Tamara Hampton, Cbcs, Cehrs, Chit Email & Phone Number

Rockville, Maryland

Gaithersburg, Md

Responsibilities:• Collecting, Posting, and Managing account payments• 835 electronic file submitting, 837 file scrubbing, 277/999 file interpretation• 270/271 eligibility configuration • Set up, obtain and maintain authorizations, reauthorizations and process discharge authorizations for clients from Beacon for Evergreen clients.• Review all PRP medical assistance and uninsured eligibility authorization expiration dates in Beacon for Centers for Behavioral Health clients.• Verify client’s insurance for Evergreen Mental Health Services• Complete credentialing applications/reviews/update for providers and facilities as needed.• Perform full cycle medical billing for PRP program and Evergreen Mental Health Services. • Provide CFO billing reports and information regarding billable clients, claims, receivables, pending claims, write offs, etc.…• Posts payments in medical billing software, corrects and resubmits problem claims.• Maintains strict confidentiality; adheres to all HIPAA guidelines/regulations.• Maintains tracking sheets for PRP, Evergreen and Outreach case managers.• Act as a backup to front desk receptionist when needed.• Performs related job duties as necessary.Accomplishments:• Collaborate with outreach case managers to schedule clients’ appointments• Submitting electronic and paper claims and following up with insurance companies• Demonstrating good communication and interpersonal skills as evidenced by collaboration with company employees and direct contact with clients.Skills Used:• Medical billing experience with medical payers such as Medicare, Medicaid and Commercial insurances.• Working Knowledge of medical billing systems/software's• Proficiency in Power Point, Excel, Microsoft office suite• ANSI ENCODING

Rockville, Md

Responsibilities:Working collaboratively with Partner agencies to configure Billing & Revenue Recognition functions within the software package, troubleshooting billing errors, maintained payer billing requirements, trained Partners in the use of the billing module, submitting claims, posting payments & adjustments, rebills, EDI claim submissions, auditing claims, and provided consultation regarding workflow development to improve Clean Bill Rates.Accomplishments:• Worked collaboratively with Partner agencies to clean claims prior to batching.• Prepared and submitted claims to insurance companies and Partner agencies and third-party payers such as Medicare, Medicaid, MCOs across 23+ states.• Processed denied claims through working with insurance companies and Partner agencies in resubmitting claims.• Prepared client invoices and monthly statements as needed.• Obtained and posted payments through EOBs and 835 electronic files• Maintained confidentiality, adherence to HIPAA guidelines/regulations• Documented, tracked, and provided support and troubleshooting assistance to resolve any billing-related issues that arose during implementation or after a Partner is "live" in the software.• Provided support to the sales department (i.e. demo billing modules, answer specific billing/revenue recognition questions for incoming customers and RFP development).• Presentations of billing process workflows with the training team as necessary both on-site and remote.• Documentation of all Partner interactions following outlined documentation standards.Skills Used:• Medical billing experience with medical payers such as Medicare, Medicaid and Commercial insurances.• Working Knowledge of medical billing systems/software's• Proficiency in Power Point, Excel, Microsoft office suite

Responsibilities:• Leading and planning billing operations for a private doctor’s office. • Responsible for designing, implementing, and enforcing policies and procedures, as well as streamlining effective billing processes across multiple markets. • Personnel development; staff meetings. • Staff discussions and planning/interview; Team Building. Field Operators' problem; escalation and customer service. • Assist with the implementation of a new billing system.Accomplishments:• Managed multiple projects concurrently. • Trained employees on billing and coding lab charges. • Trained staff and providers in multiple billing scenarios resulting in increased revenue.• Decreased outstanding A/R by 50%.• Uncovered multiple billing discrepancies to include but not limited to coding errors, transcription errors, and claims processing errors. Skills Used:• Strong leadership skills. Excellent communication skills both written and verbal, and internal personal skills. Excellent analytical and problem solving skills.

Bachelor'S Degree, Health Information/Medical Records Administration/Administrator

Activities and Societies: Dean's List

Work Force Development, Medical Office Management/Administration, 4.0