Tara Apple

• Enhanced financial reporting accuracy through regular reconciliation of accounts and attention to detail.
• Supported annual audit preparation, ensuring thorough documentation and compliance with regulations.
• Strengthened internal controls by developing and implementing policies for proper financial management.
• Facilitated month-end closing procedures, ensuring accurate financial statements within tight deadlines.

• Collected and analyzed customer information to prepare product or service reports.
• Updated account information to maintain customer records.
• Delivered prompt service to prioritize customer needs.
• Communicated professionally with colleagues, freelancers and clients.
• Responded proactively and positively to rapid change.

• Completed database queries and generated reports.
• Followed up with staff and customers by phone and email regarding missing or needed information and compiled retrieved information into files.
• Offered friendly and efficient service to customers, handled challenging situations with ease.
• Completed paperwork, recognizing discrepancies and promptly addressing for resolution.
• Cleaned up files regularly by removing outdated information for archival or disposal.

• Learned and maintained in-depth understanding of product information, providing knowledgeable responses to diverse questions.
• Educated customers on company systems, form completion and access to services.
• Assisted customers by answering questions, responding to inquiries and handling telephone requests.
• Achieved high satisfaction rating through proactive one-call resolutions of customer issues.
• Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
• Responded to customer requests, offering excellent support and tailored recommendations to address needs.

• Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
• Determined patient financial needs and referred eligible patients to proper county, state or federal agencies to obtain financial assistance.
• Explained estimated cost for medical treatments and answered patient questions to promote good understanding of proposed services.
• Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
• Received patient deductibles, co-pay amounts and [Type] and discussed options to satisfy remainder of patient financial obligations.
• Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
• Performed patient registration functions to serve as initial contact point for medical visits.
• Contributed to reduction of accounts receivables by adhering to predetermined policies and procedures to recover amounts due from patients.
• Reviewed and corrected claim errors to facilitate smooth processing.

• Evaluated diverse organizational systems to identify workflow, communication and resource utilization issues.
• Provided outstanding service to clients to maintain and extend relationship for future business opportunities.
• Took detailed notes and kept records of program and performance progress, education initiatives and leadership.
• Devised strategies to improve organization efficiency and optimize group management.
• Reviewed internal systems and organized training plans to address areas in need of improvement.
• Managed onsite personnel and liaised between team and senior management.
• Offered complete instructional support for Doctor's and Nurses.
• Participated in training classes to improve tutoring practices and learn new tutoring techniques.
• Offered friendly and efficient service to all customers, handled challenging situations with ease.
• Used coordination and planning skills to achieve results according to schedule.
• Implemented Cerner training initiatives by incorporating industry trends and collaborating with senior leaders.

• Explained estimated cost for medical treatments and answered patient questions to promote good understanding of proposed services.
• Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
• Received patient deductibles, co-pay amounts and [Type] and discussed options to satisfy remainder of patient financial obligations.
• Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
• Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
• Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
• Contributed to reduction of accounts receivables by adhering to predetermined policies and procedures to recover amounts due from patients.
• Generated monthly statements to check outstanding balances.
• Compiled and reviewed medical charts.
• Reviewed and corrected claim errors to facilitate smooth processing.
• Took copayments and compiled daily financial records.
• Balanced deposits and credit card payments each day.
• Assisted patients in filling out check-in and payment paperwork.

• Responded to customer requests for products, services and company information.
• Communicated with vendors regarding back order availability, future inventory and special orders.
• Entered customer interaction details in SAP to track requests, document problems and record solutions offered.
• Liaised with customers, management and sales team to better understand customer needs and recommend appropriate solutions.
• Provided primary customer support to internal and external customers in fast-paced environment.
• Fielded customer questions regarding available merchandise, sales, current prices and upcoming company changes.
• Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
• Assisted customers with setting appointments, shipping and special order requests, and arranging merchandise pick-up at other locations.
• Offered advice and assistance to customers, paying attention to special needs or wants.
• Consulted with outside parties to resolve discrepancies and create effective solutions.
• Answered customer telephone calls promptly to avoid on-hold wait times.
• Cultivated customer loyalty, promoted repeat customers and improved sales.

Processing Medicaid claims through the Champs software.

Review procedure codes.

Resolve system edits for all practitioners, dentists, ambulance providers and special service providers that participate in the Michigan Medicaid program.

Review resolutions of pended claims billed on the HCFA 1500, ADA paper claim form and the electronic claims billed for the same provider types.

Resolve pending claims by following guidelines on the Champs system using specific codes to inform providers of the disposition of their claim.

Handle questions regarding pending's and suspended claims.

Assist with navigating Michigan Medicaid providers through the Champs processing system concerning prior authorizations, provider enrollment, claims and eligibility.

Verify eligibility for Michigan Medicaid beneficiaries.

Assist with application process.

Respond to complaints and resolve issues.

Knowledgeable and familiar with the various eligibility and provider manuals, along with contracts that the Medical Services Administration and Department of Community Health has for services.

Respond to providers regarding billing issues for individuals that have been or are currently enrolled in the Medicaid and/or Medicare Medical Assistance Programs.