TAMRA CAUDILL
Middletown,OH
Summary
To secure a position with an established company where proven capabilities, experience and dependability can be utilized. Strives to delight customers above and beyond the call of duty.
Versatile Billing Coordinator bringing 10 years of healthcare experience. Familiar with confidentiality requirements, patient care standards and insurance claims processes. Flexible, reliable, and goal-focused.
Overview
17
17
years of professional experience
Work History
FACILITY BILLING COORDINATOR
SKILLED CARE PHARMACY
Mason
01.2022 - Current
- Review facility unbilled charges for correctness and Accuracy of charges.
- Respond to written customer inquiries regarding account status within forty-eight (48) hours.
- Research Customer’s account and document follow-up appropriately.
- Make certain that at all times an effort is made to validate that any information regarding an account is discussed with the patient or responsible party only.
- Document all account activity on system in notes or in chart.
- Work with residents, patients, facilities, and family members regarding charges, complaints, and collection activities.
- Access computer at the security level permitted to obtain patient records such as status of account, treatment, Medication, and charges.
- Respect the privacy, confidentiality, and security of Patient information.
- Access only the minimum amount of patient protected health information needed to perform role.
- Work and partner with other internal departments to resolve issues.
- Follow all applicable government regulations including HIPAA.
- Process claims for Medicare, Medicaid, HMO, Hospice, and Commercial insurances.
- Process prior authorizations.
- Review daily census to make changes and update patient accounts accordingly.
- Point Click Care, NetSmart myUnity, and Framework.
- Processing payments over the phone for patient accounts.
- Admissions
- Processed billing information accurately to ensure timely claims submissions.
- Monitored patient accounts for outstanding balances, initiating follow-up actions as needed.
- Coordinated with healthcare providers to resolve billing discrepancies and inquiries.
TRANSPORTATION MANAGER
LESAINT LOGISTICS
Fairfield
12.2015 - 01.2022
- Supervise a 3 person shipping office and Outbound loading staff.
- Coordinating and scheduling of all outbound Shipments for delivery to customers and consignments LTL/FTL, dry van, Reefer, and flatbed loads.
- Managing all Shipments through the TMS program.
- Calculating freight footage, rates/line haul with designated carriers.
- Extensive Customer service.
- 3PL operations.
- Operating RF scanner for warehouse and shipping needs.
- Directly negotiating Rates with all carriers through email and load tenders.
- Consolidating shipments for freight cost savings.
- Dispatching.
- Billing, Preparing freight BOL’S.
- Sorting and scheduling order picklists from sales.
THIRD PARTY BILLING SPECIALIST
OMNICARE
Cincinnati
04.2009 - 12.2015
- Processing insurance claims for Medicare, Medicaid, Hospice, HMO and Commercial Insurance.
- Billing, Admitting Patients, Customer Service, Data Entry, Inbound/Outbound Telephone work Order entry, Insurance Prior Authorizations and Medication Coverage Approval and Denial.
- Insurance Verifications.
- Entering patient Demographics and Insurance information.
- Review facility unbilled charges for correctness and Accuracy of charges.
Education
Diploma -
Manchester High School
Middletown, OH05-2001
Skills
- Billing
- Management
- Customer Service
- Medical Billing
- Admissions
- Logistics
- Supervising
- Dispatch
Timeline
FACILITY BILLING COORDINATOR
SKILLED CARE PHARMACY
01.2022 - Current
TRANSPORTATION MANAGER
LESAINT LOGISTICS
12.2015 - 01.2022
THIRD PARTY BILLING SPECIALIST
OMNICARE
04.2009 - 12.2015
Diploma -
Manchester High School