Tara Walker
Overview
17
17
years of professional experience
Work History
Precertification Specialist
Borland Groover
01.2023 - Current
- Verify patient eligibility and insurance information prior to patient appointments
- Request referrals from primary care providers
- Obtain authorizations for procedures by utilizing various insurance websites and medical software
- Notate patient accounts with pertinent information related to authorizations
- Answer, and resolve, incoming phone calls and emails regarding STAT procedure requests
- Work same day and next day add on report
- Enter or update insurance information into EMR system accurately to ensure proper billing.
Insurance Verification and Authorization Specialist
Ensemble Health Partners
12.2021 - 12.2022
- Worked with insurance companies and/or physicians offices to complete insurance authorization requirements
- Identified appropriate clinical records and submit authorization requests to insurance companies for approval based on plan requirements
- Acted as a liaison between ordering physicians and insurance companies to ensure requirements to secure approvals are identified and communicated
Authorization Representative
Precision Imaging Centers
07.2020 - 12.2021
- Verified eligibility of insurance benefits
- Obtained pre-certification/authorization for radiology services
- Maintained database of authorization information within the radiology information system
- Communicated with physicians offices and patients regarding denied authorization of services and the appeals process
- Communicated with physicians offices on clarification of eligibility requirements for ordered exams
- Assisted ancillary departments with questions regarding eligibility and cost of services
- Assisted with scheduling patient appointments.
Patient Access Team Lead
HCA Healthcare
10.2018 - 02.2020
- Provided feedback on daily registration processes and staffing issues to the Patient Access Supervisors
- Assisted staff level employees as necessary to ensure compliance with department policies andprocedures
- Supported leadership with staffing, report reconciliation, QA process, and other duties as assigned
- Collaborated with nursing and ancillary departments to maintain a teamwork approach
- Requested and collected deposits and copays, register all patient types and assist in resolving patientconcerns
- Assisted Supervisor to ensure all personnel department policies and procedures are followed
- Act in capacity of supervisor in his/her absence.
PTAC Central Unit Reports Analyst
HCA Healthcare
01.2017 - 10.2018
- Exceeded productivity standards when working various patient access reports for multiple facilitieswithin the SSC to include: BILL09, Pre-Service Log, Unbilled, eRequest, PAD and PA BILL ALERT PAD
- Queues, Batch Net, & HPF Queues
- Ensured reports were kept current so that billing was not delayed, and accounts were not escalated
- Notified PTAC Operations Manager of high dollar or aged accounts that needed managementintervention
- Worked with facility PTAC Leadership on account resolution as necessary
- Logged errors in a consistent format so that they can be analyzed for process improvement and notifiedand assisted PTAC Operations Manager with identifying common errors.
Billing Specialist
Outpatient Services Group, HCA Healthcare
03.2015 - 01.2017
- Worked all identified insurance edit requirements through the electronic billing system
- Transmitted electronic claims to billing vendors to be disbursed to insurance carriers
- Worked and processed re-bill claim requests and insurance rejected claims
- Submitted paper billed invoices, along with required documentation, to insurance carriers
- Communicated unresolved billing issues with the Facility Patient Access Department.
Administrative Assistant
The Art Institute of Jacksonville
03.2013 - 01.2015
- Provided administrative support to Academic Dean, Department Chairs, Academic Adviser, and
- Registrar to include proctoring instructor evaluations and maintaining campus supplies
- Collaborated with Admissions Department to ensure all admissions requirements were met
- Facilitated student admissions and graduation/exit processes
- Assisted with creating quarterly academic schedule and quarterly student registration processes.
Associate Registrar
Virginia College
04.2011 - 01.2013
- Maintained the reporting of registration/enrollment data, attendance and grades
- Verified scheduled course hours were compliant and within company guidelines
- Monitored student academic standing and assisted with grade change petition process
- Coordinated academic information for graduation clearance
- Processed transcript requests, transfer credits, test out and course exemptions within required times
- Prepared written correspondence regarding student enrollment status.
Business Office Coordinator
Virginia College
03.2009 - 03.2011
- Collaborated with Financial Aid Department to ensure eligibility and accurate posting of Title IV and
- Veteran's Affairs funds
- Resolved Title IV credit balances and ineligible Title IV funds within company and federal guidelines
- Performed accurate posting of charges and debits to student accounts
- Provided customer service to students when providing financial aid and account statuses
- Prepared and mailed monthly invoice statements and account correspondence
- Arranged payment plans for students with out of pocket expense.
Office Supervisor
Insurance Auto Auctions
02.2006 - 03.2009
- Supervised daily branch operations and staff
- Managed salvage title and vehicle assignment processes
- Trained office staff and vendors on company policy and procedure
- Accurately processed and documented sales transactions
- Prepared daily branch bank deposits.
Education
High School Diploma -
William M Raines High School
Skills
- Customer Service & Rapport Building
- Insurance Verification
- Insurance Billing/Claims
- Insurance Authorizations
- ICD-10 and CPT Coding
- Procedural Codes
- Diagnostic Procedures
- EMR Software
- Precertification Processing
- Electronic Billing Systems
- Report Reconciliation
- Office Management & Administration
- PC Skills & Microsoft Office
- Verbal/Written Communication skills
- Training and Supervision
- Certified Revenue Cycle Representative
Timeline
Precertification Specialist
Borland Groover
01.2023 - Current
Insurance Verification and Authorization Specialist
Ensemble Health Partners
12.2021 - 12.2022
Authorization Representative
Precision Imaging Centers
07.2020 - 12.2021
Patient Access Team Lead
HCA Healthcare
10.2018 - 02.2020
PTAC Central Unit Reports Analyst
HCA Healthcare
01.2017 - 10.2018
Billing Specialist
Outpatient Services Group, HCA Healthcare
03.2015 - 01.2017
Administrative Assistant
The Art Institute of Jacksonville
03.2013 - 01.2015
Associate Registrar
Virginia College
04.2011 - 01.2013
Business Office Coordinator
Virginia College
03.2009 - 03.2011
Office Supervisor
Insurance Auto Auctions
02.2006 - 03.2009
High School Diploma -
William M Raines High School
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