICD 9 coding of obstetrical and gynecology charges.
- Accurately posted insurance and patient payments, ensuring timely updates to financial records.
- Handled insurance claims, including denials, incorrect payments, and requests for additional information necessary for claim processing and payment.
- Submitted electronic and paper claims to insurance companies for reimbursement, ensuring compliance with submission guidelines.
- Analyzed accounts receivable reports to maintain an efficient revenue cycle and support the financial health of the practice.
- Utilized CPT and ICD-9 coding to ensure accurate and compliant billing practices.
- Handle the posting of insurance and patient payments accurately and promptly.
- Research and resolve patient billing questions or discrepancies to ensure patient satisfaction and accurate billing.
- Submit paper claims to insurance companies weekly for timely reimbursement.
- Conduct paper submission of patient statements on a weekly basis.
- Contact insurance companies to verify patient benefits and obtain pre-certification/authorization for necessary services.
Education
High School Diploma -
Umatilla High School
Umatilla05.1992
Skills
- Leadership
- Communication
- Problem Solver
- Organized
- Time Management
- Customer Service
- HIPAA
- eClinicalWorks and EPIC EMR
- Microsoft Office
Certification
- Certified Professional Biller (CPB), American Academy of Professional Coders, 5/2014
Timeline
Medical Practice Manager
UF Health Central Florida
04.2023 - Current
Insurance Coordinator
UF Health Central Florida
01.2023 - 03.2023
Insurance Coordinator
Radnothy Orthopaedics, PA
05.2002 - 12.2022
Medical Biller
The Dermatology Group
05.2001 - 05.2002
Insurance Coordinator
Lake Obstetrics And Gynecology
07.1992 - 05.2001
High School Diploma -
Umatilla High School
- Certified Professional Biller (CPB), American Academy of Professional Coders, 5/2014
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