Tammy Salisbury
Summary
Professional appeals expert with strong background in navigating complex cases and resolving disputes efficiently. Proven ability to collaborate with teams and adapt to changing needs while maintaining high standards. Skilled in case analysis, regulatory compliance, and effective communication, consistently driving positive outcomes. Recognized for reliability and focus on achieving results.
Overview
26
26
years of professional experience
Work History
Appeals Specialist
CareFirst BCBS
03.2021 - Current
- Collaborated with cross-functional teams to gather necessary documentation and evidence to support the appeals process.
- Managed high-stress situations with professionalism, ensuring that appeals were handled promptly and accurately even under tight deadlines or heavy caseloads.
- Achieved successful appeal outcomes by meticulously reviewing and analyzing claim denials, identifying errors, and presenting persuasive arguments.
- Consistently met or exceeded performance metrics, demonstrating a strong understanding of the claims review process and an unwavering commitment to achieving positive results for clients.
Member Service Representative
University of Md, Health Advantage
08.2016 - 03.2020
- Effectively manage large volume of incoming calls to generate sales leads
- Identify and assess customers' needs
- Build sustainable relationships of trust through open and interactive communication
- Provide accurate, valid and complete information using related methods/tools
- Meet personnel, team sales targets and call handling quotas
- Handle complaints, provide appropriate solutions and alternatives within the time limits and follow-up to ensure resolution
- Keep records of customer interactions, process customer accounts and file documents
- Follow communication procedures, guidelines and policies
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
Legal Assistant/Intake Lead Specialist
London Disability
07.2013 - 08.2016
- Answered and made follow-up calls to potential Social Security clients
- Managed intake team, ensuring all potential clients are contacted and appropriate follow-up procedures are carried out
- Distributed phone and email inquiries to intake team to reach out to clients
- Mailed packets and follow-up with correspondence to potential clients
- Weekly met with practice manager to report number of potential clients that opened claims and to establish processes for the intake team to work more efficiently
- Prepared clients for meetings by summarizing case details and relevant documents.
Night Auditor
Marriott Courtyard Hotel
05.2010 - 07.2013
- Received and checked in hotel guest
- Balanced and reconciled daily and night transactions
- Monitored and evaluated team member performance
- Oversaw night auditing of daily room occupancy and hotel revenue.
Banquet Manager
Marine Corps & Family Services
04.2009 - 03.2010
- Planned and executed detailed events while supervising staff
- Scheduled daily catering and banquet event proposals
- Determined appropriate staffing levels, room assignments, buffet décor and enhancements
Bartender/Server & New Employee Trainer
Renaissance Hotel-Marriott
08.1999 - 06.2008
- Trained incoming employees in the food service, beverage, bartending areas
- Assisted Sous Chef management team in implementation and creation of bar food service menus
- Completed and directed weekly employee schedule, maintained and managed beverage inventory and created drink menus
- Maintained excellent customer service with guest and maintained professional relationships with team members and upper management
Education
Associates Degree - Human Services
Community College of Baltimore County
Essex, MD05-2025
Diploma -
Perry Hall High School
Perry Hall, MD06.1996
Skills
- Organizational growth
- HIPAA compliance
- Effective communication
- Professionalism and ethics
Timeline
Appeals Specialist
CareFirst BCBS
03.2021 - Current
Member Service Representative
University of Md, Health Advantage
08.2016 - 03.2020
Legal Assistant/Intake Lead Specialist
London Disability
07.2013 - 08.2016
Night Auditor
Marriott Courtyard Hotel
05.2010 - 07.2013
Banquet Manager
Marine Corps & Family Services
04.2009 - 03.2010
Bartender/Server & New Employee Trainer
Renaissance Hotel-Marriott
08.1999 - 06.2008
Diploma -
Perry Hall High School
Associates Degree - Human Services
Community College of Baltimore County
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