Timothy Tatum
Hiram,GA
Summary
Tactful Claims Specialist with expertise in settlement preparation, claims processing and appeal filing. Diplomatic and personable professional accustomed to handling sensitive, confidential information and investigating complex liability claims. Committed to maintaining customer satisfaction and contributing to company success.
Overview
9
9
years of professional experience
Work History
Medicare Claims Specialist
State Farm
02.2020 - 02.2025
- Process and submit Medicare claims using electronic billing systems, ensuring compliance with CMS guidelines.
- Review EOBs and remittance advice to identify and correct billing discrepancies.
- Resolve denied and rejected claims through detailed follow-ups and appeals.
- Maintain current knowledge of Medicare updates, rules, and coverage policies.
- Communicate with insurance companies, providers, and patients to resolve billing issues.
- Assist in monthly audits to ensure accuracy and reduce billing errors.
- Posted payments to accounts and maintained records.
- Appealed claims as needed through CMS.
Front Desk Receptionist
Delta Dental
02.2016 - 01.2020
- Resolved customer issues quickly and notified supervisor immediately when problems escalated.
- Collected room deposits, fees, and payments.
- Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
- Maintained confidentiality of sensitive data to protect customer and business information.
- Scheduled office meetings and client appointments for staff teams.
- Routed incoming mail and messages to relevant personnel without delay.
- Resolved customer problems and complaints.
- Maintained proper telephone switchboard operation and etiquette, meeting performance standards.
Education
High School Diploma -
Harrison High School
Kennesaw, GA05-2011
Skills
- Medicare & Medicaid Billing
- Claims Processing & Adjudication
- CPT/ICD-10 Coding
- Denial Management & Appeals
- Insurance Verification
- EOB Review & Reconciliation
- HIPAA Compliance
- Electronic Health Records (EHR)
- Customer Service & Communication
Timeline
Medicare Claims Specialist
State Farm
02.2020 - 02.2025
Front Desk Receptionist
Delta Dental
02.2016 - 01.2020
High School Diploma -
Harrison High School
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