Takira Tull

• Follows up on inpatient and outpatient insurance claims to ensure timely reimbursement, reducing aging accounts by 25% within six months.
• Research and appeal denied or underpaid claims, achieving an average overturn rate of 80% on first-level appeals.
• Communicate with payers and patients to resolve discrepancies and secure payment, maintaining compliance with HIPAA and hospital policies.
• Accurately post and reconcile insurance payments and adjustments, ensuring correct account balances, and reducing billing errors.
• Collaborate with coding and billing teams to verify charge accuracy, and provide necessary documentation for claim support.
• Monitors accounts receivable reports and works on high-dollar accounts to drive down aging accounts.
• Utilize HER and revenue cycle management systems (EPIC, Cerner) to manage inpatient and outpatient workflows efficiently.
• Trains new team members on collections processes, payer guidelines, and hospital systems to ensure team consistency and performance.

• Processed and submitted behavioral health claims to Medicaid, Medicare, and commercial insurers, achieving a 98% clean claim rate.
• Verified insurance benefits and obtained pre-authorizations for mental health and substance abuse services, reducing denied claims by 30%.
• Accurately posted payments, adjustments, and patient balances using EHR and billing software.
• Investigated and resolved claim denials and rejections, securing an average monthly recovery of $15,000 in delayed payments.
• Maintained up-to-date knowledge of payer-specific billing guidelines and HIPAA compliance standards.
• Collaborated with clinical and administrative staff to ensure accurate documentation and coding of services.
• Generated and analyzed aging reports to monitor collections performance and reduce outstanding balances.
• Provided responsive billing support to patients, addressing account inquiries, and setting up payment arrangements when needed.

Processed and submitted insurance claims with a 95% clean claims rate, ensuring timely reimbursement across multiple payers.

Verified insurance eligibility and obtained prior authorizations, reducing claim denials by 20%.

Followed up on aging accounts and high-dollar claims, recovering an average of $50,000 in monthly outstanding revenue.

Posted and reconciled insurance and patient payments using EHR and billing systems.

Analyzed denial trends and prepared appeals with supporting documentation, achieving a 75% appeal overturn rate.

Collaborated with coding, clinical, and registration teams to resolve billing errors and improve revenue capture.

Generated detailed reports on A/R aging, collection performance, and payer trends to support leadership.

• Followed up on outstanding physician claims and patient balances, reducing aging A/R by 50% within six months.
• Resolved insurance denials and underpayments through timely appeals and payer communication. Recovering an average of $25,000 per month.
• Contacted patients to arrange payment plans and collect balances, maintaining a high level of customer service and empathy.
• Accurately posted payments and adjustments in the practice management system, ensuring account reconciliation and billing accuracy.
• Reviewed and worked on aging reports daily to prioritize high-dollar or time-sensitive accounts for follow-up.
• Collaborated with billing and coding teams to correct claim errors and prevent future denials.
• Ensured compliance with HIPAA and FDCPA regulations in all patient and insurance interactions.
• Maintained detailed documentation of collection efforts and communications to support reporting and audit readiness.

• Provided high-volume call center support to Medicaid and Medicare members, resolving inquiries on benefits, eligibility, and claims, with a 95% first call resolution rate.
• Educated members on plan benefits. Provider networks, and preventative health programs, while enhancing member satisfaction and engagement.
• Accurately documented member interactions in CRM systems, maintaining full compliance with HIPAA, and internal quality standards.
• Assisted members with replacing ID cards, navigating prior authorizations, and scheduling appointments, improving access to care.
• Coordinated with internal departments (claims, provider services, and pharmacy) to resolve complex issues efficiently and professionally.
• Supported outreach initiatives to encourage member participation in wellness and disease management programs.
• Maintained call handling metrics (AHT, QA scores, adherence) consistently above department targets.
• Participated in regular training to stay current on stated Medicaid regulations, and company policy updates.