Tammy Pryde
Council Bluffs,IA
Summary
Detail-oriented billing professional with a proven track record in medical billing and audit support. Successfully managed billing department staff and implemented process improvements to enhance collections and decrease denial rates, driving financial performance.
Overview
34
34
years of professional experience
Work History
Billing Manager
Hematology and Oncology Consultants
Omaha, Nebraska
09.2023 - Current
- Monitored delinquent accounts and collaborated with collections department.
- Managed and supervised billing department staff, including training, evaluation, and workflow distribution.
- Assisted in reducing net aging from over 120 days to 60K by analyzing account data.
- Contributed to lowering Patient AR to 400K.
- Processed electronic and paper claims using specialized billing software.
- Reviewed patient invoices for accuracy and compliance with regulations.
- Ironwood Cancer and Research Center
Billing Specialist
Gilbert, Arizona
04.2022 - 08.2023
- Knowledge of composition of Appeals to receive payments for denied claims.
- Worked various reports to optimize reduction of insurance aging.
- Been assigned various payers to work within BCBS AZ such as Federal, Out of State, and Medicare Advantage Plans, Third Party Payers, etc., as well as Worker’s Compensation and AARP Medicare Complete Banner.
- Created Pivot Tables for Insurance Audit Reports.
- Assisted Drug Authorization Team during staffing shortages.
- Raised concerns on denial trends and insurance issues to immediate manager to support reimbursement efforts.
- Trained new hires on processes related to their job.
- Communicate in Huddles, Teams, and emails any daily issues that arise that may affect job performance.
- Completed 30 to 45 tasks daily to maintain workflow efficiency.
- Communicated effectively with insurance representatives to gain insights into their processes.
- Work denials on a daily basis to keep them at a minimum.
- Organize my daily duties so that I am completing the goals that I expect of myself each day.
Manager
Barnet Dulaney Eye Center
Chandler, Arizona
06.1992 - 10.2022
- Increased revenue in Chandler location from 2013 to 2015 by identifying growth opportunities and auditing EHR for missing information.
- Manager of Accounts Receivable in Phoenix location in 2013 before taking the Clinic Manager position to further my growth.
- Supervisor and a hands-on employee of multimillion charge and payment posting processing.
- Facilitated direct communication between coders in Metro locations, staff, and doctors on coding and compliance.
- Reviewed coding processes with new doctors.
- Verify coding on all specialty surgeries.
- Knowledge and training of CPT, HCPCS, & ICD-9 & 10 coding.
- Implemented and built tables for Papervision, enabling paperless processing in the AR department.
- Implementation and table building of NextGen Software System from DOS computer system.
- Set up electronic funds transfers for multiple insurance companies.
- Certified Professional Coder for 14 years.
Education
Jennie Edmundson School of Nursing
Council Bluffs, IAundefined
Iowa Western Community College
Council Bluffs, IAundefined
Metropolitan Community College
Omaha, NEHigh School Diploma - undefined
Thomas Jefferson High School
Council Bluffs, IA05-1986
Skills
- Medical billing
- Audit assistance
- Billing analysis
- Debt collections
- Payment processing
- Accounts management
- Claims handling
- Process optimization
- Claim denial resolution
- Report generation
- Insurance validation
- Issue resolution
- HIPAA
- Detail orientation
- Insurance regulations
- Team leadership
Timeline
Billing Manager
Hematology and Oncology Consultants
09.2023 - Current
Billing Specialist
04.2022 - 08.2023
Manager
Barnet Dulaney Eye Center
06.1992 - 10.2022
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Iowa Western Community College
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Metropolitan Community College
High School Diploma - undefined
Thomas Jefferson High School
Jennie Edmundson School of Nursing