Tameca Medley
@tamecamedley
Experienced medical billing specialist skilled in claims resolution and payer relations.
What I'm looking for
I am a dedicated medical billing specialist with a B.S. in Psychology and years of hands-on experience managing billing operations across ambulatory surgical centers, anesthesia services, and behavioral health settings.
I have a proven track record posting payments, resolving complex patient billing issues, completing appeals for denied and rejected claims, and analyzing EOBs to ensure accurate billing practices.
I proactively identify trending payer issues through reporting, propose solutions to management, and have trained new and internal staff across commercial and workers' compensation departments.
I am familiar with multiple EMR/EHR systems, clearinghouses, insurance portals, Medicare and Medicaid policies, and I pride myself on clear patient and insurer communication to drive timely resolution and reimbursement.
Experience
Work history, roles, and key accomplishments
Billing Specialist I
Clearway Pain Solutions
Oct 2023 - Present (2 years 5 months)
Manage payment posting and patient billing account resolution; completed appeals for denied/rejected ASC and worker’s compensation claims and identified payer trends to propose process improvements.
Billing Associate
MJM Anesthesia
Aug 2020 - Oct 2023 (3 years 2 months)
Resolved patient billing issues, posted and adjusted payments, completed appeals for denied/rejected claims, and analyzed complex EOBs to verify correct billing practices.
Administrative Assistant
QCI Behavioral Health
Nov 2019 - Mar 2020 (4 months)
Processed referrals and obtained materials for program eligibility, managed prior authorizations, and handled initial client communications to support intake workflows.
Administrative Assistant
Therapeutic Links Behavioral Health Services
Nov 2018 - Nov 2019 (1 year)
Managed client scheduling and communications and supported HR onboarding tasks including credentialing, NPI/CAQH registration, and EMR system training for new therapists.
Education
Degrees, certifications, and relevant coursework
Morgan State University
Bachelor of Science, Psychology
Completed a Bachelor of Science in Psychology at Morgan State University, graduating in May 2014.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Salary expectations
Job categories
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