Open to opportunities

Dianne Tucker

@diannetucker

Message

Healthcare revenue cycle and patient admissions expert improving billing accuracy and patient flow.

United States

Message

What I'm looking for

I’m looking for a healthcare organization where I can own patient admissions and revenue cycle workflows, ensure accurate CMS-1500/UB-04 billing, and keep improving efficiency through process improvements and staff training.

I’m a highly organized, results-driven healthcare professional with 24+ years of comprehensive experience in medical financial management, patient admissions, and administrative support. I bring strong communication and attention to detail, backed by a demonstrated track record of implementing process improvements that enhance efficiency and patient satisfaction.

I handle patient check-in/check-out, scheduling, patient registration, and financial counseling while maintaining strict confidentiality. I’m skilled in insurance verification, pre-certification & authorization, claims submission, and collections/account receivable management—using ICD-9/CPT coding and familiar claim forms like CMS-1500 and UB-04.

In my recent role as Patient Associate Representative II, I document insurance and payment information, maintain electronic health records, and coordinate with medical staff to communicate critical updates. I also contact insurance companies regarding coverage details and preapprovals to support seamless claims processing, with a strong history of reducing admission times and improving revenue cycle operations.

Experience

Work history, roles, and key accomplishments

Current

Patient Associate Representative II

Current

Well Star Health Care System

Jan 2021 - Present (5 years 4 months)

Checked patients in and out for appointments, scheduled visits to optimize patient flow, and maintained accurate electronic health records while ensuring strict confidentiality. Coordinated with medical staff and contacted payers for coverage details and preapprovals to support seamless claims processing.

Appointment Scheduling Insurance Verification Electronic Health Records Claims Processing Confidentiality Records Management IDX

Government Billing Representative

Piedmont Healthcare

Jan 2015 - Jan 2021 (6 years)

Reviewed and submitted hospital claims according to UB-04 guidelines and payer requirements, ensuring first-pass accuracy through electronic and manual submissions. Partnered with the Central Business Office to resolve billing edits, correct charge errors, and address account issues while maintaining patient confidentiality.

UB 04 Billing Hospital Claims Submission Claim Edits First Pass Accuracy Accounts Receivable Confidentiality Revenue Cycle

Internal Admissions Coordinator

Scepter Health & Rehab of Snellville

Jan 2012 - Jan 2015 (3 years)

Coordinated pre-admission, admission, discharge, and follow-up activities by managing referrals, confirming financial approvals, and ensuring proper documentation. Communicated with administrators and nursing staff to support patient care planning and efficient room assignments.

Pre Admission Patient Admissions Discharge Planning Referral Coordination Financial Approvals

Education

Degrees, certifications, and relevant coursework

Lawton Medical Assistant School

Medical Assistant, Medical Assisting

Grade: 4.0 GPA (Graduated with honors)

Activities and societies: Insurance seminars on HMOs, PPOs, Medicare, and Medicaid; training in Palmetto, Availity, MS Word, DDE, Epic Systems, OneSource, Passport, GBA, and Zkeep.

Completed a Medical Assistant program in New Orleans, graduating with honors and a 4.0 GPA. Completed coursework including insurance seminars covering HMOs, PPOs, Medicare, and Medicaid.

Healthcare Management Association

Certified Revenue Cycle Representative (CRCR), Revenue Cycle Management

Earned the Certified Revenue Cycle Representative (CRCR) credential. Focused on revenue cycle knowledge aligned with medical financial management and billing workflows.