Tommye E. Braun is seeking a position utilizing over 30 years of experience in medical billing, coding, and practice management. She has extensive experience managing accounts receivable, billing insurance and patients, verifying insurance benefits, and assisting with practice finances. Her background includes positions in physician practices, hospitals, and insurance companies processing an average of 200-300 claims per day.

1. Tommye E. Braun
2931 Bomar Road
Douglasville, Georgia 30135
Home (770) 949-5880
Cell (404) 304-6302
tebraun@aol.com
Objective:To maintainapositionexpandingandutilizingmyexperience potential leadership,personal
contributionsandprofessionalgrowthinaprofessional field.
Qualifications:Experienced Practice Manager/TeamLeaderwithaversatileapproach
to applymyskillsina careeroffice setting.Excellentwrittenandverbal
communicationskills,abilitytooperate anycomputersystem.CPT,
HCPCS,ICD9,ICD10coding,HMO,PPO,Medicare A,B& D plans,Medicaid,Medical terminology,Provider
Maintenance,&ProviderCertification/credentialing,HCFA-1500& UB04 Billing,EPIC,Medstreaming,
Genix,Greenway,Nextgen,EMR
Job History:
10/15-Present Peachtree Vascular Specialist-MelissaBergman
-Maintains self pay and managed care accounts
-CustomerService
-ARreporting
-Collections
-Precertification
-Manage all Insurance balancesforsurgeriesrenderedatPiedmontHospital,Wellstar
Fayetteville/HenryHospital
-BillingappealsforOutpatient/Inpatientdenials
9/14-10/15-Georgia Hand Shoulder& Elbow-LynnWolf (404) 352-3522
Medical AR/CollectionsBilling
-Manage Self payaccounts-Contactpatientsforoutstandingbalances
-Collectpayments
-Manage all Insurance balancesforsurgeriesrenderedatPiedmontHospital
and WellstarKennestone Hospital
-CustomerService
-Appeals,ReferralsforSurgery,Occupational Therapy,&Physical Therapy
-Insurance/EligibilityVerificationforinsurancesandworkman’scomp
- BenefitCoordinatorforsurgeries
-Providercredentialing
-Schedule surgeriesandoffice appointments
-Coordinate monthlyARreportsforthe doctorsmeetings
-BillingappealsforOutpatient/Inpatientdenials
- Ambulatory Surgery Center and/or Medical Coding experience including CPT, ICD9,
& ICD10

2. 9/07-9/14-Atlanta InfectiousDisease Group-SpringButler(404) 805-4076
Collections/BillingCoordinator
-Manage collectionsforBCBC,Cigna,UHC, One Health,Medicare,Medicaid,W
Workmen’sComp.,Genericsmall group
-Collectandcounsel debt/insurancestopatients
-Bill all insurances
-Appeal,verify, precertification’s,referralsfromall insurances
-Identifiesdelinquentaccounts,agingperiodandpaymentsources.Processes
delinquentunpaidaccountsbycontactingpatientsandthirdparty reimbursors.
-Manage Self payand Insurance AR
-EPIC,Nextgen, EMDS
-EMR/HIM Medical records
-BillingforHyperbarictreatments
8/03-9/07-Wellstar Cobb Gynecology-SharonSmith(770) 732-5400
PatientAccount Representative/Collections
-Manage collectionsforBCBS,Cigna,UHC, Medicare,& Medicaid
-Insurance verification
-CustomerService
-Counsel patientsregardingbillingissues
-Setup paymentsforSurgical/Obstetricpatient
-AccountsReceivable reportmonthly
-FrontOffice,Checkout,Scheduleappointments
-Precertification/Referral
11/02-8/03-Elite FamilyPractice
Practice Manager/BillingCoordinator
-Secretarial supporttothe Doctor
-Assistswithdevelopmentandimplementationof budgetandoperationalplans
-Developandimplementoffice proceduresrelatedtointeroffice
communications,records,system operations
-Schedule/coordinatesmeetings,appointmentsandtravel arrangements
-Ensuresthe timelinessandadequacyof patientscharge entryintobilling
System
-Collectionsfromvariousinsurance companiesandpatients
-Daily,weeklyandmonthlybudgetingforthe practice
-Ordermedical/office supplies
-FrontOffice
-Verifyinsurance coverage
-Precertification/referrals
-Payroll
-Manage all employees
09/1999-8/02-The Covenant Group/ (678) 258-8200
Home Remote ClaimsExaminer
-Processonan average of 200 claimsdaily
-Examinerforlarge groups
-Evaluate complex claimswithabilitytomake all adjustmentsandpayments

3. -Respondtoall Subrogationinquiriesandappeal letters
-Communicate withinsurance groupsonadailybasis
7/1996-09/1999-TPA/United Health Care
Team leader/ResearchSpecialist
-Supervisesix claimsexaminers,distribute dailyworkandreports
-Prepare weeklyworkloadsforthe work-at-home examiners
-ResearchSpecialist-Complete all medical anddental
appeals/predeterminations
-Subrogation-Prepare all documentationforsubrogationattorneys,review
accidentcases,correspondingwiththe otherpartiesattorney
-Technical support-Assistclaimsmanagerondifficultcases
-BenefitAnalyst-processedanaverage of 200 claimsdaily
06/1993-07/1996 CignaInsurance Company
ClaimsExaminer/CustomerService
-BenefitAnalyst-Processedanaverage of 300 paperlessclaimsdaily
-CustomerService-Quote benefitsandsolvesanyclaimissues
-Adjustclaimsinwhichwere processedincorrectly
07/1988-06/1993-The Principal Financial Group
ClaimsExaminer
-BenefitAnalyst-processedanaverage of 100 claimsdaily
-CustomerService
05/1984-07/1988-Servidyne Systems Incorporated
Data Entry Clerk
-Inputinformationonwork ordersforrepairingHVACequipment
-Microfilminglarge quantitiesof workorders
-Produce monthendandyearend reports
-Adjustworkordersenteredincorrectly
Education:
HIAA-Part A & B
ICA
Dean Vaughn Medical Terminology
ICD-10
References:Available UponRequest