Tara Salcedo
107 Brick Church Road Enola ,PA
Summary
Results-oriented Revenue Cycle Team Lead with a proven track record at UPMC, specializing in optimizing billing cycle performance through advanced EPIC and Microsoft Office utilization. Expertise in denial management and relationship building has driven substantial enhancements in accounts receivable processes, highlighting exceptional vision and collections management abilities.
Overview
20
20
years of professional experience
Work History
Revenue Cycle, Team Lead
UPMC
Harrisburg, PA
04.2022 - Current
- Supports billing team with coding practices, charge inputting procedures, insurer regulations, payment recording and collection activities.
- Supports supervisory staff in managing workflow.
- Manages comprehensive duties of previous role as Patient Account Representative.
Patient Account Representative
UPMC
Harrisburg, PA
07.2019 - 04.2022
- Managed accounts receivable for two Ambulatory Surgery Centers.
- Detected and resolved billing errors ensuring swift insurance reimbursements.
- Crafted a variety of appeal documents to ensure claims were processed by insurance companies.
- Fostered effective collaboration with ASC team members.
- Managed communication for insurance firms, patients, and attorneys about accounts.
Accounts Receivable Representative
OneCare Solutions
Mechanicsburg, PA
08.2014 - 07.2019
- Managed billing operations for diverse range of healthcare providers, ensuring accurate processing.
- Handled end-to-end process for insurance receivables from current to 121+ days.
- Investigated billing issues causing delays in insurance payment.
- Generated a range of appeal letters aimed at securing payment from insurance providers.
- Established strong collaborative partnership with provider’s office.
- Managed communication from insurers, patients, and attorney's offices to resolve account-related questions.
- Addressed and corrected billing mismatches, implementing solutions to avoid recurrence.
Billing Coordinator
Physicians of Rehabilitation Industrial & Spine Medicine, P.C.
Harrisburg, PA
09.2012 - 08.2014
- Verified demographic information for all patients in the billing system.
- Executed efficient processing of patient charges in different medical settings.
- Analyzed long-term unpaid invoices over a two-month period.
- Handled all account-related inquiries from both insurance companies and patients via phone.
- Followed up with insurance providers to obtain payments for delivered healthcare services.
- Processed daily postings of incoming patient and insurance payments.
Client Service Representative
National Recovery Agency
Harrisburg, PA
02.2005 - 09.2012
- Provided customer service support to medical clients concerning accounts in collections.
- Monitored direct payments compliance and ensured timely follow-ups.
- Conducted research on consumer disputes using web and mail through Trans Union.
- Uploaded newly acquired collection accounts in DAKCS software.
- Addressed inquiries through phone interactions with various parties.
- Assisted in administrative duties for the collections department.
- Maintained exceptional rapport with clients by visiting them each month.
Education
Bachelor of Science - Human Services
Kaplan University Online
Chicago, IL02.2014
Skills
- Vision
- EPIC
- SurgiSource
- AllMeds
- ModMed
- Medisoft
- Meditouch
- Intergy
- Microsoft Office
- Excel
- Word
- Outlook
- PowerPoint
- Availity
- Navinet
- Novitasphere
- Optum
- Claims management
- HIPAA regulations
- Accounts receivable
- Collections management
- Medicaid
- Billing cycle performance
- Denial management
- Insurance verification
References
References available upon request.
Timeline
Revenue Cycle, Team Lead
UPMC
04.2022 - Current
Patient Account Representative
UPMC
07.2019 - 04.2022
Accounts Receivable Representative
OneCare Solutions
08.2014 - 07.2019
Billing Coordinator
Physicians of Rehabilitation Industrial & Spine Medicine, P.C.
09.2012 - 08.2014
Client Service Representative
National Recovery Agency
02.2005 - 09.2012
Bachelor of Science - Human Services
Kaplan University Online
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