Tara Harkless
Vero Beach
Summary
Resourceful specialist with expertise in problem-solving, data analysis, and customer service. Proficient in adapting to new technologies and processes to drive success. Demonstrates effective project management skills and a talent for developing innovative solutions.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Senior Specialist, Accounts Receivable
Ensemble Health Partners
04.2016 - 10.2024
- Processed all medical claim denial types from date of denial to final adjudication
- Communicated directly with clients and payors to follow up on outstanding claims to ensure timely reimbursement
- Resolved payment variances and underpayments
- Identified trends and root causes of issues in A/R
- Understanding of federal and state regulations as well as payer requirements for claims and billing
- Maintained detailed documentation pertaining to claim status
- Weekly review of cash collections by client and insurance type
- Completed special projects as assigned to achieve desired AR goals
- Trained new team members and provided continued training for current associates in AR
- Research claim payments to ensure accuracy in posting
- Maintained accurate training materials for correct SOP for all denial types
- Prepared and submitted Appeals for all denial types
- Processing Retro Authorizations and Post - Service Review for NA denials
- CRCR certification compliance
- Developed training materials for new team members to ensure consistent onboarding.
- Improved workflow with process optimization and task delegation.
- Collaborated with cross-functional teams to drive project success and meet deadlines.
- Initiated strategies to boost productivity and fostered a collaborative work environment.
- Analyzed performance data to identify trends and recommend solutions for improvement.
- Spearheaded initiatives to improve operational efficiency and support business goals.
- Resolved complex issues by leveraging expertise and facilitating team discussions.
- Improved team performance with targeted coaching and professional development.
- Boosted team morale through effective leadership and recognition of achievements.
- Facilitated knowledge sharing sessions to promote continuous learning and improvement.
- Supported department leadership in implementing new policies, procedures and controls.
- Established strong working relationships with clients through exceptional customer service and proactive communication efforts.
Sales Agent, REALTOR
HUFF Realty
02.2021 - 06.2022
- Developed strong relationships with clients through excellent customer service and regular followups.
- Provided superior service to customers by quickly and courteously responding to requests, inquiries, suggestions and concerns.
- Negotiated contracts with prospective clients, helping to secure long-term business partnerships.
- Served customers and clients with knowledgeable, friendly support at every stage of home search
- Coordinated showings with buyers and other agents
- Conducted comparative market analysis reports to present to customers and clients
- Utilized real estate databases and software to manage listings, contracts and client information
- Presented offers and counter offers timely
- Volunteered at community events to promote current information on housing market and reinforce positive associations with the brokerage
- Knowledge and understanding of the current real estate market
- Provided superior service to customers by quickly and courteously responding to requests, inquiries, suggestions and concerns.
Eligibility Screening Services Representative, CAC
Trumbull Memorial Hospital
09.2014 - 05.2016
- Work directly with registrar and financial counselors for verification of patient benefits and eligibility
- Perform inpatient rounding daily to evaluate coverage eligibility; WC, Cobra, State and Federal Programs
- Prepare and complete applications, authorizations, and release forms per facility and state requirements
- Work directly with county offices for approval of consumer applications
- Collections of co-pays and deductibles for insured consumers
- Arrangement of payment for self-pay accounts
- Certified Application Counselor (CAC)
Customer Service Manager
Albert Guarnieri & Co. Wholesale
04.2009 - 09.2014
- Building and maintaining excellent customer service relationships
- Develop customer service procedures and standards
- Recruiting and training, employee reviews, corrective and disciplinary action
- Manage daily accounts receivables for3 locations
- Negotiate settlements for delinquent accounts
- Prepare delinquent accounts for litigation
- Perform background search on employee applicants
- Determine credit allowance and release of product delivery based on account status
Patient Care Technician – PCTI
Trumbull Memorial Hospital Trauma Center
05.2007 - 04.2009
- Phlebotomy, specimen collection, ECG Technician, patient care and assessment
- Triage, orthopedic specialties, CPR
Account Officer
The Cadle Company
11.2003 - 05.2007
- Collection of commercial and consumer accounts
- Foreclosure, bankruptcy, adversary proceedings, and business liquidations
- Negotiate settlements and repayment plans
- Paralegal duties including review and improvement of legal documents
- Qualify accounts for litigation and monitor legal proceedings
- Customer service and maintenance of paying accounts
- Skip tracing
Education
Adjuster License - Adjuster – All Lines - DHS TX
Claims Adjuster Academy
Addison, TX10-2024
Real Estate Sales Agent - undefined
Hondros College
01.2020
Practical Nursing - undefined
ETI Technical Institute
Niles, Ohio01.2012
Phlebotomy Techniques - undefined
Trumbull Memorial Hospital
Warren, Ohio01.1996
Skills
- Risk Management
- Medical & Hospital Administration
- Team Leadership
- Training and Mentorship
- Critical Thinking
- Process Improvement Strategies
- Residential Real Estate Sales
- Communication and Client Relations
Certification
- Certified Revenue Cycle Representative - CRCR
Certified Revenue Cycle Representative (CRCR)
Certifies a high level of expertise and knowledge in revenue cycle with preparedness to increase receivables, reduce denials, and work efficiently throughout the revenue cycle.
Timeline
Sales Agent, REALTOR
HUFF Realty
02.2021 - 06.2022
Senior Specialist, Accounts Receivable
Ensemble Health Partners
04.2016 - 10.2024
Eligibility Screening Services Representative, CAC
Trumbull Memorial Hospital
09.2014 - 05.2016
Customer Service Manager
Albert Guarnieri & Co. Wholesale
04.2009 - 09.2014
Patient Care Technician – PCTI
Trumbull Memorial Hospital Trauma Center
05.2007 - 04.2009
Account Officer
The Cadle Company
11.2003 - 05.2007
Real Estate Sales Agent - undefined
Hondros College
Practical Nursing - undefined
ETI Technical Institute
Phlebotomy Techniques - undefined
Trumbull Memorial Hospital
Adjuster License - Adjuster – All Lines - DHS TX
Claims Adjuster Academy
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