Epic
Tania Bassett
Biller/Consultant
Allen Park,MI
Summary
Quality-driven Biller with proven record of excellent job performance. Manages projects at each stage with diligent and attentive approach, carefully checking details, and testing assumptions. Skilled in training junior personnel in principles and practices.
Dedicated administrative professional skilled in handling multiple projects with high-pressure deadlines. Proficient with accounting systems and related computer software programs.
Results-oriented Lead Financial Clearance Rep with proven track record of success in keeping finances up-to-date and accurate. Dedicated to performing on-time staff, vendors and supplier payments. Offering 15 years of functional experience in providing clerical, financial and administrative services in Medical industry.
Talented Consultant with excellent client oversight, issue resolution and presentation skills. Highly skilled at juggling multiple tasks and projects.
Accomplished professional with more than 4 years of consulting for University of Michigan organizations. Determined and experienced in building lucrative client relationships and implementing successful processes and procedures.
Overview
25
25
years of professional experience
12
12
years of post-secondary education
Work History
Billing & Follow-up Rep 1
Trinity Health
Farmington Hills, MI
08.2019 - Current
- Executed billing tasks and recorded information in company databases.
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Followed up with appropriate parties to obtain prompt payments.
- Checked insurance eligibility by making appropriate phone calls and conducting research on services rendered.
- Identified and resolved patient billing and payment issues.
Senior Authorization Representative/Consultant
University Of Michigan WCS/Med
Ann Arbor, MI
02.2016 - 08.2019
- Offered patients and physician offices estimated costs for services documentation.
- Received patient type change notification and took action necessary to meet third-party payer care and coverage guidelines.
- Researched missing or inaccurate information to establish insurance eligibility and patient liabilities.
- Communicated required insurance information in person and by telephone to patients, physician offices, third party payers and agencies.
- Wrote and implemented standard operating procedures for credit personnel to achieve consistency in unit operations.
- Authored detailed work plans to meet business priorities and deadlines.
- Developed service plans in consultation with clients, and performed follow-ups assessing quantity and quality of services.
- Created detailed roadmaps of action items and project goals and generated reports to inform budgeting and planning.
- Generated reports detailing findings and recommendations.
- Implemented long-term growth initiatives by developing policy and procedure strategies.
Senior Customer Service Representative
Molina Healthcare
Troy, MI
05.2015 - 02.2016
- Greeted customers and listened closely to problems described to determine solutions.
- Reduced average call time 40% with optimal call control and proper use of internal knowledge bases.
- Trained and directed new employees in call script use, conflict resolution and data entry practices to boost customer satisfaction ratings.
- Modified, updated and processed existing policies.
- Reviewed outstanding requests and redirected workloads to complete projects on time.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Liaised with customers, management and sales team to better understand customer needs and recommend appropriate solutions.
- Created detailed roadmaps of action items and project goals and generated reports to inform budgeting and planning.
- Generated reports detailing findings and recommendations.
- Gathered, organized and input information into digital database.
Client Care Specialist
Quicken Loans
Detroit, MI
09.2014 - 05.2015
- Reviewed loan files and updated to match current standards.
- Worked with underwriters to fix application problems and resolve issues.
- Reorganized, streamlined and strengthened operations to maximize performance and profitability in highly competitive markets.
- Creatively solved business problems while specializing in organizational development, marketing and production management with track record of meeting revenue and profit goals.
- Evaluated pay stubs, credit history, tax information and bank statements for financial status.
- Explained legal aspects of loan to borrower, as well as payment terms and clauses.
- Implemented sales strategies that established relationships with realtors and CPAs.
- Oversaw scheduling of timely loan closing to satisfy home builder and borrower needs.
Financial Services Representative
Beaumont Healthcare
Dearborn, MI
04.2008 - 09.2014
- Input all patient data regarding claims and prior authorizations into system accurately.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Collected and processed patient liability statements prior to service.
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Reviewed insurance coverage for patients to determine which party was liable for payment.
- Adhered to established standards to safeguard patients' health information.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
Optician
Henry Ford OptimEyes
Taylor, MI
03.1997 - 04.2008
- Filed claims with vision and medical insurance companies to garner payment for optical services.
- Set up attractive displays, shared current promotions and offered excellent customer service to increase satisfaction.
- Aided patients in selection of flattering eyeglass frames appropriate for prescription and style preferences.
- Learned new catalog of items to present current options to patients.
- Calibrated seg heights, vertex and pupillary distance and pantoscopic tilt to customize eyeglass orders and create perfect fit.
- Prepared work orders outlining all specifications for new lenses and frames.
- Delivered outstanding service to clients to maintain and extend relationship for future business opportunities.
- Developed service plans in consultation with clients, and performed follow-ups assessing quantity and quality of services.
- Developed virtual teams with focus on trust development and extreme programming.
- Supported clients with business analysis, documentation and data modeling.
- Developed strategic component development plans to support future projects.
Education
High School Diploma -
Holy Redeemer High School
Detroit, MI 05.1992 - 05.1992
No Degree - Health Information Technology
Schoolcraft College
Livonia, MI 09.2009 - Current
Skills
Billing systems and software
Insurance company billing
Reimbursement processing
A/P and A/R expertise
Processes and procedures
Analysis & Evaluation
Strategic planning
Knowledgeable in Epic
Knowledgeable in Excel and Microsoft
Software
Zoom
Excel
Microsoft Teams
Google Docs
Microsoft Office
Nextgen
Timeline
Billing & Follow-up Rep 1
Trinity Health
08.2019 - Current
Senior Authorization Representative/Consultant
University Of Michigan WCS/Med
02.2016 - 08.2019
Senior Customer Service Representative
Molina Healthcare
05.2015 - 02.2016
Client Care Specialist
Quicken Loans
09.2014 - 05.2015
No Degree - Health Information Technology
Schoolcraft College
09.2009 - Current
Financial Services Representative
Beaumont Healthcare
04.2008 - 09.2014
Optician
Henry Ford OptimEyes
03.1997 - 04.2008
High School Diploma -
Holy Redeemer High School
05.1992 - 05.1992