Summary
Overview
Work History
Education
Skills
Timeline
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Tara Sims

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
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
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
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
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, WA
2024

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

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Tara Sims