Tammy Rosebrough

Performed medical and pharmacy benefit verification, researched and resolved non-routine eligibility and claim issues, and reviewed and submitted complex authorizations for IV drug approvals.

Acted as Vendor Analyst Specialist and Team Lead, liaising with outsourced collection agencies and overseeing patient payment plans. Minimized bad debt by resolving accounts within a 540-day timeframe and negotiated settlements for complete account resolution.

Quoted medical benefits, managed TRICARE military insurance, and handled authorization statuses and changes.

Acquired authorizations for outpatient behavioral and mental health services, demonstrated experience with insurance EOBs and secondary reimbursements, and prepared and submitted paper and electronic claims.

Oversaw eligibility verification and acquired authorizations for outpatient behavioral health and mental health services. Collected and posted patient payments, resolved billing questions, and trained clerical staff.

Degree in Specialized Business with a focus on Medical Office Administration.