Tamara Randall Email & Phone Number

Greets patients and visitors as first point of contact and handles a high volume of incoming calls. Responds to questions and concerns and directs them to appropriate location or department. Provides on-going communication with clinical staff regarding real-time patient status. Collaborates with medical staff and their associates to optimize efficiency and effectiveness in scheduling. Multitasks between several different technology systems to complete functions. Provides clinical education to schedulers to ensure efficient and prompt service delivery. Collects and enters all necessary demographic, clinical, billing and insurance information from patients or responsible parties. Provides patient education by explaining processes and forms prior to securing signatures. Ensures all documents are properly signed and witnessed as required. Determines and accepts required payments including co-pays and deductibles. Verify insurance eligibility and obtain authorizations for procedures from various insurance companies. Verify medical necessity for procedures. Pre-register patients with appropriate plan codes. ICD 9-10/CPT coding for procedures and billing.

Washington D.C. Metro Area

Explain financial responsibilities for services received, payment options and collection procedures to patients or parties responsible for payment. Counsel patients regarding insurance benefits and recommend alternative sources of payment and financial assistance when appropriate Contact insurance carriers or other sources and act as an advocate for the patient. Initiate process for collecting prepays due and perform follow up activity to insure maximum collection is achieved. Identify hospital, public and private financial assistance programs for patients unable to meet their financial obligations. Work with Case Management, Clinical Staff, Medicaid Vendor, and Family Independence Agency to assist patients and families in completing assistance program applications and determine eligibility and coverage. Maintain accurate documentation. Provide assistance to uninsured patients and families in completing and filing Medicaid or assistance program applications with the appropriate agency

Trained both internal and external customers on using distributed benefits. Processed applications for government funded programs SNAP/ TCA/MEDICAID, etc. Assisted in supervising clerks and interns in the call center, mail room and customer service department. Prepared daily, weekly and monthly reports. Processed requests from the Office of the Inspector General. Processed and submitted time and attendance reports. Provided quality customer service to both internal and external clients. Worked to insure accuracy of benefits disbursed. Collected and processed client information to determine eligibility to receive benefit cards.