Tara Chavez
Farmington,NM
Summary
Qualified and hardworking DME and Home Infusion Reimbursement Specialist with expertise in policy research and customer service. Offering over 8 years of experience in analyzing coverage and securing collection for claims. Excellent written and verbal communication skills.
Overview
23
23
years of professional experience
Work History
Reimbursement Specialist
Home Medical Equipment
Albuquerque, NM
12.2016 - Current
- Home infusion and Durable Medical Equipment medical billing using CPR and Brightree software.
- Researched rejections, investigating problems to appeal claims.
- Performed insurance verification, pre-certification and pre-authorization.
- Checked claims coding for accuracy with ICD-10 standards.
- Processed invoice payments and recorded information in account database.
- Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
- Composed clear and concise audit findings to deliver comprehensive audit reports.
- Worked closely with management to discuss external audit results and action plans.
- Review and confirmation of medical claims.
Billing/AR Specialist
Quality Sleep Solutions
Albuquerque, NM
10.2015 - 10.2016
- Confirmation of sleep center sales orders for insurance processing. (9 sleep centers)
- Obtaining benefits and eligibility for patients and submitting auth requests to insurances.
- Answering phones, patient calls inquiries regarding billing issues.
- Taking payments over the phone. Collection calls and updating databases as needed for this process.
- Database management, Brightree, Strategic AR, Quickbooks.
- Printing and processing of medical claim forms both electronic and hard copies.
- Prepared bank deposits by verifying and balancing receipts and sending cash and checks to banks.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Part of interviewing team.
Administrative Assistant
University Of New Mexico Health Sciences Center
Albuquerque, NM
01.2013 - 04.2013
- Functioned as the temporary Office Assistant in busy medical education office.
- Maintained and updated student database system for Medical Student Research Department.
- Organized and classified student files within the university database.
- Scanned,filed,typed and answered phones.
- Ensured students had necessary work filed electronically and manually.
- Assisted the office manager on a daily basis.
Medical Office Assistant
Colinas Chiropractic Center
Taos, NM
09.2010 - 07.2011
- Scheduled appointments for patients via phone and in person.
- Communicated with patients to resolve inquiries, schedule appointments and address billing questions.
- Maintained confidentiality of records relating to clients' treatment
- Led patients to exam rooms, answered general questions and prepared patients for physician by explaining process.
- Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
- Collected co-pays and insurance data, applying full and proper payment to patient accounts.
Assistant Manager
Romios Pizza & Pasta
Renton, WA
03.2006 - 06.2009
- Organized schedules, workflows and shift coverage to meet expected business demands.
- Maintained inventory accuracy by counting stock-on-hand and reconciling discrepancies.
- Delegated daily tasks to team members to optimize group productivity.
- Managed up to 10 employees and oversaw day-to-day operations.
- Ensured all employees followed food safety procedures, and adhered to standards for customer service and product quality.
- Ordered supplies and prepared time and attendance sheets.
Program Assistant II
Gonzaga University Housing
Spokane, WA
09.2001 - 04.2004
- Managed housing assignments for students on campus.
- Entered data and maintained up-to-date information, and conducted housing lottery process.
- Processed billing and managed housing charges.
- Dealt effectively with students and resolved on campus housing issues.
Education
Some College (No Degree) - Medical Billing And Coding
Ultimate Medical Academy - Clearwater
Clearwater, FLSkills
- Verbal and Written Communication
- Medical billing and coding
- Computer Skills
- Microsoft Office
- Customer Service
- Data Management
- Medical claims processing
- HIPAA Compliance
- Insurance verification, and billing processes
- Electronic Medical Records
- Medicare and Medicaid billing regulations
Timeline
Reimbursement Specialist
Home Medical Equipment
12.2016 - Current
Billing/AR Specialist
Quality Sleep Solutions
10.2015 - 10.2016
Administrative Assistant
University Of New Mexico Health Sciences Center
01.2013 - 04.2013
Medical Office Assistant
Colinas Chiropractic Center
09.2010 - 07.2011
Assistant Manager
Romios Pizza & Pasta
03.2006 - 06.2009
Program Assistant II
Gonzaga University Housing
09.2001 - 04.2004
Some College (No Degree) - Medical Billing And Coding
Ultimate Medical Academy - Clearwater
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