Tammy Devane Email & Phone Number

• Diligently validated claims submissions, ensuring accuracy, compliance, and seamless reimbursement.• Strategically evaluated complex account analysis, claims submissions, and insurance collections• Led systematic monthly audits, maintaining rigorous adherence to company quality metrics and process excellence. • Provided specialized technical guidance to the team, delivering comprehensive training and unwavering support.• Resolved persistent issues with tenacity, effectively tracking and rectifying recurring problems.• Collaborated synergistically with cross-functional teams to address deficiencies and uphold compliance standards.

Greensboro/Winston-Salem, North Carolina Area

Patient Advocate & the CEO of EmpowerU. Over 15 years experience in the industry and also holds a Certified Professional Coder certification through the American Academy of Professional Coders. Other background duties includes working for Major Medical Insurance carriers, nationally recognized hospitals, private physicians and most importantly PATIENTS. Although nothing is ever the same in HealthCare, I believe paying attention to details, leading with compassion, empowering patients and being of service to others has always been and will always be the key to navigating the healthcare system as stress free as possible.

Responsible for project management of US based and non US based vendors. • Work closely with vendors to create work schedule, track production, and approve time off• Hire or release vendors as necessary• Coordinate weekly meetings between vendor management & executives • Review, verify and approve vendor invoices for payment• Utilize Trello platform to initiate, troubleshoot and track ongoing projects • Create project specifications in alignment with company goals and metrics as directed by executives• Identify breakdown in processes and establish new effective procedures in accordance with industry laws and regulations. • Research and confirm discrepancies in medical billing and initiate refunds via bill.com as appropriate. • Compile requested reports and present to executives • Troubleshoot vendor system issues and urgent request

• Post insurance remits, process refunds, reconcile patient accounts • Consistent phone, email communication with patients, physicians and carriers • Resolve denied and rejected claims through communications with medical carriers and patients • Bill medical outpatient, general office visit, and independent lab claims using online billing solutions and in office systems • Audit and correct claims coding issues and discrepancies in medical records • Access patient records via EMR (Electronic Medical Records) software • Counsel and educate patients on benefits and claims processing

Work with onsite providers to identify, analyze and resolve claims inquires and issues, no matter the complexity. Responsible for identifying issues, and creating action plans to obtain a timely resolution for providers as well as members.Assist providers and members via inbound/ outbound calls, with inquiries regarding benefits and claims, etc. Identify areas where provider or member can be educated and provide coaching.

Greensboro/Winston-Salem, North Carolina Area

Update patient medical records, demographics, communicated directly with physicians, Intermediate experience in medical coding and provider credentialing, Electronic and paper medical claims billing (Commercial, Medicare and Medicaid). Also, health Insurance claims follow up (denials and appeals process). Patient account billing and invoicing.

Greensboro/Winston-Salem, North Carolina Area

Make outbound calls regarding past due and delinquent accounts turned over for outside collections. Accept payment by phone for reporting to all credit bureaus.

Greensboro/Winston-Salem, North Carolina Area

Elite/ VIP Guest ServicesGreet members and guest; Answer phones and take detailed reservationsSuccessfully operate and make changes in Point Of Sale systemOrder needed product from various vendorsUpselling and suggestive selling to generate more revenue for the companyWork through member complaints with little direction from managementFine dining ServiceEmployee trainingActivities Coordination for members and guest

Education record

Education record