Tammy Rougelot Keppler
Metairie,LA
Summary
Medical Billing and Coding Specialist with over 20 years experience, supporting every role within the Medical Claim Life Cycle and Billing Revenue Cycle.
Overview
23
23
years of professional experience
1
1
Certification
Work History
PB Coder Specialist II
LCMC Health
Jefferson, LA
04.2021 - 01.2026
- Analyze patients' Encounter Notes to assign appropriate CPT, ICD -10 and/or HCPCS codes
- Review & correct claim errors prior to releasing them to insurance
- Review & resolved insurance denial claims
- Query providers for clarification on patients’ Encounter Note and/or request to amend the note
- Assuring accurate coding for maximum reimbursement
- Family Medicine, Internal Medicine, Pediatrics & Neurology
FQHC Insurance Biller & Collector
EXCELth
New Orleans, LA
07.2020 - 04.2021
Submitted new claims to insurance
- Worked denied claims (approx. 75)
- Submitted appeals
- Worked Clearinghouses reports
- Worked Insurance (RAs) Remittance Advice (Re by applying payments, adjustments & submitting bills to patients
Accounts Receivable Manager / Commercial Insurance
DIABETES MANAGEMENT & SUPPLIES
New Orleans, LA
07.2019 - 01.2020
- Verified insurance, obtain prior authorizations & prepared & submitted pre-determinations
- Worked new orders & by accepting placing collecting co-pay, co-insurance & deductibles from patients
- Transacted new charges
- Collected on outstanding balance ($100.00 to $3,000.00)from insurance and patient
- Submitted & followed-up on appealed for denied claims (approx. 75 pd)
- Posted insurance & patient payments and adjustments
Out-Patient Coder II / Coding & Education Department
OCHSNER HEALTH SYSTEM
Jefferson, LA
04.2003 - 03.2019
- Assisted in identifying problem trends
- Assigned the appropriate ICD-9 & CPT codes to radiology report
- Reviewed and corrected denied insurance claims
- Assisted in special coding projects
- Billing Representative / Patient Account Customer Service Department
- Provided explanation to patients regarding account balances owed
- Helped patients understand their insurance benefits
- Evaluated patients’ financial status and established budget payment plan
- Tracked and reported the status of delinquent accounts
- Worked & collected on Bad Debt
Education
Medical Insurance Billing & Coding
Bryman College
CA05-1999
Skills
Strong Focus on Accuracy
- Self Motivator
- Consistently Maintained Productivity with Accuracy
- Attention to Details
- Adaptable and quick to learn new processes
- Strong Time Management & Organization Skills
- Excellent in Verbal & Written Communication
- HIPAA & Compliance Knowledge
- Effective Strategist
- Knowledge in Commerical, Medicare & Medicaid Policies
Certification
- CPC - Certified Professional Coder
Timeline
PB Coder Specialist II
LCMC Health
04.2021 - 01.2026
FQHC Insurance Biller & Collector
EXCELth
07.2020 - 04.2021
Accounts Receivable Manager / Commercial Insurance
DIABETES MANAGEMENT & SUPPLIES
07.2019 - 01.2020
Out-Patient Coder II / Coding & Education Department
OCHSNER HEALTH SYSTEM
04.2003 - 03.2019
Medical Insurance Billing & Coding
Bryman College