Tammy Maynard

Certified Patient Account Representative (CPAR) with 8+ years of hospital-based healthcare financial clearance experience and 17+ years of combined professional experience in insurance, accounts receivable, billing, claims, and customer service. Experienced in maintaining accurate patient financial information, verifying insurance coverage and benefits, managing authorizations, resolving eligibility and demographic discrepancies, and supporting claims reimbursement. Strong revenue-cycle background with prior experience overseeing invoicing, adjustments, refunds, claim reconciliation, documentation audits, and billing accuracy.

Proficient in Epic, EHR and billing systems, payer portals, Oracle, and Microsoft Office. Knowledgeable in ICD-10-CM coding and clinical documentation, payer requirements, HIPAA compliance, and insurance regulations. Recognized for accuracy, problem-solving, attention to detail, and the ability to manage high-volume financial and patient account activity.

Patient Service Representative – Financial Clearance at Atrium Health Navicent Medical Center (2018-02 – 2026-02)

• Maintained accurate patient financial and insurance information within the EHR by verifying active coverage, researching payer information, and updating records prior to appointments and procedures.
• Verified and documented copay, deductible, eligibility, and authorization requirements to support accurate financial clearance and reimbursement.
• Managed authorization requirements for services involving TRICARE, VA, MRIs, CT scans, injections, and other specialized services.
• Researched and resolved complex insurance, demographic, and eligibility discrepancies, including newborn identification issues involving NICU and mother-baby accounts.
• Processed and supported workers' compensation authorizations and notices of admission while maintaining accurate documentation.
• Used payer websites and clearinghouse resources to research coverage, payer requirements, and insurance information.
• Communicated with patients and families to resolve inactive coverage, obtain updated insurance information, and correct account discrepancies.
• Wrote appeal letters addressing denied and underpaid claims and supported efforts to improve reimbursement accuracy.
• Applied knowledge of payer policies, insurance regulations, clinical documentation, and coding requirements when reviewing patient financial information.
• Maintained strict HIPAA compliance and confidentiality when handling protected health information and financial documentation.
• Performed high-volume financial clearance activities requiring exceptional accuracy, attention to detail, and adherence to established procedures.
• Communicated effectively with patients, families, internal departments, and other stakeholders to resolve account and coverage issues.
• Adapted to changing payer policies, insurance requirements, procedures, and technology while maintaining productivity and accuracy.

Senior Accounts Receivable Representative at Ricoh USA (2015-07 – 2018-02)

• Oversaw A/R lifecycles including invoicing, adjustments, refunds, and claim reconciliation, maintaining accurate account balances and supporting financial compliance.
• Conducted audit-style reviews of documentation and charge entries to identify discrepancies and support coding and billing integrity.
• Reconciled account and claims information using Oracle and internal databases while maintaining detailed audit trails.
• Identified documentation and billing trends affecting reimbursement accuracy and communicated findings to appropriate stakeholders.
• Researched account discrepancies and supported resolution of billing and reimbursement issues.
• Maintained accurate financial records and documentation in a high-volume accounts receivable environment.

Customer Service Representative – Billing & Collections at Macon Water Authority (2014-09 – 2015-07)

• Processed customer payments, billing adjustments, and account transactions while maintaining accurate financial records.
• Conducted documentation reviews to support billing accuracy and compliance.
• Created and maintained audit-ready reports using Microsoft Office tools.
• Partnered with customers and internal departments to investigate and resolve billing discrepancies.
• Maintained detailed documentation and accurate account information in a high-volume billing environment.

Business Administration – Central Georgia Technical College

High School Diploma – Jones County High School