Professional Summary
Overview
Work History
Education
Skills
Timeline

Tara Young

Blue Cross Blue Shield/Integrated Resources, Inc.
Ringgold
26
years of professional experience

An accounting and financial professional with 14 years of experience in auditing. An experienced self-starter, team player and problem solver with keen attention to customer needs and details. Committed to excellence in all endeavors with impressive work ethic.

Work History

Data Processor/OCR EDM

4 Years 2 Months
Blue Cross Blue Shield/Integrated Resources, Inc. | 09.2022 - Current
  • Completed data entry tasks with accuracy while meeting or exceeding expectations.
  • Entered numerical data into databases with speed and accuracy using 10-key pad.
  • Meeting production and quality goals of department.
  • Performing quality control of data by following related standards.

Billing Clerk

8 Months
Unum/Adecco | 04.2021 - 12.2021
  • Applying premium to group policies with goal to drive down current backlog,
  • Providing support for Billing Specialist team.
  • Using Excel skills, as some of backup provided by our customers requires some manipulation:
  • Providing self-accounting for all money that kicks out from bank, research to allocate premiums based on backup provided by Plan Administrator/employer to policy using multiple systems.
  • Researching to determine if right level of information has been received, and if not, when to reach out to either internal partner or customer.

Rideshare Driver

2 Years 3 Months
Lyft | 12.2018 - 03.2021
  • Picking up passengers.
  • Transporting clients between places.
  • Keeping vehicle in good condition.
  • Safe driving
  • Communication
  • Excellent customer service

Billing Clerk

3 Months
Commerical Metals Company/Qualified Staffing | 11.2020 - 02.2021
  • Generated accounts payable reports to pay vendors for freight.
  • Assisted in paying freight to vendors for various locations by processing checks.
  • Assisted buyers with customers that were coming in person that needed to be be paid by check or paid by cash.
  • Handled mailing and filing.
  • Performed office duties as needed.

Assistant Senior Auditor

11 Months
CGS Administrators | 04.2017 - 03.2018
  • Completion of both in-house and on-site audits on Medicare cost reports of hospitals of various sizes including audits of large hospitals with bad debts, medical education, disproportionate share, and organ acquisition.
  • Completion of Medicare cost report audits on rehabs, ESRD's, RHC's, skilled nursing facilities and home offices.
  • Completion of hospital wage index and occupational mix reviews.
  • Completion of Medicare cost report reopenings.
  • Communication with intermediary provider community.
  • Ensuring provider adherence to Medicare policy & guidelines.
  • Preparation of audit working papers using Excel, Word, Adobe, etc.
  • Knowledge of provider payment and claims data Coordination of and/or participation in various group projects as assigned by management.
  • Performance of supervisory review of co-worker audits, ensuring working papers are prepared in accordance with Medicare guidelines and ensuring Medicare policy is properly applied.
  • Training of staff in relation to completion of working papers and various audit issues as assigned by management.
  • Preparation of provider tentative and final settlements

Various

6 Months
Personnel Staffing Inc. | 10.2016 - 04.2017
  • Collections
  • Invoices

Marketing Service Assistant

4 Months
State Farm | 03.2016 - 07.2016
  • Beginning of Day activities to ensure that accounts were up to date.
  • Provide customer service for clients and to ensure accounts are handled properly.
  • Bank Certified to handle car loans, checking and savings accounts and credit cards.
  • Cold calls and Auto calls to generate new business.
  • Handled daily payments and bank reconciliations.

Probation Officer

1 Year 8 Months
Georgia Probation Services Inc. | 08.2014 - 04.2016
  • Oversees 400+ probations to ensure that all conditions are met as set by the court.
  • Performs daily calls to probationers.
  • Generates report for the courts, warrants and enforcing conditions of the courts.
  • Daily bank entries and monthly bank reconciliations.
  • Daily phone calls and assist in answering questions of probation.
  • Handles any special projects.

Senior Claims Associate

10 Months
Dell Services | 08.2013 - 06.2014
  • Completed complex Medicaid claims for processing.
  • Handled and completed special projects.

Provider Audit - In-Charge Auditor

2 Years 11 Months
Cahaba GBA LLC | 08.2009 - 07.2012
  • Completion of both in-house and on-site audits on Medicare cost reports of hospitals of various sizes including audits of large hospitals with bad debts, medical education, disproportionate share, and organ acquisition.
  • Completion of Medicare cost report audits on rehabs, ESRD's, RHC's, skilled nursing facilities and home offices.
  • Completion of hospital wage index and occupational mix reviews.
  • Completion of Medicare cost report reopenings.
  • Completion of Hospice audits.
  • Communication with intermediary provider community.
  • Ensuring provider adherence to Medicare policy & guidelines.
  • Preparation of audit working papers using Excel, Word, Adobe, etc.
  • Knowledge of provider payment and claims data Coordination of and/or participation in various group projects as assigned by management.
  • Performance of supervisory review of co-worker audits, ensuring working papers are prepared in accordance with Medicare guidelines and ensuring Medicare policy is properly applied.
  • Training of staff in relation to completion of working papers and various audit issues as assigned by management.
  • Preparation of provider tentative and final settlements.

Senior Medicare Auditor

10 Years 11 Months
Riverbend Government Benefits Administrator, Inc | 09.1998 - 08.2009
  • Same job functions and responsibilities as In-Charge Auditor at Cahaba GBA.

Education

Bachelor of Science - Accounting/General Management

Tennessee Wesleyan College | Athens, TN | 05.1996

Accounting/General Management

Skills

Microsoft Excel
Word
Power Point
Outlook
CMS 2552-96 Software - KPMG Compu-max
CMS 2552-92 Software - KPMG Compu-max
Facets
Data Entry
Adobe Acrobat
Excellent interpersonal skills
10 Key
Training Skills
Organizational Skills
Ability to multitask and work independently
Excellent Communication Skills
Ability to work in fast-paced environment
Medical Terminology
Adapt well to change
Self-motivated
Team player
Customer Service
Accounting/Finance
Compliance

Timeline

Data Processor/OCR EDM

Blue Cross Blue Shield/Integrated Resources, Inc.
09.2022 - CurrentRead More

Billing Clerk

Unum/Adecco
04.2021 - 12.2021Read More

Billing Clerk

Commerical Metals Company/Qualified Staffing
11.2020 - 02.2021Read More

Rideshare Driver

Lyft
12.2018 - 03.2021Read More

Assistant Senior Auditor

CGS Administrators
04.2017 - 03.2018Read More

Various

Personnel Staffing Inc.
10.2016 - 04.2017Read More

Marketing Service Assistant

State Farm
03.2016 - 07.2016Read More

Probation Officer

Georgia Probation Services Inc.
08.2014 - 04.2016Read More

Senior Claims Associate

Dell Services
08.2013 - 06.2014Read More

Provider Audit - In-Charge Auditor

Cahaba GBA LLC
08.2009 - 07.2012Read More

Senior Medicare Auditor

Riverbend Government Benefits Administrator, Inc
09.1998 - 08.2009Read More

Tennessee Wesleyan College

Bachelor of Science from Accounting/General Management
Read More
Tara Young