Tamara L Mccall Email & Phone Number

Brentwood, Tn

Brentwood, Tennessee, United States

• Talk with customers by phone or in person to obtain information needed to resolve inquiries• Reconcile accounts according to insurance contracts and submit/ process correct contractual• Review accounts for appeal requests and forward appropriately• Review accounts for duplicate or charge errors, forwarding to audit if necessary• Correct or add insurance information and request rebill• Encourage payment from patient through credit card, check or payment arrangement• Answer all inquiries from customers promptly (generally the same day received)• Maintain a courteous and professional attitude with customers and coworkers• Identify problem accounts and escalate as appropriate• Analyze, process and index correspondence via CWF (if applicable).• Maintain compliance with pool completion requirements (if applicable)• Maintain required productivity and QA standards• Document in the patient account record to identify actions taken on the account• Work with patients and guarantors resolve payer requests and discrepancies to promptly resolve pending claims.KNOWLEDGE, SKILLS & ABILITIES• Communication - communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately.• Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations• Interpersonal skills - able to work effectively with other employees, patients and external parties• PC skills - demonstrates proficiency in Microsoft Office applications and others as required• Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems• Basic skills - able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately

Remote

Remote

Greater Nashville Area, Tn

Worked billing edits after a claim dropped to ensure a clean claim. If claim rejected or was denied follow up with patient's insurance to determine the nature of the denial and to obtain any needed information to have the claim resubmitted or reprocessed. Once claim has processed correctly, determine if any balance remained ; was it a write off to bad debt or the patient's responsibility.

Brentwood, Tn

Worked billing edits after a claim dropped to ensure a clean claim. If claim rejected or was denied follow up with patient's insurance to determine the nature of the denial and to obtain any needed information to have the claim resubmitted or reprocessed. Once claim has processed correctly, determine if any balance remained ; was it a write off to bad debt or the patient's responsibility.

Strong communication and interpersonal skills with capability to work with wide range of vendors, partners and teams effectivelyFamiliarity with health care billing documents, procedures and standardsStrong ability to promote a cooperative environment at work to meet organizational goalsFamiliar with case management procedures and principalsStrong ability to make evaluative judgementKnowledge of proper billing to the patient’s health insurance, med-pay and third party adjustersEnsure quality work from trainees and monitor work progressGood knowledge of the principles, policies, practices, procedures, and strategies required to fulfill job requirementsStrong familiarity with filing VA claims.Working knowledge of Medicare and Medicaid claims processing as well as All Commercial PayersKnowledge of proper Appeals Procedures

Medical Office Management/Administration

Diploma, Business Administration And Management, General

Activities and Societies: Future Business Leaders of America , Science Club , Beta Club - GovermentWorked hard & Practiced harder, not.