Tanya Ransome
Blanchard,OK
Summary
Proficient in managing medical billing processes, including claims resolution and accounts receivable management. Demonstrated expertise in electronic filing and adherence to Medicare and Medicaid guidelines, ensuring accurate billing and timely payments. Committed to enhancing patient satisfaction through effective communication and issue resolution.
Overview
17
17
years of professional experience
Work History
Medical Billing Specialist
Psychiatric Health Corporation
Oklahoma City, OK
07.2025 - 01.2026
- Utilized billing software to manage accounts receivable efficiently.
- Followed up on insurance claims through portals and calls, handling appeals and corrections to ensure timely processing. Reviewed and updated old and new accounts receivable reports. Electronic filing, manual entry of claims also. Utilized CPT and ICD-10 codes for billing and coding accuracy. Knowledge of insurance guidelines. Provided patient customer service in-person and over the phone, addressing inquiries and resolving issues to enhance patient satisfaction. Understanding of explanation of benefits, contractual adjustments, filing of secondary claims, Fee schedules. In network/non-network guidelines, authorizations, referrals. Inpatient hospital, nursing home filing. Coordinated functions across multiple office locations to streamline operations and improve interdepartmental communication.
- Processed insurance claims for psychiatric services and treatments.
- Verified patient information and insurance coverage details for accuracy.
A/R Billing Specialist
Eye Care Partners
Moore, OK
04.2022 - 09.2022
- AR insurance specialist- Duties: Followed up on claims with insurance companies, ensuring timely payment for multiple specialty clinics. Insurance appeals for reconsideration of claims, run monthly spreadsheets, and AR reports to work from, correcting errors in order for claims to go out. Knowledge of Medicare, Medicaid and filing online, Avalidy, Healthchoice, UHC, Tricare, and more. Knowledge of Navinet and Emdeon for electronically filing. NDC, LCD, CLIA ,CPT, ICD 10 codes, Modifiers. Handled incoming patient account calls, providing assistance and clarifying account information. Understanding Explanation of benefits. Attention to detail. Currently unemployed, worked through an employment agency
- Processed patient invoices for eye care services with attention to detail. for eye care services efficiently.
- Managed billing inquiries and resolved patient account issues.
- Collaborated with healthcare providers to verify insurance information.
Billing Specialist
Valir PACE
Oklahoma City, OK
09.2019 - 04.2022
- Process billing statements for patient services and manage payment collections.
- Verify insurance information and update patient accounts accurately.
- Communicate with patients regarding billing inquiries and payment options.
- Handled authorization requests and denials, updated contracts and patient statuses to maintain accurate billing.
Insurance Auditor
Legacy Medical Management, LLC
Moore, OK
05.2015 - 09.2019
- Conducted thorough audits of insurance claims for compliance and accuracy.
- Reviewed medical documentation to verify eligibility and coverage details.
- Collaborated with healthcare providers to resolve discrepancies in claims.
- Corrected errors in claims submissions to expedite processing and payment.
Patient Account Specialist
360 Medical Billing Solutions, Inc
Oklahoma City, OK
01.2014 - 04.2015
- Managed accounts receivable operations, posting insurance payments, addressing denials, and processing appeal claims. Communicated with patients to explain statements and accurately received and updated insurance information. Receiving over the phone credit card payments. Input demographic and charge information accurately to ensure proper account management. Daily and end of the month balancing. Scanning, batching mail, and basic office functions.
- Managed patient account inquiries and resolved billing disputes effectively.
- Processed insurance claims using proprietary medical billing software.
- Reviewed patient records for accuracy and completeness prior to submission.
Office Manager
Liberty Operating, INC
Norman, OK
12.2008 - 08.2013
- Handled bookkeeping, payroll, and sales tax reports for multiple oil and gas companies, maintaining compliance and accuracy in financial records.
- Managed scheduling and coordinated meetings for team members.
- Organized office operations and maintained efficient filing systems.
- Oversaw inventory management and ordered office supplies as needed.
Commercial/Medicaid/Self Pay Billing Manager
Innovative Capital Management/dba Sooner Home Healthcare
Norman, OK
02.2023 - 02.2025
- Managed billing processes for home healthcare services efficiently and accurately.
- Oversaw invoicing and payment collection for diverse client accounts.
- Coordinated with insurance providers to resolve billing discrepancies promptly.
- Generated weekly branch reports, corrected claim errors, and submitted payment appeals.
Education
High School Diploma -
Minco High School
Minco, OK05-1988
Skills
- Medical Billing, Accounts Receivable, Auditing, Insurance verification, Medicare and Medicaid Replacement Plans Insurance portals, Payment Posting, Electronic Filing, ICD 10 and CPT Coding
- Insurance billing
- Claims management
- AR reporting
Timeline
Medical Billing Specialist
Psychiatric Health Corporation
07.2025 - 01.2026
Commercial/Medicaid/Self Pay Billing Manager
Innovative Capital Management/dba Sooner Home Healthcare
02.2023 - 02.2025
A/R Billing Specialist
Eye Care Partners
04.2022 - 09.2022
Billing Specialist
Valir PACE
09.2019 - 04.2022
Insurance Auditor
Legacy Medical Management, LLC
05.2015 - 09.2019
Patient Account Specialist
360 Medical Billing Solutions, Inc
01.2014 - 04.2015
Office Manager
Liberty Operating, INC
12.2008 - 08.2013
High School Diploma -
Minco High School