Tara Sims
Everson,WA
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
11
11
years of professional experience
Work History
Billing Services Manager
My Hearing Centers
Remote
12.2021 - Current
- Uses knowledge of ICD-10 and CPT codes to submit recent or corrected claims.
- Submits electronic claims within 48 hours as submitted by clinics.
- Work with clinics to ensure correct billing.
- Process all denials to ensure timely payment by payer.
- Work A/R to reconcile unpaid claims.
- Identify claim issues, analyze information and provide solutions to problems.
- Update patient accounts with notes and documents as needed.
- Clear billing report in operating system daily.
- Gather and process medical records as requested by payer.
- Learn and adapt quickly to new technology and software applications.
Patient Care Specialist
My Hearing Centers
Oak Harbor, WA
10.2019 - 08.2021
- Managed over 50 patient calls per day during peak pandemic.
- Motivate and inspire employees in the area.
- Resolve conflicts and make escalated decisions.
- Train new employees and providers, develop and maximize success
- Build teamwork focused environment that consistently delivers exceptional patient experiences.
- Ensure policies and practices are being followed.
- Monthly clinic audits.
- Create and communicate clear action plans that optimize results.
- Ensure all clinic invoices are accurate.
- Lead change and innovation.
Patient Care Coordinator
My Hearing Centers
Oak Harbor, WA
02.2015 - 10.2019
- Provided excellent customer care and a professional atmosphere for every client.
- Managed the patient process through the maintenance of patient files, answering telephone calls, scheduling appointments, phone sales & marketing.
- Strive to increase revenue by ensuring patients are scheduled in an efficient manner and reach or exceed targeted phone, sales, & marketing goals.
- Resolved problems with areas such as communication and billing that could negatively impact services.
- Updated documentation and reports detailing patient interactions.
- Obtained payments from patients and scanned identification and insurance cards.
- Adhered to strict HIPAA guidelines at all times according to company policy.
- Performed basic maintenance and repairs on hearing aids and hearing accessories.
- Oversee inventory activities, including materials monitoring, ordering or requisition, and supply stocking or re-stocking.
Medical Receptionist
Whidbey Island Internal Medicine
Coupeville, WA
02.2012 - 02.2015
- Responsible for management of patient files and important medical documents.
- Demonstrated proficiencies in telephone and front-desk reception within high-volume environment.
- Scheduled, rescheduled and handled cancelled appointments for patients.
- Interacted with all necessary partners throughout establishment including physicians, nursing staff, technicians, and medical assistants.
- Received and processed medical records requests.
- Input data into computer programs and filing systems.
- Adhered to strict HIPAA guidelines at all times according to company policy.
Education
Associate of Arts - General Studies
Skagit Valley College
Oak Harbor, WA2024
Skills
- Healthcare operations
- Customer/Client relations
- Verbal and written communication
- Attention to detail
- Multitasking ability
- Organizational skills
- MS Office proficiency
- Medical Billing
- EMR Systems
- Insurance Verification
Timeline
Billing Services Manager
My Hearing Centers
12.2021 - Current
Patient Care Specialist
My Hearing Centers
10.2019 - 08.2021
Patient Care Coordinator
My Hearing Centers
02.2015 - 10.2019
Medical Receptionist
Whidbey Island Internal Medicine
02.2012 - 02.2015
Associate of Arts - General Studies
Skagit Valley College