Tamara Sampson
@tamarasampson
Medicare/Medicaid enrollment and insurance billing specialist with 26 years of health-cycle expertise.
What I'm looking for
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
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.
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.
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.
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.
Point of Sale Associate
Kohl's Department Store
Nov 2013 - Dec 2014 (1 year 1 month)
Operates point-of-sale transactions and maintains inventory control to support efficient processing and stock management. Provides exceptional customer service and helped improve customer relations as the role transitioned from seasonal to regular part-time.
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.
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
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.
Availability
Location
Authorized to work in
Job categories
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