TAMMY HOWARD
Leesville
Summary
Medical Billing and Coding Specialist with over 20 years providing administrative and patient support in medical office settings. Advanced knowledge in Pediatrics Billing and Coding
Overview
24
24
years of professional experience
1
1
Certification
Work History
Billing and Coding Specialist (full-time)
SouthernMed Pediatrics
01.2020 - Current
- Claim submission
- Collaborated with healthcare providers to resolve coding discrepancies and optimize documentation practices.
- Reviewed and updated coding guidelines to enhance operational efficiency and reduce claim denials.
- Mentored junior coding staff on best practices and complex coding scenarios to improve team performance.
- Maintained strict confidentiality in accordance with HIPAA regulations, ensuring secure storage and handling of sensitive patient information.
- Optimized revenue cycle management by accurately assigning codes for diagnoses and procedures according to established guidelines.
- Reduced error rates in medical billing by maintaining thorough knowledge of insurance regulations and guidelines.
- Collaborated with healthcare providers to clarify documentation, enhancing the accuracy of medical records.
- ERA's
- A/R Follow-up
- Analyzed and coded patient medical records for accuracy and compliance with regulations.
Front Desk (full-time)
SouthernMed Counseling
01.2012 - 01.2020
- Referrals for Incoming Counseling
- Obtaining Authorizations for services
- Scheduling Intake Appointments
- Scheduling Follow Up Appointments
- Answering All Phones and Concerns
- Ordering Office Supplies
- Maintain Good Office Flow
- Site Coordinator
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Demonstrated respect, friendliness and willingness to help wherever needed.
Front Desk (full-time)
Lake Murray Pediatrics, SouthernMed Pediatrics
08.2010 - 01.2012
- Greeting and Checking Patients In and Out
- Entering in demographics and Insurance Information
- Verifying Eligibility and Benefits
- Scheduling Follow Up Appointments
- Making Sure all Documents are in chart that are needed for the visit
- Posting payments
- Helping Patients and their Parents in any way needed
- Worked well in a team setting, providing support and guidance.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
Billing and Insurance Specialist (full-time)
The Pediatric Care Center
08.2005 - 08.2010
- Filing all insurances claims
- Posting payments
- Billing patients
- Collections calling and reporting
- Posting all charges and pediatric diagnosis
- Referrals
- Answering phone
- Scheduling appointments
- Work front desk if needed
- Deposits
- Daily tally in excel of money coming in and going out
- Typing any letters for the office
- Processed insurance claims accurately, ensuring compliance with pediatric care regulations.
- Collaborated with healthcare providers to verify patient insurance coverage and eligibility.
- Educated families on insurance options, benefits, and claim procedures to enhance understanding.
- Analyzed claims data to identify trends, improving claim processing efficiency by streamlining workflows.
- Led initiatives to reduce claim denials through thorough documentation and proactive follow-ups.
- Followed up on denials, late payments, extensions and other special circumstances.
- Maintained high standards of customer service by building relationships with clients.
- Trained new hires on company policies and procedures, ensuring a seamless transition into the Insurance Specialist role.
- Maintained confidentiality of patient finances, records, and health statuses.
Secretary/Receptionist (full-time)
Dr. Frank B. Hines III, P.A.
10.2003 - 07.2005
- Check patients in and out
- Filing charts
- Filing insurance
- Organizing and arranging itineraries
- Managed scheduling and calendar coordination for efficient office operations.
- Handled sensitive information discreetly, maintaining confidentiality when managing personnel files or financial data.
- Answered multi-line phone system and enthusiastically greeted callers.
Receptionist (full-time)
Pediatrics of Batesburg-Leesville
02.2002 - 10.2003
- Checked patients in and out
- Filing
- Sorting mail
- Appointment scheduler
- Ordered supplies
- Answering phones
- Spreadsheets done daily for intake of money
- Letters typed for doctors in Microsoft Word
- Enter and or edit all information of each patient on a daily basis in the computer
Education
Associate Degree - Business, Office Systems Technology
Midlands Technical College
Columbia, South Carolina08.2001
Skills
Organization
Communication
Time Management
Attention to Detail
Problem Solving
Customer Service
Accountability
Certification
Certified Pediatric Coder with the AAPC
Timeline
Billing and Coding Specialist (full-time)
SouthernMed Pediatrics
01.2020 - Current
Front Desk (full-time)
SouthernMed Counseling
01.2012 - 01.2020
Front Desk (full-time)
Lake Murray Pediatrics, SouthernMed Pediatrics
08.2010 - 01.2012
Billing and Insurance Specialist (full-time)
The Pediatric Care Center
08.2005 - 08.2010
Secretary/Receptionist (full-time)
Dr. Frank B. Hines III, P.A.
10.2003 - 07.2005
Receptionist (full-time)
Pediatrics of Batesburg-Leesville
02.2002 - 10.2003
Associate Degree - Business, Office Systems Technology
Midlands Technical College