Tamara Armstrong Email & Phone Number

• Contributes to administration of utilization management• training of employees • create and implement processes • Performs varied activities and moderately complex administrative/operational/customer support assignments• Performs computations• Performs Peer to Peer tasks• Performs Letter/compliance tasks including QIO appeals• Works Provider Disputes• Created One Note processes for MMAI team processes• Assist with training and mentoring team of 6 on tasks… Show more • Contributes to administration of utilization management• training of employees • create and implement processes • Performs varied activities and moderately complex administrative/operational/customer support assignments• Performs computations• Performs Peer to Peer tasks• Performs Letter/compliance tasks including QIO appeals• Works Provider Disputes• Created One Note processes for MMAI team processes• Assist with training and mentoring team of 6 on tasks and processes• Completed Preceptor training• Works on semi-routine assignments• Provide non-clinical support for policies and procedures ensuring best and most appropriate treatment, care or services for members• Decisions are typically focus on interpretation of area/department policy and methods for completing assignments• Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction• Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion• Participating in companywide UMAC SME meetings Show less

• Contributes to administration of utilization management• Performs varied activities and moderately complex administrative/operational/customer support assignments• Performs computations• Performs Peer to Peer tasks• Performs Letter/compliance tasks including QIO appeals• Works Provider Disputes• Created One Note processes for MMAI team processes• Assist with training and mentoring team of 6 on tasks and processes• Completed Preceptor training• Works on… Show more • Contributes to administration of utilization management• Performs varied activities and moderately complex administrative/operational/customer support assignments• Performs computations• Performs Peer to Peer tasks• Performs Letter/compliance tasks including QIO appeals• Works Provider Disputes• Created One Note processes for MMAI team processes• Assist with training and mentoring team of 6 on tasks and processes• Completed Preceptor training• Works on semi-routine assignments• Provide non-clinical support for policies and procedures ensuring best and most appropriate treatment, care or services for members• Decisions are typically focus on interpretation of area/department policy and methods for completing assignments• Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction• Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion• Participating in companywide UMAC SME meetings Show less

• Contributes to administration of utilization management• Performs varied activities and moderately complex administrative/operational/customer support assignments• Performs computations• Assist with training and mentoring team of 6 on tasks and processes• Works on semi-routine assignments• Provide non-clinical support for policies and procedures ensuring best and most appropriate treatment, care or services for members• Decisions are typically focus on interpretation… Show more • Contributes to administration of utilization management• Performs varied activities and moderately complex administrative/operational/customer support assignments• Performs computations• Assist with training and mentoring team of 6 on tasks and processes• Works on semi-routine assignments• Provide non-clinical support for policies and procedures ensuring best and most appropriate treatment, care or services for members• Decisions are typically focus on interpretation of area/department policy and methods for completing assignments• Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction• Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion Show less

In this position I provide face to face customer service to members that wish to have insurance needs and insurance issues resolved. I service members by assisting with claims, PCP changes, referrals, and benefit verification. Meet and Greet Humana members that sit in the lobby and have develop a rapport with many of the regular members that come into the Guidance Center. I make outbound calls to educate the members on the services that you provide. Inquire and listen carefully to the member’s… Show more In this position I provide face to face customer service to members that wish to have insurance needs and insurance issues resolved. I service members by assisting with claims, PCP changes, referrals, and benefit verification. Meet and Greet Humana members that sit in the lobby and have develop a rapport with many of the regular members that come into the Guidance Center. I make outbound calls to educate the members on the services that you provide. Inquire and listen carefully to the member’s question/issues/concerns. Manage all inquiries according to the Incoming Call to the Customer Care Center (ie. Verification and Authentication requirements). Deliver guidance and manage all inquiries according to CCP Contact Closure Procedures. Regularly report issues/insights/trends in SharePoint. Utilize network contacts in SharePoint and MSO Leadership to assist in resolving members issues. For escalated issues use the steps below to guide you. Regularly communicate/escalate issues/concerns via email directly to leadership. Provide feedback/insight about your Centers daily events/activities/traffic, etc. on the IS Daily Recap in SharePoint. When invited, you are encouraged to attend local sales seminars, local health fairs or new member orientations to explain your services to our current members and/or prospect members. Communicate any activities or events or process changes in your market to MSO Leadership. During slow times, engage with members who may be waiting for the meetings / activities and discuss the availability of services you offer. Assist MarketPoint agents (AOD) inquiries related to customer service issues. Attend local sales seminars or local health fairs, as requested by Market leadership, to explain the role and the face-to-face customer service Humana offers. When needed provide assistance with administrative duties for Guidance Center or Provider Office staff / leaders or Market POINT agents. Show less

Billing and payment posting for multiple accounts, on multiple billing systems. Answering all patient phone calls, setting up payment arrangements. Coding, charge entry and filing claims electronically and working denials from insurances. Interacting with Physicians and their staff on a daily basis. Running month end reports. Following up on outstanding claims and patient balances. Balancing deposits for multiple practices daily.

