Summary
Overview
Work History
Education
Skills
Timeline
Generic

Taneisha Wallace-Lamar

Savannah,GA

Summary

Dynamic professional with a proven track record at Chatham Orthopedics, enhancing revenue collections and patient satisfaction through expert medical billing knowledge and exceptional follow-up skills. Spearheaded staff training initiatives, significantly reducing claim denials. Known for meticulous HIPAA compliance and fostering strong relationships across departments, ensuring seamless administrative support and efficient insurance verification processes.

Overview

5
5
years of professional experience

Work History

Patients Accounts

Candler Hospital
08.2023 - Current
  • Analyzed data trends related to delinquent accounts, using this information to develop proactive measures aimed at reducing late payments from patients.
  • Enhanced department productivity with effective staff training, performance evaluations, and implementation of best practices.
  • Ensured accurate financial record-keeping, conducting regular audits to maintain compliance with industry standards and regulations.
  • Educated patients about available financial assistance programs to help alleviate their financial burden and maintain a positive relationship between the hospital and its clientele.
  • Improved patient satisfaction by streamlining billing processes and implementing efficient account management strategies.
  • Established performance metrics for staff members within the Patient Accounts team, setting clear expectations and monitoring progress toward achieving these targets consistently.

Medical Biller

Chatham Orthopedics
03.2020 - 08.2023
  • Verified insurance of patients to determine eligibility.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
  • Filed and updated patient information and medical records.
  • Ensured timely payments from insurance providers through submission of accurate and complete claims.
  • Collected payments and applied to patient accounts.
  • Posted payments and collections on regular basis.
  • Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
  • Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
  • Liaised between patients, insurance companies, and billing office.
  • Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Resolved discrepancies in accounts receivable reports, contributing to improved cash flow management.
  • Supported efficient scheduling practices by verifying patient eligibility and coverage prior to appointments.
  • Established strong relationships with insurance representatives, facilitating prompt resolution of billing issues.
  • Trained new team members in medical billing software, increasing efficiency within the department.

Precertification Specialist

Chatham Orthopedics
03.2019 - 03.2020
  • Expedited treatment commencement by promptly acquiring authorizations for medically necessary services within required timeframes.
  • Nurtured strong professional relationships with insurance representatives, fostering a collaborative atmosphere during negotiations on behalf of patients.
  • Conducted thorough follow-ups with insurance companies, ensuring timely receipt of authorization numbers for approved services.
  • Analyzed trends in denials or authorization delays to identify opportunities for improvement within the precertification department.
  • Reduced patient wait times for approval by diligently reviewing medical records and obtaining necessary documentation.
  • Streamlined precertification processes by implementing efficient tracking systems and prioritizing urgent cases.
  • Minimized claim denials by accurately coding procedures according to CPT guidelines before submission for approval.
  • Boosted efficiency within the team by regularly updating coworkers on changes in insurance policies or procedural requirements affecting precertifications.
  • Maintained strict adherence to HIPAA regulations by safeguarding confidential patient information during all aspects of the precertification process.
  • Developed comprehensive knowledge of various insurance plans, policies, and coverage limitations to provide accurate guidance to patients and providers.
  • Ensured smooth communication between healthcare providers, patients, and insurance companies, resulting in timely approvals and positive experiences.
  • Contributed extensively to departmental goals through consistent achievement of individual performance benchmarks related to precertification accuracy and timeliness.
  • Enhanced interdepartmental collaboration through effective communication with case managers, physicians, and billing departments.

Education

Bachelor of Science - Business Administration And Management

Savannah State University
Savannah, GA
05.2015

Skills

  • HIPAA Compliance
  • Collections experience
  • Staff Training and Development
  • Insurance Verification
  • HIPAA understanding
  • Medical billing knowledge
  • Medical terminology knowledge
  • Follow-up skills
  • Insurance Billing
  • Administrative Support

Timeline

Patients Accounts

Candler Hospital
08.2023 - Current

Medical Biller

Chatham Orthopedics
03.2020 - 08.2023

Precertification Specialist

Chatham Orthopedics
03.2019 - 03.2020

Bachelor of Science - Business Administration And Management

Savannah State University

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Taneisha Wallace-Lamar