Tatum Lewis Jackson
Novant Health, Charlotte, NC
Gastonia,NC
13
years of professional experience
Revenue Cycle Professional experienced in revenue cycle processes and compliance with Medicare, Medicaid, and commercial insurance reimbursement regulations. Managed claim statuses and resolved issues with healthcare providers through effective communication and problem-solving. Committed to optimizing revenue cycle efficiency and ensuring timely reimbursements.
Work History
Insurance Follow Up Specialist II
3 Years 3 Months- Resubmitted primary, secondary, and tertiary claims per respective regulations and policies.
- Communicated with third-party representatives to complete claims processing and resolve problem claims.
- Followed up daily on post-processing activities, including rejected billings, adjustments, rebilling, and denied claims for accounts over 30 days old, ensuring timely resolution.
- Maintains standards per payer for percentage accounts >90 days.
- Reported productivity results daily to the AR supervisor.
- Maintained standards for percentage of accounts over 90 days per payer.
- Worked the minimum standard number of accounts per payer each day.
- Met or exceeded collection goals for each payer monthly.
- Participated in educational activities and attended monthly department staff meetings.
- Maintained confidentiality in compliance with all HIPAA guidelines and regulations.
- Executed various tasks as required by management to support team objectives.
Patient Transporter
2 Years- Delivered safe, efficient, courteous transport services to patients, visitors, and staff, enhancing overall experience.
- Prioritized service needs while performing transportation, escorting equipment requests, and assisting with basic patient care, ensuring timely support.
- Coordinated activities of patients, visitors, and staff throughout facilities, facilitating smooth operations and effective communication.
Revenue Cycle Supervisor
2 Years 8 Months- Analyze trends in insurance denials and work with insurance companies to resolve underlying reasons for denials.
- Analyzed trends in insurance denials, collaborating with insurance companies to address root causes and enhance resolution processes.
- Managed recurring coding and clinical documentation issues, implementing corrective actions to resolve underlying causes of errors.
- Coordinated with relevant departments to address and resolve contract issues effectively.
- Work as a liaison between the Appeals staff and other SSC staff
- Resolve issues escalated by Appeals staff.
- Screen, interview, and hire new employees.
- Arrange for training of new employees.
- Review each staff member's productivity monthly and perform annual evaluations.
- Counsel staff with disciplinary and productivity issues
- Conduct monthly staff meetings.
- Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement.”
Revenue Cycle Team Lead
2 Years 4 Months- Delivered training and education to staff on policies and procedures to ensure compliance.
- Meets with the Manager regularly to effectively communicate and resolve overpayment issues, set, and prioritize goals and improve processes.
- Facilitated staff communication by providing updates, resolving issues, setting goals, and maintaining standards.
- Ensured compliance with departmental policies and procedures by regularly reviewing and updating documentation.
- Assist manager with development and implementation of department and project action plans.
- Monitored takebacks and initiated refunds.
- Processed refunds for identified overpayments and resolved discrepancies in the log.
- Perform validation of discrepancy reason codes assigned by Discrepancy Analyst
- Assist with payroll activities for team members (i.e., timecards, edit sheets)
Senior Reimbursement Analyst
4 Years 10 Months- Monitored insurance claims, ran reports, and contacted insurance companies to resolve unpaid claims promptly.
- Identified coding or billing issues from EOBs and corrected errors efficiently.
- Identified problem accounts and escalated them to the appropriate department.
- Update the patient account record to identify actions taken on the account.
- Collaborated with patients and guarantors to secure payment on outstanding account balances.
- Organized and filed correspondence systematically to ensure easy retrieval.
- Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement
- Adhere to all HIPPA rules and regulation.
Education
Bachelor of Business Administration - Health Care Management
Pended Graduation Date June 2027
Skills
Critical thinking
Organizational development
ICD-10 coding
Computer software proficiency
Strong analytical skills
Claims processing
Process improvement
Communication effectiveness
Timeline
Patient Transporter
Atrium Health, Charlotte NC
01.2024 - 01.2026Read More
Insurance Follow Up Specialist II
Novant Health, Charlotte, NC
05.2023 - CurrentRead More
Revenue Cycle Supervisor
St. John's Episcopal Hospital, Far Rockaway, NY
08.2020 - 04.2023Read More
Revenue Cycle Team Lead
St. John's Episcopal Hospital, Far Rockaway, NY
04.2018 - 08.2020Read More
Senior Reimbursement Analyst
Mount Sinai Hospital, New York, NY
06.2013 - 04.2018Read More
Capella University
Bachelor of Business Administration from Health Care Management
Read More