Tarilyn Sanders
Atlanta,Georgia
Summary
Advance my healthcare career by utilizing my administrative support and financial services background experience to pragmatically solve problems and successfully create processes, which align initiatives for overall profitability.
Overview
10
10
years of professional experience
Work History
Clinical Research Specialist
Emory Healthcare
03.2021 - Current
- Manages research project databases, develops flow sheets and other study related documents, and completes source documents/case report forms.
- Interfaces with research participants, determines eligibility and consents study participants according to protocol.
- Approves orders for supplies and equipment maintenance.
- Assists in developing recruitment strategies and conducting screenings for study participants including interviews and questionnaires.
- Compiles data and records results of studies for publications, grants and seminar presentations.
- Performs bill review and adjudication of all charges generated within the Emory Healthcare (EHC) billing system for patients identified and flagged as participating in a clinical trial research study
- Pre-bill review is conducted according to various documents including the Prospective Reimbursement Analysis and is an integral component of the Emory University/EHC clinical trial billing compliance program
Verification Specialist
Wellstar Health System
08.2016 - 02.2021
- Provide verification's for outpatient physical, occupational and speech therapy benefits, billing as a facility
- Check status of pending authorizations such as Tricare Prime, Cigna Healthspring and Medicaid
- While calling insurance companies, multitask which includes scheduling Epic appointments, run real time eligibility, etc
- Complete forms such as financial intake form, COB form for authorization after evaluation
- Schedule Epic appointments for patients that do not require a phone call such as Medicare, Medicaid, Peachstate,
- Amerigroup, Tricare and complete above forms, also complete a care pricer estimate if needed
- Once benefits are obtained, call patient with explanation of benefit information
- Complete data entry into WebPt system.
Patient Account Representative, PAR II
Emory Healthcare
05.2014 - 08.2016
- Resolve delinquency on patient accounts using financial guidelines on inbound and outbound calls
- Advise patients, medical staff and physicians on billing issue accurately and timely filing
- Train new employees on telephone etiquette, medical billing process and collections.Processes and monitor insurance verification to ensure claims filed correctly on patient account
- Complete internal audits to balance patient's account that may require adjustments
- Maintain professional relationships with contacts through Emory University and Emory Healthcare as well as outside
- Medical Organizations and Insurance Companies
- Identify and assist patients with resolving accounts and offer financial counseling
- Serve as a liaison between Insurance Company and Patients to obtain relevant information
- Act as a liaison between specialty divisions as it relates to billing, reimbursement and collection
- Knowledge of all Manger Care, Medicare, Medicaid, PPO contracts.
Customer Care Specialist
Aon- Integramark
09.2013 - 05.2014
- Provide customer service with debt cancellation programs for different banks, which include, Wells Fargo,Citi- Macys, US
- Bank, Credit One Bank, and ADS.Providing assistant with initiating benefits for customers who are experiencing financial difficulties.
Education
B.S - Professional Biology, Chemistry
South Carolina State University
05.2011
High School Diploma - undefined
Goose Creek High School
06.2007
Skills
- Knowledge of ICD-9/ ICD-10 coding, Microsoft Office proficiency, Professional and mature, Excel spreadsheets,
- Insurance eligibility verification's,, Strong interpersonal skills, Strong problem solver, Dedicated team player,
- Medical terminology, HIPAA compliance, Billing and Collections experience, Claims appeal procedures,
- Workers' compensation knowledge, Knowledge of HMOs, Medicare and Medicaid, EPIC System training knowledge, Research
Timeline
Clinical Research Specialist
Emory Healthcare
03.2021 - Current
Verification Specialist
Wellstar Health System
08.2016 - 02.2021
Patient Account Representative, PAR II
Emory Healthcare
05.2014 - 08.2016
Customer Care Specialist
Aon- Integramark
09.2013 - 05.2014
B.S - Professional Biology, Chemistry
South Carolina State University
High School Diploma - undefined
Goose Creek High School
Similar Profiles
DESTINY N. JOHNSONDESTINY N. JOHNSON
Health & Wellness Access Liaison at Emory HealthcareHealth & Wellness Access Liaison at Emory Healthcare
Lisamarie Pearl GreenLisamarie Pearl Green
Cardiology Nurse at Emory HealthcareCardiology Nurse at Emory Healthcare
Doris P WaltonDoris P Walton
RADIOLOGY CODER II Professional Srvc at EMORY HEALTHCARERADIOLOGY CODER II Professional Srvc at EMORY HEALTHCARE
Catherine CrawfordCatherine Crawford
Registered Nurse, Intensive Care Unit at Emory HealthcareRegistered Nurse, Intensive Care Unit at Emory Healthcare
Russell GardnerRussell Gardner
Bagroom Attendant at Peachtree Golf ClubBagroom Attendant at Peachtree Golf Club