TANGELA PARKER

Core Competencies Professional Experience

• B-Reads and Work Queues
• Inventory Ordering
• Scheduling & Coverage Coordination
• Problem Solving & De-escalation
• Managed Care(4 years)
• Medical Billing & Coding (7 years)
• Interpretation of Benefits.
• Epic Systems Proficiency.
• Leadership & Team Support
• Flexibility & Adaptability
• Positive Attitude & Continuous Learning
• Reconcile end-of-day reports ensuring accuracy and compliance.
• Order and track inventory to maintain operational efficiency.
• Create schedules to ensure proper coverage and workflow balance.
• Resolve escalated issues with professionalism and empathy.
• Interpret patient benefits, and support managed care processes.
• Utilize Epic for patient records and daily operations.
• Provide leadership and mentorship to team members, encouraging a positive and collaborative environment.
• Creating Standard Operating Procedure

• Manage multiple and changing priorities in addition to maintaining absolute integrity in working with confidential information.
• Assisting team members with analyzing patient account information, researching claims, and initiating actions needed to get payments on claims resolved.
• Receive inbound and outbound calls from customers relating to billing statements.
• Duties include examining monthly statements and making critical decisions regarding accuracy.
• Accurately responding to patient's online email inquiries regarding payment, coding and insurance concerns through MyChart portal.
• Collection of payment and reconciliation of accounts varying complexity, while preparing and processing eligibility changes to minimize financial impact to patients.

• Manage multiple and changing priorities in addition to maintaining absolute integrity in working with confidential information.
• Assisting team members with analyzing patient account information, researching claims, and initiating actions needed to get payment on claims resolved.
• Receive inbound and outbound calls from customers relating to billing statements.
• Duties include examining monthly statements and making critical decisions regarding accuracy.
• Accurately responding to patient's online email inquiries regarding payment, coding and insurance concerns through MyChart portal.
• Collection of payment and reconciliation of accounts varying complexity, while preparing and processing eligibility changes to minimize financial impact to patients.

• Monitored files to verify accurate data entry and processing through billing system.
• Followed-up on claims submitted to insurance companies to mediate disputes and obtain reimbursement for services rendered during patient's treatment.
• Reviewed periodic billing error reports and addressed, resolved, or reported unusual findings.
• Drafted accurate and grammatically correct medical necessity and coding appeals.