Tanya Redmond
Unionville,TN
Summary
Customer Service, Claims Billing, Medicare supplement claims processing, workers comp billing, microsoft office systems. Payment processing and appeals.
Overview
12
12
years of professional experience
Work History
Payment Compliance Collection Managment
Community Health System, PCCM
Franklin
10.2018 - Current
- Payment compliance for multiple hospitals to determine underpayment on claims. Follow up with insurance to process claims correctly, file appeals when needed, follow up with correspondence and telephone calls. follow all HIPPA guidelines. Speak with payers regarding claims.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
Senior Revenue Specialist
Enablecomp
Franklin
06.2014 - 10.2018
- Analyze and evaluate worker’s comp claim payment using in house software systems. Research underpayments and file appeals via email, mail and fax for additional information and review. Follow HIPPA guidelines. Claims reimbursement. Speak with patients, payers and employers regarding claims.
- Analyzed revenue data to identify trends and discrepancies, enhancing reporting accuracy.
Education
High School Diploma -
Eagleville High School
Eagleville , TNSkills
- Team Player
- Strong interpersonal skills
- Microsoft office proficient
- Proactive and self-motivated
- Dependable
- Excellent communication skills
- Exceptional organizational skills
Timeline
Payment Compliance Collection Managment
Community Health System, PCCM
10.2018 - Current
Senior Revenue Specialist
Enablecomp
06.2014 - 10.2018
High School Diploma -
Eagleville High School