Tina Gillmore
Summary
With 14+ years in medical billing and insurance processes. Expertise in Insurance Billing, Claims Processing, and ICD Coding. Proven track record in resolving complex billing issues and ensuring compliance with federal and state regulations. Strong customer service skills, adept at handling patient inquiries and complaints. Concrete and hands-on approach ensures accurate billing and documentation. Predictable and consistent, delivering reliable results in high-pressure environments.
History of consistently meeting or exceeding all performance and service objectives. Knowledgeable about monitoring accounts, conducting investigations and documenting actions. Hardworking and diligent professional well-versed in effective account resolution techniques.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Patient Account Resolution Specialist
Apria Healthcare
02.2016 - 02.2025
- Company Overview: Apria Healthcare is a leading provider of integrated home healthcare services, where I manage patient accounts to ensure timely billing and resolution
- Support branches across designated markets to optimize billing processes
- Review new and recurring patient accounts to secure necessary documentation for insurance billing
- Research and secure information from customers to maintain equipment coverage through insurance plans
- Manage patient accounts through effective outreach, achieving +95% resolution rate
- Evaluate documentation for compliance with federal, state, and local regulations
- Perform follow-up actions to ensure timely reimbursement, improving cash flow by +20%
- Contact patients to validate demographic and insurance information, ensuring accuracy in accounts
- Resolve patient complaints by identifying issues and coordinating corrective actions
- Apria Healthcare is a leading provider of integrated home healthcare services, where I manage patient accounts to ensure timely billing and resolution
- Completed in-depth research to investigate claims and resolve problems.
Integration Specialist Lead
Apria Healthcare
07.2014 - 02.2016
- Led integration projects at Apria Healthcare, focusing on seamless transitions and compliance in insurance billing
- Resolved patient complaints by identifying problems and implementing corrective actions
- Ensured compliance with company policies and federal, state, and local regulations
- Provided direction and guidance in work assignments, enhancing team productivity by +15%
- Trained new staff in insurance billing processes, improving team efficiency
Integration Specialist
Apria Healthcare
02.2011 - 07.2014
- Facilitated the integration of customer accounts and revenue at Apria Healthcare, ensuring compliance and accuracy in claims processing
- Assisted with integration of customer accounts from acquisitions, ensuring compliance with SOPs
- Contacted patients to validate demographic and insurance information, securing payment details
- Verified insurance eligibility and benefits, obtaining necessary authorizations for claims
- Reviewed medical necessity information for accuracy, creating new or revised documentation as needed
- Resolved customer complaints by identifying issues and coordinating corrective actions
Office Administration Extern | Medical Billing
Ross Medical Education Center
04.2010 - 05.2010
- Gained hands-on experience in medical billing and office administration during externship at Ross Medical Education Center
- Entered encounters, including procedure and diagnostic codes, ensuring accuracy
- Posted payments received from insurance and patients, maintaining accurate records
- Handled rejections and provided additional documentation to expedite claim payments
- Interfaced with insurance companies to understand claim denials and respond promptly
Assembler | Quality Assurance
Inalfa Roof Systems
03.2005 - 07.2009
- Assembled automotive sunroofs at Inalfa Roof Systems, maintaining high quality and safety standards
- Maintained high quality OSHA standards, ensuring workplace safety
- Successfully assembled top-of-the-line sunroofs for the automotive industry
Manufacturing Lead | Office Administration
Genesee Packaging, Inc.
08.2000 - 03.2005
- Supervised manufacturing operations at Genesee Packaging, Inc., ensuring quality and efficiency in production processes
- Supervised a team of six employees, maintaining high productivity standards
- Trained new staff in operational procedures, enhancing team performance
- Completed administrative duties, supporting efficient office operations
Education
Medical Insurance Billing And Office Administration Certificate -
Ross Medical Education Center
05.2010
Skills
- Eligibility Verification Expertise
- Insurance Claims Processing
- Detailed ICD Coding Knowledge
- Medical Claims Processing
- Billing System Management
- Electronic Invoicing
- Efficient Claims Processing
- Claims Management
- Accounts Receivable Processing
- CPT Medical Coding
- Accounts Receivable Invoicing
- Accounts Receivable Oversight
- Claims Evaluation Expertise
- Timely Client Communication
- Telecommunications Experience
- Efficient Record Organization
Certification
Medical Insurance Billing And Office Administration Certificate, 05/10, Ross Medical Education Center
Personality Strengths
- Conventional - Adheres to established processes and methods
- Opportunistic - Comfortable with ambiguity and dynamic environments
- Engaged - Excels in teams and one-on-one interactions
- Accommodating - Diplomatic and accepting of others' needs
- Composed - Remains calm under pressure
Timeline
Patient Account Resolution Specialist
Apria Healthcare
02.2016 - 02.2025
Integration Specialist Lead
Apria Healthcare
07.2014 - 02.2016
Integration Specialist
Apria Healthcare
02.2011 - 07.2014
Office Administration Extern | Medical Billing
Ross Medical Education Center
04.2010 - 05.2010
Assembler | Quality Assurance
Inalfa Roof Systems
03.2005 - 07.2009
Manufacturing Lead | Office Administration
Genesee Packaging, Inc.
08.2000 - 03.2005
Medical Insurance Billing And Office Administration Certificate -
Ross Medical Education Center
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