Tanya Barker

• Reviewed denied claims, corrected errors, and submitted timely appeals to improve reimbursement outcomes.
• Monitored accounts receivable activity, prioritized follow-up, and maintained clean claim queues.
• Supervised billing staff, coordinated daily workflows, and resolved claim processing bottlenecks.
• Trained billing team members on payer requirements, compliance standards, and documentation accuracy.
• Audited payment postings and explanation of benefits for accuracy and reconciliation consistency.
• Implemented billing process improvements that reduced manual rework and strengthened workflow efficiency.
• Liaised with insurance carriers to resolve authorization, coding, and reimbursement discrepancies.
• Prepared billing reports, tracked performance trends, and supported management decision-making.
• Submitted electronic and paper claims to insurance companies, Medicare and Medicaid to collect medical payments.
• Analyzed medical records to satisfy insurance company mandates.
• Managed a team of medical billers, providing guidance and support for their professional development.
• Reduced claim denials by maintaining up-to-date knowledge of insurance policies and regulations.
• Increased revenue by identifying underpayments and errors, ensuring proper reimbursement from insurance companies.
• Reviewed outgoing bills for eligibility and accuracy.
• Led patient account reconciliations by identifying and rectifying discrepancies within patient accounts, ensuring accurate billing and collection processes.
• Improved efficiency in the medical billing process by streamlining workflows and implementing best practices.
• Collaborated with physicians and other healthcare providers to resolve complex billing issues promptly.
• Complied with HIPAA privacy and security regulations to protect patients' medical records and information.
• Maintained current accounts through aged revenue reporting.
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CPC Certification for over 15 years