Peoria, Illinois Area

In charge of all purchasing and receiving of plant materials. Ran reports for supervisor as requested. Responsible for all inventory for the production area. Budgeting of materials and supplies. Sales goals/ reporting, sales analysis- weekly to determine need for sales. Coordinating paperwork and orders with all departments. Cost analysis, price comparisons on regularly used products.

East Peoria, Illinois Area

Working with all aspects of the Greenhouse, propagation of plants, spraying of pesticides, fungicides, growth regulators, etc. Grounds care.

Pekin Illinois

Working with all aspect of the Garden Center. Assisted customers with landscape designs helped pick out plants and instructed customers on planting, pruning and maintenance of plants. Skid Steer operations, including loading customer vehicles and the company dump truck. I did plant management (weeding, spraying insecticides, pruning, etc.), customer deliveries, etc.

Peoria, Illinois Area

My position requires me to do the following, but not limited to: • Checking in and out patients • Collection of previous balances and co-pay • Scheduling appointments • Answering phones and taking messages • Handling all patient complaints and billing problems • Working with insurance companies to verify benefits and obtain prior authorizations if needed • Writing letters of medical necessity to insurance companies to get procedures… Show more My position requires me to do the following, but not limited to: • Checking in and out patients • Collection of previous balances and co-pay • Scheduling appointments • Answering phones and taking messages • Handling all patient complaints and billing problems • Working with insurance companies to verify benefits and obtain prior authorizations if needed • Writing letters of medical necessity to insurance companies to get procedures covered • Financial forecasting every month • Tracking patients in certain financial plans • Interviewing and hiring of all employees • Performance review on all employees • Reviewing all accounts for refunds, errors and correct as needed • Handling all monies collected in the office and by mail • Billing and coding of all encounter forms daily • Posting encounters and money into the billing system • Ordering all supplies for the office per budget • Marketing and advertising for the practice to increase revenue via patient referrals • Assisting the Doctor with procedures as needed Show less

Peoria, Illinois Area

In charge of all ICD-9 and CPT coding for Public Aid, Medicare, Commercial insurance companies and patients. Responsible for sending electronic claims to Medicare, taking care of the accepted and denied claims and the reports for accepted claims. Responsible for posting of monies received from insurance companies and patients. These monies received were my responsibility to deposit daily. Responsible for posting denials from Public Aid, Medicare, Commercial Insurance companies, as well… Show more In charge of all ICD-9 and CPT coding for Public Aid, Medicare, Commercial insurance companies and patients. Responsible for sending electronic claims to Medicare, taking care of the accepted and denied claims and the reports for accepted claims. Responsible for posting of monies received from insurance companies and patients. These monies received were my responsibility to deposit daily. Responsible for posting denials from Public Aid, Medicare, Commercial Insurance companies, as well as being 10 key proficient. In charge of Client and Customer Service and complaints, ordering of supplies, and staying within budget. Responsible for the managing of 10 employees including payroll and taking care of any and all problems that may arise. I also have done Phlebotomy, spinning of specimens, covering the lab for the Tech‘s, etc. I answered phones, found specimens, faxed reports, etc. Responsible for reporting all end of month reports to the owners of the Laboratory. Show less

Bachelor'S Degree, Health/Health Care Administration/Management, 4.0

Associate Of Arts And Sciences (A.A.S.), Applied Horticulture And Horticultural Business Services

Activities and Societies: Horticulture Club Secretary 2007-2008 Horticulture Club Vice President 2008-2009 Participant in ILCA Student.

Medical Billing And Claims Specialist, Medical Billing And Claims Specialist

Associate Of Arts And Sciences (A.A.S.), General Studies

Working towards Nursing Degree, Classes Taken: Medical Terminology, Anatomy and Physiology I & II, Microbiology, Logic, Psychology.

Registered Nursing/Registered Nurse

Working towards Nursing Degree