Tamika Cornett
Buford
Summary
Results-driven Credentialing Specialist and Medical Biller with over 10 years of experience in provider enrollment and billing accuracy. Streamlined compliance through thorough review of medical documentation, facilitating timely reimbursements and reducing denials. Identified performance trends and implemented process improvements, enhancing operational efficiency and collaboration across credentialing, billing, and clinical teams.
Overview
23
23
years of professional experience
Work History
PATIENT ACCESS-2018-2023/ED TECH (Currently working as an ED TECH)
Northside Hospital Of Gwinnett
2018.02 - Current
- Registered patients upon arrival to ensure smooth intake process.
- Collecting insurance information.
- Verifying and updating demographics.
- Checked and confirmed insurance eligibility and benefits to facilitate patient access to care.
- Answered patient and family questions, providing customer service to enhance patient experience.
- Ensured all necessary forms were completed accurately.
ACCOUNT REP SPECIALIST II
Wellstar Medical Center
2023.09 - 2026.05
- Stream as a subject matter expert in provider billing procedures, account management, payer processes. Reviewed provider accounts, applications, and supporting documentation to ensure accuracy, compliance, and timely payer enrollment. Investigated and resolved billing discrepancies, account issues, and documentation errors to minimize claim denials and payment delays. Supported workflow improvements that increased operational efficiency, billing accuracy, and overall revenue cycle performance. Recognized for exceptional communication and problem-solving skills.
- Acted as a liaison between providers, internal teams, and payers to resolve billing discrepancies, manage accounts, and support timely reimbursement.
- Analyzed billing and account data to identify discrepancies, ensuring accuracy and minimizing processing delays.
- Prepared billing and account reports that informed leadership decisions and enhanced operational performance.
- Collaborated with billing, clinical, and administrative teams to ensure accurate account information and timely resolution of billing issues.
BILLING AND CREDENTIALING COORDINATOR
Children’s Healthcare of Atlanta
2014.02 - 2023.08
- Managed collections of patient insurance and demographic information and service payment, ensuring data accuracy and integrity.
- Managed collections of patient insurance and demographic information, as well as service payment, ensuring data accuracy and integrity
- Conducted payment reconciliations and account reviews to identify discrepancies and maintain HIPAA compliance, facilitating timely reimbursements.
- Appealed insurance denials and corrected issues prior to claim submission, leveraging data analysis to optimize claims processing and reduce rework.
- Reviewed documentation for compliance with Joint Commission (JCAHO), NCQA, CMS, and payer standards, supporting regulatory adherence.
- Tracked expirables (licenses, certifications, malpractice) and notify providers before renewal deadlines.
- Partnered with revenue cycle leadership to reduce average claim turnaround time by 15% through improved reconciliation and data review processes.
PATIENT ACCOUNT COORDINATOR
Gwinnett Medical Group
2015.02 - 2018.01
- Reviewed patient accounts post-service for accuracy and timely resolution.
- Following up on unpaid or outstanding claims.
- Communicating with patients about account/billing questions.
- Researching and correcting account discrepancies.
- Communicated with patients regarding account and billing inquiries to ensure clarity and understanding.
- Worked part-time on weekends to support staffing needs.
BILLER REPRESENTATIVE
Dekalb Medical Center
2013.08 - 2013.12
- Coordinating with registration, coding, insurance, clinical departments, and other hospital staff to resolve account problems.
- Working with insurance companies when claims are denied, rejected, or require additional information.
- Responded to patient billing inquiries via phone, correspondence, or in person to ensure clarity and resolve issues promptly.
- Collaborated with insurance companies to resolve denied or rejected claims.
- Confirmed patient demographic and insurance information.
- Maintained accurate documentation in hospital's scheduling/account system to support efficient billing processes.
- Developed strategies for resource management
ACCOUNTS RECEIVABLE SPECIALIST
COLUMBIA PRESBYTERIAN HOSPITAL
2004.03 - 2013.07
- Managed billing for diverse payer types, including Medicare Advantage, Traditional Medicare, HMO, and Commercial insurance, ensuring accurate and timely processing.
- Monitored billing standards to minimize denials and delays, actively pursuing unpaid claims over $50K to secure timely reimbursement.
- Streamlined resolution of high-value accounts, ensuring compliance with carrier requirements and enhancing timely reimbursement.
- Oversaw billing for multiple payer types, including Medicare Advantage, Traditional Medicare, HMO, and Commercial insurance.
Education
B.S. - Health Care Administration
American Public University
2027-05
Skills
- Technical applications
- Claims resolution
- Staff training
- Revenue cycle analysis
- Orthopedic splinting
- Patient transport
- Compassionate care
Accomplishments
- Promoted to Team Lead within one year for exceptional performance in credentialing and billing operations, documentation accuracy, and claims resolution
- Spearheaded staff training initiatives that improved credentialing accuracy by 25% and reduced billing errors by 30%.
Personal Information
Title: Account Specialist/Billing Analyst
Timeline
ACCOUNT REP SPECIALIST II
Wellstar Medical Center
2023.09 - 2026.05
PATIENT ACCESS-2018-2023/ED TECH (Currently working as an ED TECH)
Northside Hospital Of Gwinnett
2018.02 - Current
PATIENT ACCOUNT COORDINATOR
Gwinnett Medical Group
2015.02 - 2018.01
BILLING AND CREDENTIALING COORDINATOR
Children’s Healthcare of Atlanta
2014.02 - 2023.08
BILLER REPRESENTATIVE
Dekalb Medical Center
2013.08 - 2013.12
ACCOUNTS RECEIVABLE SPECIALIST
COLUMBIA PRESBYTERIAN HOSPITAL
2004.03 - 2013.07
B.S. - Health Care Administration
American Public University