Tara Manning
Healthcare professional with 15+ years of experience in utilization review, insurance verification, prior authorizations, surgery scheduling, medical billing, patient registration, and revenue cycle support. Proven ability to manage multiple facilities and surgery centers while coordinating care between providers, insurance companies, and patients to obtain timely authorizations, verify benefits, resolve denials through appeals, and ensure accurate reimbursement. Experienced in reviewing medical records, collaborating with physicians to obtain necessary documentation and appropriate diagnosis coding, calculating and collecting patient financial responsibility, scheduling procedures, processing orders, and maintaining accurate patient records. Recognized for exceptional attention to detail, strong communication, and the ability to thrive in fast-paced, high-volume environments while managing multiple priorities. A dependable, team-oriented professional who enjoys cross-training, supporting colleagues, learning new systems and processes, and providing outstanding service to patients, providers, and insurance partners.
Work History
UR Coordinator in surgery billing
2 Years 10 Months- Surgery billing/verify codes/submitting authorizations if needed from their insurance/ communicating to find out each policys rules and regulations to make sure we are compliant and can recieve approval /communicate with providers if documentation needs to be updated for an authorization to be approved/appeals/denials follow ups/ calling pts with their cost for surgery / collecting payments
- Remote
UR Coordinator
1 Year 2 Months- Have certain hospitals and facilities we manage and any pts that are admitted overnight and/or more (whether they are admits from the ER or pre approved surgery admits, it’s all the above and then some...whatever the case may be, we manage it all!) and we are the ones responsible for making sure clinical diagnosis’s and docs orders etc are up to code and the admission is medically necessary & then I can take those clinicals and send to pts insurance (if their insurance requires it, all insurances have different rules, regulations and requirements) to approve each hospital stay.
- Remote
Documentation Specialist
5 Months- Prior authorizations, pre-certs, scheduling appointments, billing, accounts receivable for C-PAP Therapy equipment.
Front Desk Specialist
3 Months- Insurance verification, accept co-pays and deductibles being mindful of balance owed confirmations, insurance verification and payment detail retrievals for each patient.
Front Desk Specialist
5 Months- Check patients in/out, helped patients identify frames that were best fit, accepted payments, vision insurance verification, schedule and confirm patient appointments.
Front Desk Receptionist/Office Assistant
3 Years 10 Months- Detailed clinical phone messages for physicians and staffers, directed patient flow during practice hours, minimizing patient wait time, scheduled patient appointments, completed registration quickly and cordially for all new patients, monitored shared email in-boxes and ensured inquiries were addressed, resolved and clarified issues with patient medications and collaborated with local pharmacies, experience with FMLA paperwork
Receptionist/Room Filler
1 Year 4 Months- Checked patient vital signs and input data for physicians, assisted nurse in certain lab testing, scanned and recorded and filed patient data and medical records, collect copays and payments on patient accounts, resolved and clarified issues with patient medications and collaborated with local pharmacies, answered high volume phone calls and took clear and detailed clinical phone messages for physicians and staffers.
Cosmetologist
3 Years 4 Months- Hair stylist. i did facials, waxing, weddings, color, perm, cuts, nails, pedicures, anything related to cosmetology- we did.