Open to opportunities

Tara Ann Frater

@taraannfrater

Message

Medical billing specialist improving claims accuracy and reimbursement through coding.

United States

Message

What I'm looking for

I’m looking to continue in revenue cycle/medical billing where I can own claims processing, appeals, and coding accuracy, use payor portals and 837/835 workflows, and drive timely, compliant reimbursements.

I’m a medical billing specialist in revenue cycle management focused on accurate, compliant reimbursement. I’ve maintained “managed care contracts and state and government regulations” to support timely, correct payment.

I specialize in “claims processes” and “claim coding,” handling electronic or paper submissions, appeals, corrected claims, and follow-up across Medicare Secondary, Medicare Advantage, Medicaid, and ACO accounts. I use web-based insurance verification to update eligibility in hospital billing systems, resolve claim edits, and coordinate with third-party representatives to speed resolutions.

I also bring strong performance in A/R follow-up, payment and adjustment posting, and reporting, along with training new hires on processes and practices—always “succeeding above the expectations.”

Experience

Work history, roles, and key accomplishments

Medical Billing Specialist

Baystate Health

Jan 2022 - Jan 2026 (4 years)

Managed revenue cycle requirements to support accurate, compliant reimbursement, including resolving claim edits for electronic or manual submission. Verified patient eligibility using web-based insurance tools, maintained payer relationships, and upheld department productivity and quality standards.

Revenue Cycle Management Insurance Verification Claim Edits Payment And Adjustment Posting

Billing & AR Representative

Valley Women’s Health Group

Jan 2019 - Jan 2022 (3 years)

Posted insurance payments to patient accounts and worked denial-related issues by contacting payers and researching claim problems. Coordinated with patients to address eligibility and financial responsibility, while collecting and posting payments accurately.

Accounts Receivable Payment Posting Patient Billing Support Claims Follow Up Collections

Billing & AR Representative

Holyoke Medical Center

Jan 2018 - Jan 2019 (1 year)

Handled facility, professional, and behavioral health billing across multiple payers within timely filing guidelines, ensuring claims were corrected and resubmitted as needed. Followed up on outstanding A/R, resolved denials, and collaborated with payers, patients, and other facilities to maximize payment.

Claims Follow Up Timely Filing Payor Website Research

Biller/Coder

Right Choice Health Group

Jan 2016 - Jan 2018 (2 years)

Correctly coded and billed office visits related to substance abuse treatment, maintaining accurate documentation and patient records. Determined prior authorizations and referrals, verified eligibility, submitted electronic claims, and resolved patient billing/payment issues while maintaining strict confidentiality.

Medical Coding And Billing Eligibility Verification Prior Authorizations Confidentiality Payment Posting