Taquisha Palmer
Columbus,OH
Summary
Insurance claims and account resolution professional with 12+ years of experience reviewing claim activity, researching denial causes, and validating policy coverage. Coordinates with insurance carriers and ensures accurate account follow-up. Maintains compliant, detailed documentation across complex claim workflows.
Overview
14
14
years of professional experience
Work History
Patient Account Representative II
Ohio State University Physicians, Inc
Columbus, Ohio
01.2025 - Current
- Improved billing accuracy across patient accounts, enhancing overall revenue cycle integrity.
- Review and resolve medical billing and claims issues by analyzing account discrepancies, payer responses, and reimbursement activity
- Tracked claims in Epic, ensuring timely resolutions and minimizing delays.
Claims Recovery Specialist
Veteran Claims Paid
Gahanna, Ohio
04.2024 - 11.2024
- Reviewed rejected claims to pinpoint underpayment issues and denial root causes
- Prepared claim appeals to facilitate timely reimbursement resolution for patients
- Analyzed billed charges and payer payments to identify trends in denied claims
Billing Coordinator
Pediatric Associates
Whitehall, OH
10.2023 - 02.2024
- Maintained accurate audit trails and detailed account documentation for effective claim follow-up, payer contacts, and resolution of denials, unpaid claims, and payment discrepancies.
- Identified and addressed open accounts receivable issues to ensure consistent cash flow.
- Partnered with third-party payers to facilitate timely reimbursement and efficient account resolution.
AR Follow Up/Trainer
OhioHealth
Columbus, Ohio
03.2016 - 09.2023
- Investigated claim denials and resubmitted to ensure compliance with policy and regulations
- Submitted billing data to appropriate insurance providers to facilitate timely reimbursements
- Processed claims by reviewing and verifying accuracy of medical documentation, ensuring proper claim approvals
Patient Account Representative
OhioHealth
Dublin, OH
03.2013 - 03.2016
- Handled 75-100 inbound calls daily, achieving over 90% in quality assurance metrics
- Verified eligibility and insurance using Availity, CGS, and MITS to ensure accurate patient accounts
- Applied knowledge of HIPAA privacy and security regulations to maintain compliance and protect patient information
Skills
- Medical billing
- Epic claims management
- Claims appeals
- Denial management
- Insurance verification
- Revenue cycle management
- Claims analysis
- HIPAA compliance
Timeline
Patient Account Representative II
Ohio State University Physicians, Inc
01.2025 - Current
Claims Recovery Specialist
Veteran Claims Paid
04.2024 - 11.2024
Billing Coordinator
Pediatric Associates
10.2023 - 02.2024
AR Follow Up/Trainer
OhioHealth
03.2016 - 09.2023
Patient Account Representative
OhioHealth
03.2013 - 03.2016