Tammy Roberts
PO Box 1218, Newport,WA
Summary
Results-oriented Revenue Cycle Manager with extensive experience in data analysis, revenue cycle management, and billing compliance. Proven track record in claims resolution and financial reporting, driving operational efficiency and maximizing profitability.
Overview
20
20
years of professional experience
Work History
Revenue Cycle Manager
Concise Healthcare Solutions
Spokane Valley, WA
08.2021 - Current
- Managed revenue cycle operations to ensure timely billing and collections.
- Oversaw billing operations including coding, charge entry, payment posting, collections, and appeals to enhance operational effectiveness.
- Monitored daily cash flow activity to ensure timely claims filing and accurate reimbursement for services rendered.
- Monitored compliance with regulatory standards in billing procedures.
- Reviewed patient billing information to ensure accuracy and compliance with federal and state regulations.
- Ensured adherence to HIPAA guidelines when handling protected health information.
- Participated in revenue cycle processes, working to maximize profitability and increase revenue.
- Facilitated communication between departments to enhance workflow efficiency.
- Analyzed data to identify trends in payer denials or rejections and developed strategies for resolution.
- Generated reports detailing key metrics such as days in accounts receivable, denial rate.
A/R Billing Specialist
Newport Hospital & Health Services
Newport, WA
01.2018 - Current
- Managed accounts receivable aging reports to identify and prioritize outstanding balances for collection.
- Reviewed and verified insurance claims for accuracy and completeness.
- Resolved complex claims and payer issues to recover revenue and reduce write-offs.
- Ensured compliance with healthcare billing regulations across all transactions.
- Obtained necessary authorizations from payers to expedite processing.
- Served as EPIC subject matter expert during Meditech/EPIC transition, overseeing 835 and 837 enrollment processes.
- Participated in HCSZ and Safety Committees to enhance operational safety.
Revenue Cycle Supervisor
Healthcare Resource Group
Spokane Valley, WA
02.2008 - 01.2018
- Managed daily operations for four Critical Access Hospitals in California and Washington, ensuring compliance and operational efficiency.
- Compiled financial month-end reports, supporting accurate accounting and timely financial analysis.
- Audited and submitted mandatory Medicare Credit Balance reports for compliance.
- Monitored payer rules and regulations, disseminating updates to staff.
- Led weekly team meetings and conducted quality assurance reviews, fostering collaborative improvement in operational standards.
- Collaborated with hospital leadership to address ongoing issues and concerns.
- Provided staff support for operational challenges and inquiries.
Patient Account Specialist
Healthcare Resource Group
Spokane Valley, WA
06.2006 - 01.2008
- Addressed claims denials through systematic follow-up, resulting in increased approval rates.
- Tracked daily Medicare payments, ensuring timely processing and reducing delays.
- Monitored payer rules and regulations to maintain compliance and minimize claim rejections.
Education
Office Administration & Word Processing - Office Administration & Word Processing
Interface Computer School
Spokane WA12-1991
High School Diploma -
Deer Park High School
Deer Park WA06-1988
Skills
- Data analysis
- Revenue cycle management
- Billing compliance
- Claims resolution
- Financial reporting
- Operational oversight
- Word, PowerPoint and Excel
- Health Information Systems: Meditech, CPSI, Heathland, NextGen, Dr Cloud, Therapist Helper, EPIC, CareLogic
- Clearinghouse Systems: SSI
- Medicare Part B portal and DDE
Timeline
Revenue Cycle Manager
Concise Healthcare Solutions
08.2021 - Current
A/R Billing Specialist
Newport Hospital & Health Services
01.2018 - Current
Revenue Cycle Supervisor
Healthcare Resource Group
02.2008 - 01.2018
Patient Account Specialist
Healthcare Resource Group
06.2006 - 01.2008
Office Administration & Word Processing - Office Administration & Word Processing
Interface Computer School
High School Diploma -
Deer Park High School