Open to opportunities

Connie Tatom

@connietatom

Experienced medical revenue and reimbursement specialist with 15+ years in claims adjustment and revenue cycle management.

United States

Message

What I'm looking for

I’m looking for a healthcare role where I can apply my revenue cycle and claims expertise—EOB review, coding accuracy, and HIPAA-compliant audits—to improve reimbursement results while collaborating to resolve issues efficiently.

I bring over 15 years of experience in claims adjustment, medical billing, and revenue cycle management, with a strong focus on analyzing EOBs and identifying billing discrepancies through detailed research. I’m skilled in accurate coding and compliance work, including ICD-9/ICD-10 and CPT-based audits to help ensure the right outcomes for patient accounts.

I’ve consistently partnered with cross-functional teams to resolve disputes, validate patient demographics and insurance information, and improve reimbursement accuracy. From researching payments and adjustments at Optum 360 to processing and auditing claims in multiple billing roles, I stay highly detail-oriented, HIPAA-focused, and problem-solving in every stage of the revenue cycle.

Experience

Work history, roles, and key accomplishments

Broker’s Associate / Agent

RE/MAX & Prudential

Jan 2012 - Jan 2020 (8 years)

Guided clients in finding homes that matched needs and preferences by reviewing transaction files for timing and coordinating with lenders, title companies, and other stakeholders to support successful closings.

Real Estate Transaction Coordination Stakeholder Management Time Management Communication

Revenue Researcher / Claims

Optum 360

Jan 2014 - Jan 2015 (1 year)

Researched payments and adjustments for accuracy in patient accounts by validating patient demographics and insurance information and collaborating with Patient Financial Services and other teams to resolve billing issues.

Claims Adjustment EOB Review HIPAA compliance Investigative Research Cross Functional Collaboration

Claims Adjuster / Medical

Robert Half

Jan 2012 - Jan 2013 (1 year)

Verified claim accuracy and compliance by reviewing physician and hospital documentation, processed and submitted medical claims, and conducted ICD-10 and CPT-based audits to improve coding quality.

Medical Claims Claims Audit ICD 10 Coding CPT Coding Compliance Review Investigative Research HIPAA compliance

Medical Biller

Calstar Medical Services

Jan 2010 - Jan 2012 (2 years)

Verified patient demographic and insurance details for billing, prepared and itemized medical claims for air transport services, and submitted and processed claims to support timely reimbursement.

Medical Billing Claims Processing Itemized Claim Formatting Air Medical Transport Billing Data Entry

Clinic Manager / Medical

Feather River Tribal Health

Managed clinic operations, supervised staff, and coordinated patient scheduling and financial services while communicating deductibles and copays and correcting workflow inefficiencies to improve billing accuracy.

Clinic Operations Management Staff Supervision Patient Scheduling Medical Billing Patient Financial Services Deductible Copay Guidance Data Entry Cross Functional Collaboration