Tara McLaughlin

Detail-oriented and results-driven individual with a strong background in medical billing, claims processing and reimbursement optimization seeking to leverage expertise in opportunities for professional growth and collaboration.

Senior Medical Biller at AUTOMATED FINANCIAL SYSTEMS (2019-03 – Present)

Billing vendor for multiple hospitals; specializing in outpatient facility providers. Familiarity with billing software such as VMWare, Epic and Eagle (Cerner).

• Review and submit medical claims to insurance companies including government and commercial payers
• Ensure accuracy in coding and billing procedures to prevent denials and rejections
• Follow up on outstanding accounts and resolve any discrepancies
• Identify and address any issues affecting reimbursement such as coding errors, claim denials or underpayments
• Optimize workflows to enhance efficiency in payment collection and claim resolution
• Analyze denied claims and determine necessary corrective action
• Prepare and submit appeals with supporting documentation
• Communicate with insurance providers to resolve disputes and ensure timely reimbursement
• Assist patients with billing inquiries
• Maintain confidentiality and comply with HIPAA regulations
• Collaborate with management and team to implement process improvements and provide training

Childhood Education – SUNY COLLEGE AT ONEONTA (2009 – 2013)