Tammy Tinsley
Dallas,TX
Summary
Dedicated Claims Specialist with a proven track record in facilitating communication and ensuring exceptional service delivery in healthcare claims management.
Overview
11
11
years of professional experience
Work History
Claims Specialist I
Multiplan Inc
Arlington, TX
08.2013 - 01.2025
Facilitated communication between health plan providers, and clients to ensure exceptional service delivery to ensure accurate repricing of healthcare. Managed a high volume of healthcare claims thoroughly to maximize savings on each claim.
Perform provider research. Address counteroffers received and present proposals for resolution while adhering to client guidelines, policy and procedures.
Initiate provider telephone calls regarding proposals overcome objections
Ensure compliance with HIPAA protocol
.
Education
High School Diploma -
Business Management Center
Dallas, TX05-2010
Medical Billing, And Patient Medical Information - Medical Billing
CCI Training Center
Arlington, TX06-2010
Skills
- Skilled in Windows environment
- Excellent Verbal written communications skills
- Ability to handles large volumes with strict time constraints
Accomplishments
Acquired 1 million a year in savings by negotiating with service provider on Out of Network pricing and sevice fees.
Timeline
Claims Specialist I
Multiplan Inc
08.2013 - 01.2025
Medical Billing, And Patient Medical Information - Medical Billing
CCI Training Center
High School Diploma -
Business Management Center