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Tamara Sampson

@tamarasampson

Medicare/Medicaid enrollment and insurance billing specialist with 26 years of health-cycle expertise.

United States
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What I'm looking for

I’m looking for a Medicare/Medicaid Enrollment Specialist role where I can guide patients through complex applications, ensure accurate insurance verification, protect data confidentiality, and strengthen claim and revenue cycle outcomes with clear, compassionate support.

I’m a dedicated Medicare/Medicaid Enrollment Specialist focused on helping patients navigate complex government program applications with compassion and clarity. With 26 years of experience in health insurance, billing, and customer service, I interpret eligibility requirements, explain intricate enrollment details, and guide Medicaid patients through steps to secure additional benefits.

In my insurance and revenue cycle roles, I manage verification processes, ensure timely follow-ups, and communicate effectively with government agencies and payers. I resolve insurance processing errors and denials, track claim status to drive claim resolution, and verify billing code accuracy and compliance using medical necessity standards and related software.

I take data confidentiality seriously, complete required annual training, and support revenue cycle optimization through accurate registrations, documentation, and escalation when needed. I also bring a strong administrative foundation from long-term enrollment and billing experience, strengthening customer satisfaction through diligent follow-up and efficient call handling.

Experience

Work history, roles, and key accomplishments

CS
Current

Account Representative

Centauri Health Solutions

Aug 2020 - Present (5 years 11 months)

Guides Medicaid patients through applications for additional benefits by interpreting eligibility requirements and explaining government program details. Manages verification processes and follows up with government agencies while maintaining required confidentiality and training.

CO
Current

Insurance Verification Specialist

Cognizant

Apr 2019 - Present (7 years 3 months)

Performs insurance billing and collection for hospital and physician services by verifying benefits and expediting claim settlements with payers. Resolves claim errors/denials through follow-up and documentation, including handling patient disputes with appropriate escalation.

WH

Revenue Billing Specialist

Western Reserve Hospital

Feb 2016 - Apr 2019 (3 years 2 months)

Verifies billing codes for accuracy and compliance with medical necessity standards using LCD/NCD and medical necessity software. Corrects coding and billing information to align with regulatory guidelines and supports quality improvement and monthly volume reporting.

RH

Registration Clerk

Robinson Memorial Hospital

Dec 2014 - Feb 2016 (1 year 2 months)

Registers patients according to hospital protocols, ensuring accurate data entry and proper form distribution for streamlined processing. Supports scheduling and shift coverage and applies customer service and insurance knowledge to improve patient registration procedures.

CS

Catastrophe Management Solutions

Catastrophe Management Solutions

Aug 2013 - Sep 2013 (1 month)

Handles high-volume inbound calls regarding homeowners, theft, and flood insurance claims with accuracy and empathy. Applies prior customer service experience to facilitate communication and problem resolution in a demanding environment.

WI

Enrollment and Billing Representative III

WellPoint Inc

Sep 1997 - Aug 2012 (14 years 11 months)

Resolves customer inquiries and complaints while following federal and state information release guidelines. Supports call center productivity through cross-functional collaboration, procedural exceptions, interdepartmental communication, and follow-up to improve customer satisfaction and call flow.

Education

Degrees, certifications, and relevant coursework

Kent State University logoKU

Kent State University

High school or equivalent, Medical Billing and Coding

Currently pursuing Medical Billing and Coding (High school or equivalent) at Kent State University in Kent, OH.

Tech stack

Software and tools used professionally

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