Tabitha Hopper Email & Phone Number

Cody, Wy, Us

Powell, Wyoming, United States

• Management of medical billing processes, including pre-authorizations, timely insurance reimbursement, collections, and payment transactions for a Critical Access-Method II hospital with provider-based clinic as well as a long-term care facility.• Experienced in managing multiple projects simultaneously while meeting tight deadlines.• Proactive denial management that includes identifying trends related to denials or appeals of claims submitted for reimbursement from payers.• Assist team members in developing and maintaining effective communication skills with patients, family members, and insurance companies while ensuring accurate financial data entry.• Maintain a high level of confidentiality when dealing with PHI or financial information.• Implemented new technology solutions aimed at streamlining workflow processes within the department.• Collaborate with coding personnel to verify accuracy of diagnosis codes used on claims submitted for reimbursement.• Identify root causes of issues impacting revenue cycle operations through data analysis and process mapping techniques.• Assist in resolving complex billing disputes between patients and insurance companies through creative solutions.• Ensure timely follow up on unpaid claims by working closely with the reimbursement team as well as contracted outsourced vendors.• Collaborate effectively with other departments within the organization to ensure optimal workflow processes.• Assist with one-on-one education for team members to enhance individual growth and strengthen the team as a whole.• Monthly Long Term Care Center billing, including claims billed to Wyoming Medicaid. Assist the Care Center with financial clearance, research, trust account management, Medicaid application submission and long-term care insurance processes.• Generate revenue cycle reports including ATB, productivity, late charges, denials, and unbilled charges for analysis.

Laramie, Wyoming, United States

• Analyzed and resolved complex billing issues related to insurance claims.• Received incoming calls from customers regarding their accounts receivable status.• Interpreted information contained in Explanation of Benefits statements.• Assisted with the development of policies and procedures related to reimbursement processes.• Identified trends in denials from payers and provided feedback on process improvements.• Utilized knowledge of coding systems such as CPT, ICD-9, HCPCS and modifiers for accurate claim processing.• Collaborated with healthcare providers, patients, and insurance companies to resolve reimbursement discrepancies.• Troubleshot errors encountered during the claims adjudication process.• Prepared reports summarizing activities related to insurance reimbursements.• Managed credit balances and processed insurance refunds.

Cheyenne, Wyoming, United States

• Duties included medical and dental billing, collections, collections letters and phone calls to insurances and patients to collect accounts receivable. Responsible for correcting claim errors and billing to secondary insurances.• Pre-authorizations and predeterminations for medical and dental insurances• Posting of all payments received. Reviewing all remittances and correspondence from insurance companies to ensure that the payments received were correct and submitting corrections or appeals, as necessary.• Ensured that refunds were sent to patients or insurance companies weekly for any overpayments received.• Worked closely with physicians on insurance and billing issues or concerns.• Maintained effective relationships with customers by providing prompt responses to inquiries and resolving any issues that may arise.• Performed general office duties, such as filing, answering telephones, and handling routine correspondence.• Prepared bank deposits by compiling data from cashiers, verifying, and balancing receipts and sending cash, checks and other forms of payment to banks.• Developed and implemented procedures to ensure timely collection of all outstanding accounts receivable.• Contacted customers by mail or telephone concerning past due balances.

Cheyenne, Wyoming, United States

• Oversaw multiple projects simultaneously and ensured tasks were efficiently completed.• Reduced workplace safety or health hazards by enforcing work practices and procedures.• Collaborated with staff to develop and carry out processes, resulting in improved performance.• Recruited qualified personnel by conducting interviews and evaluating resumes effectively, attesting to strong recruitment expertise.• Orientated and trained employees, encouraging confidence and helping individuals adapt faster to job roles.Counseled and disciplined employees, driving performance improvement.• Maintained accurate records of financial transactions while adhering to all accounting regulations, reflecting attention to detail.• Utilized strong analytical and problem-solving skills to address operational issues.Managed daily operations including scheduling, budgeting, payroll, revenue and expense tracking and reports.

Cheyenne, Wyoming, United States

• Data entry, medical billing, collections, correcting claim errors, Medicare/Medicaid billing, commercial insurances (contracted and non-contracted), billing to secondary insurances.• Trained in the company’s report writing system and drafted several revenue cycle reports and performed analysis for different facets of the company.• Back-up Manager for handling deposit entries, data entry from super bills and training new employees in the department.• Worked closely with physicians on Medicare issues.

Cheyenne, Wyoming, United States

• Oversaw multiple projects simultaneously and ensured tasks were efficiently completed.• Reduced workplace safety or health hazards by enforcing work practices and procedures.• Collaborated with staff to develop and carry out processes, resulting in improved performance.• Recruited qualified personnel by conducting interviews and evaluating resumes effectively, attesting to strong recruitment expertise.• Orientated and trained employees, encouraging confidence and helping individuals adapt faster to job roles.Counseled and disciplined employees, driving performance improvement.• Maintained accurate records of financial transactions while adhering to all accounting regulations, reflecting attention to detail.• Utilized strong analytical and problem-solving skills to address operational issues.Managed daily operations including scheduling, budgeting, payroll, revenue and expense tracking and reports.