TRAMAINE COLEMAN
La Place,LA
Summary
Detail-oriented Revenue Cycle Specialist with a systematic nature and good grasp of billing processes. Successful planner and problem-solver. Ready to apply 3 years' experience and take on a challenging role.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Medical Biller and Solution Specialist WFH
ACU-Serve Corp
12.2022 - 06.2025
- Reviewing open AR for your designated client load to evaluate what is needed to collect the outstanding cash.
- Work independently to identify and resolve reasons for denials, rejections and claims with no response in the most efficient manner possible.
- Work via website, phone, fax, and any manner necessary to resolve the outstanding AR in the most efficient way possible.
- Understand, locate, and review payer websites and manuals for guidance and resolution.
- Evaluate high touch claims and Tier 2 claims and provide feedback to the team working the first touch on errors made or where feedback can be given to eliminate touches on the claim.
- Ability to review and identify patterns of price table issues and escalate to resolve them according to contract or payer guidelines.
- Ability to review and identify patterns with payers and non-payment or delayed payment. Be able to summarize and escalate in the correct manner.
- Exercise good time management skills to balance
Patient Access Representative-Work from Home
Ochsner Medical Center
12.2020 - 11.2022
- Reviewed patient accounts to ensure accuracy and completeness of information.
- Analyzed claims data to identify trends in denials and rejections.
- Assisted with the development of new processes for billing, coding, collections, and reimbursements.
- Performed account reconciliations between insurance companies and internal systems.
- Processed appeals related to denied or rejected claims in a timely manner.
- Reconciled monthly accounts receivable reports against system transactions.
- Maintained current knowledge of insurance policies, procedures, regulations, and guidelines.
- Provided training sessions on billing software applications and procedures to staff members.
- Monitored accounts receivables daily to determine appropriate follow-up action needed.
Patient Access Representative
Ochsner Medical Center
02.2020 - 11.2020
- Greeted patients and visitors in a courteous and professional manner.
- Processed patient admissions, registrations, transfers, and discharges according to established procedures.
- Verified insurance coverage for services provided by the facility.
- Collected co-pays and other payments from patients at time of service.
- Reviewed account receivables for accuracy prior to sending out statements.
- Managed incoming faxes related to patient registration processes.
- Actively participated in team meetings and training sessions.
Certified Nursing Assistant
Ochsner Medical Center
12.2015 - 03.2020
- Assisted patients with activities of daily living such as bathing, grooming, and dressing.
- Provided basic patient care by taking vital signs, measuring height and weight, and recording intake and output.
- Reported changes in patient condition to registered nurse or physician.
- Transported patients to treatment units, using wheelchair or stretcher.
- Maintained accurate records of patient care, condition, progress, or problems for review by medical staff.
- Performed housekeeping duties such as changing linens and cleaning bathrooms when necessary.
- Collected specimens for testing purposes upon request from physicians or nurses.
Education
Medical Billing And Coding - Medical Billing & Coding
Infinity College
Lafayette, LA01.2024
Associate of Science - Medical Assistant
Herzing University
Dearborn, MI10.2010
High School Diploma - undefined
Alfred Bonnabel High School
Kenner, LA05.2006
Skills
- Collecting Payments
- Records Coordination
- Medical Billing
- English
- Data Interpretation
- Accounts Receivable
- Verifying Insurance
- Microsoft Excel
- Revenue Quotas
- Coordinating Documents
- Analytical Thinking
- Caregiving
- Problem-Solving
- Claims Review
- Medical terminology
- HIPAA compliance
- Insurance verification
Certification
- State Tested Nursing Assistant
- CPR Certification
- CNA
Timeline
Medical Biller and Solution Specialist WFH
ACU-Serve Corp
12.2022 - 06.2025
Patient Access Representative-Work from Home
Ochsner Medical Center
12.2020 - 11.2022
Patient Access Representative
Ochsner Medical Center
02.2020 - 11.2020
Certified Nursing Assistant
Ochsner Medical Center
12.2015 - 03.2020
Associate of Science - Medical Assistant
Herzing University
High School Diploma - undefined
Alfred Bonnabel High School
Medical Billing And Coding - Medical Billing & Coding
Infinity College
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