Tammy Keefe
Houston,TX
Summary
Detail-oriented medical biller and coder with expertise in claims auditing and problem-solving. Proven track record of streamlining workflows and resolving billing discrepancies effectively.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Medical Biller and Coder
Woodlands Functional Family Medicine
The Woodlands, Texas
2017.04 - 2023.10
- Processed patient claims using advanced billing software to ensure accuracy.
- Reviewed medical records for proper coding and documentation compliance.
- Collaborated with healthcare providers to resolve billing discrepancies efficiently.
- Managed patient inquiries regarding billing, payments, and insurance coverage.
- Maintained up-to-date knowledge of coding regulations and insurance policies.
Medical Biller and Coder
Central Healthcare Solutions
The Woodlands, Texas
2010.02 - 2016.01
- Assisted in the development of streamlined workflows for billing operations.
- Conducted audits of coding practices to ensure adherence to industry standards.
- Analyzed patient accounts for errors, inaccuracies or discrepancies in billing documentation.
- Filed and submitted insurance claims.
- Verified accuracy of patient information and insurance data in billing system.
- Submitted claims to insurance companies electronically or by mail.
- Provided customer service support to patients regarding billing inquiries.
Medical Biller and Coder
Advanced Foot Centre
Spring, Texas
2007.03 - 2010.09
- Provided customer service support to patients regarding billing inquiries.
- Assessed medical codes on patient records for accuracy.
- Maintained current CPT, HCPCS codes library as well as ICD-9, 10 CM diagnostic codes.
- Monitored aging accounts receivable report weekly to identify unpaid balances due.
- Tracked details such as authorizations, pre-certifications or referrals required prior to service delivery.
Medical Biller and Coder
North Houston Gastroenterology
Houston, Texas
2001.10 - 2006.02
- Processed patient claims using advanced billing software to ensure accuracy.
- Collaborated with healthcare providers to resolve billing discrepancies efficiently.
- Maintained up-to-date knowledge of coding regulations and insurance policies.
- Trained new staff on coding standards and billing procedures effectively.
- Ensured timely filing of all claims within established guidelines.
Claims Examiner II
First Health TPA
Houston, Texas
1999.07 - 2003.11
- Led training sessions for new claims examiners on procedures and policies.
- Streamlined claims processing workflows to enhance efficiency and accuracy.
- Coordinated with internal teams to resolve complex claim issues.
- Documented claim decisions in the system for audit purposes.
- Paid and processed claims within designated authority level.
- Managed workloads efficiently by prioritizing tasks based on urgency or importance.
- Analyzed and audited open claims to calculate additional payments owed.
Waitress
Monument Inn
Baytown, Texas
2001.02 - 2002.04
- Provided excellent customer service to enhance dining experiences.
- Took food and drink orders accurately for timely preparation.
- Delivered meals and beverages promptly to customers' tables.
- Collaborated with kitchen staff to ensure order accuracy and quality.
- Resolved customer complaints swiftly to maintain satisfaction levels.
- Developed positive relationships with regular customers through friendly conversation.
Education
Robert E Lee
Baytown, TXSkills
- Claim processing
- Medical coding
- Claims auditing
- Problem solving
- Attention to detail
- Effective communication
- Team collaboration
- Diagnostic coding
- CMS-1500 form completion
- UB-04 form completion
- HIPAA compliance
- HCPCS level II coding
- Medicare and medicaid billing
- Anatomy and physiology
- ICD-10 proficiency
- Payment posting
- Appeals processing
Certification
- TABC Certificate
Timeline
Medical Biller and Coder
Woodlands Functional Family Medicine
2017.04 - 2023.10
Medical Biller and Coder
Central Healthcare Solutions
2010.02 - 2016.01
Medical Biller and Coder
Advanced Foot Centre
2007.03 - 2010.09
Medical Biller and Coder
North Houston Gastroenterology
2001.10 - 2006.02
Waitress
Monument Inn
2001.02 - 2002.04
Claims Examiner II
First Health TPA
1999.07 - 2003.11
Robert E Lee