Summary
Overview
Work History
Education
Skills
Additional Information
Accomplishments
Certification
Timeline
Generic

TASHA GAMON

Van Buren

Summary

Adept at strategic productive management and benefit verification, I leveraged my expertise at Shared Services Center to streamline authorization processes, enhancing team productivity by over 30%. My strong work ethic and effective communication skills facilitated cross-departmental collaboration, driving significant improvements in revenue cycle efficiency and compliance adherence.

Experienced team leader knowledgeable about different providers and plans for diverse benefit options. Effective at auditing benefit programs and checking companies to optimize company offerings. Proactive and disciplined with a results-driven and insightful nature.

Adaptable professional with a quick-learning ability and a talent for adjusting to new environments. Skilled in rapidly acquiring new knowledge and applying it effectively. Driven by a passion for continuous learning and successfully navigating change. Proactive and versatile professional with a dedication to quickly adapting to new challenges. Strong problem-solving abilities and a proven track record of fostering strong relationships with clients and team members. Focused on supporting team success and achieving positive results.

Overview

13
13
years of professional experience
1
1
Certification

Work History

Benefit Verification/Authorization

Shared Services Center
Fort Smith
05.2015 - Current
  • Obtain and manage authorizations for outpatient services. Verify benefits for the upcoming appointment.
  • Maintain authorizations for clinical outpatient, surgery outpatient, and therapy services, including PT, OT, ST, radiation, and oncology services. Radiology outpatient services, interventional pain clinic.
  • Maintain multiple service lines for multiple facilities, and the ability to work in multiple networks and registration systems: SCI, Passport, Pulse, HMS, JD Edwards, Cerner, HPF, Athena, etc. Medhost, Carepricer, Passport, payer websites.
  • Create estimates, obtain specific benefits for the services being provided, verify prior authorization requirements, and collect the clinical information needed to submit authorization if applicable.
  • Team lead, assist with any questions a team member may have, help resolve any issues, assist the supervisor, and be responsible for keeping team members up to date with payer guidelines and code updates for all service lines. Send out the payer alerts and updates monthly.
  • Resolve issues with billing and patients' bills when an issue arises, usually for recurring accounts.
  • Special projects, as assigned, within both the PAU and Billing.
  • I am currently in the process of taking classes to obtain my COC license within three months from February 2025.
  • Delegated work to staff, setting priorities and goals.
  • Investigated discrepancies between actual payments made by providers versus expected amounts due under contracts.
  • Conducted system analysis and testing to identify and resolve technical issues or inefficiencies.
  • Collaborated closely with team members to achieve project objectives and meet deadlines.
  • Provided leadership and guidance to team members, ensuring that tasks were completed on time and to a high standard.
  • Provided support to junior staff during peak periods of workloads.
  • Facilitated training sessions for new employees on company policies and procedures.
  • Collaborated with other departments to develop effective solutions that meet customer needs.
  • Collaborated with other departments to streamline processes and improve interdepartmental cooperation.
  • Assigned projects and distributed tasks to team members as per area of expertise.
  • Collaborated with management team to implement new work procedures or policies.
  • Ensured compliance with industry standards and regulations.
  • Implemented strategic plans to enhance team performance and productivity.
  • Offered training and support to keep team members motivated and working toward objectives.
  • Trained new staff in relevant processes and procedures.
  • Managed conflict resolution within the team to maintain a positive work environment.
  • Delegated daily tasks to team members to optimize group productivity.
  • Developed and monitored key performance indicators (KPIs) to assess team effectiveness.
  • Maintained open lines of communication with senior management, reporting team progress and challenges.
  • Assisted the manager in setting achievable goals for the team while monitoring progress towards them.
  • Ensured compliance with company policies and procedures throughout the team.
  • Identified areas for improvement, narrowing focus for decision-makers in making necessary changes.
  • Monitored team workload to prevent burnout and ensure equitable task distribution.
  • Maintained positive working relationship with fellow staff and management.
  • Promoted to leadership position in recognition of strong work ethic and provided exceptional customer service.
  • Identified opportunities for process improvements, implementing changes when required.
  • Resolved customer complaints and issues promptly, ensuring high levels of satisfaction.
  • Worked with cross-functional teams to achieve goals.
  • Managed time effectively to ensure tasks were completed on schedule and deadlines were met.

Expeditor

HSM Solutions
Fort Smith
06.2014 - 05.2015
  • Maintain and order materials for my departments.
  • Update schedules for departments.
  • Check and maintain labor reports, and timekeeping for employees in the department.
  • Enter PTO and time-off requests in ADP and JD Edwards for employees.
  • Create work orders for open orders, and maintain product and raw material inventory.
  • Managed stock transfers from one location to another as needed for production purposes.
  • Managed movement of materials and product through production.
  • Verified purchase orders, invoices and packing slips for correctness.
  • Prepared shipping documents such as bills of lading and manifests using computer software programs.
  • Performed regular cycle counts of inventory items in order to maintain accurate records.
  • Maintained a detailed database of all shipments, deliveries, and returns.
  • Processed purchase orders according to company policies and procedures.
  • Received incoming shipments and reviewed contents against purchase order for accuracy.
  • Used daily system logs to document production information, discussing issues with management.
  • Assessed current inventories and brought in supplies to keep stock within optimal levels for expected demands.
  • Distributed work orders to departments.
  • Updated and maintained databases with current information.
  • Monitored inventory levels for accuracy and restocked when necessary.

Inventory Control/Shipping Clerk

Georgia Pacific
Fort Smith
05.2012 - 01.2013
  • Daily cycle counts of raw products and finished goods, maintain inventory accuracy, and the flow of inbound and outbound loads.
  • Maintain shipping records, including BOLs and COAs.
  • Create daily pack reports from the previous day's production, and work with the laboratory for any held products.
  • Utilized various computer systems to track shipments throughout their journey from origin to final destination.
  • Prepared accurate shipping orders and bills of lading to direct and route materials.
  • Inspected freight containers to ensure they met safety standards prior to loading them onto trucks.
  • Scheduled large shipments and planned logistics to reserve sufficient storage space for incoming items..
  • Monitored stock levels within the warehouse and notified management when supplies needed replenishing.
  • Communicated with carrier representatives to follow specific procedures and make special delivery arrangements.
  • Maintained inventory of shipping materials and supplies.
  • Checked items to be shipped against work orders to confirm correct quantities, destination and routing.
  • Ensured that all outgoing items were properly labeled with correct information such as destination addresses, weight limits.
  • Directed warehouse team in stocking merchandise, pulling orders and setting up loads.
  • Reviewed carrier invoices for accuracy before submitting them for payment processing.
  • Compared shipment contents with paperwork to support inventory accuracy and records management.
  • Processed returns according to established guidelines.
  • Conducted regular audits of warehouse operations for compliance with company policies and procedures.
  • Examined shipment contents and compare with manifests, invoices or orders to verify accuracy.
  • Coordinated with customers on delivery dates and times in order to meet customer requirements.
  • Prepared work orders, bills of lading or shipping orders to route materials.
  • Rejected deliveries containing damaged items or shortages and corresponded with shipper to rectify issues.
  • Logged inbound and outbound discrepancies for wrong products, incorrect quantities and damages.
  • Recorded shipment data for reporting, accounting or recordkeeping purposes.
  • Contacted transport companies and suppliers to expedite, trace, or return shipments.
  • Tracked inventory levels, handling aspects of shipping and receiving and kept accurate records.
  • Maintained inventory control system to ensure accurate tracking of all shipped items.
  • Prepared documentation to track and report on damaged or missing items.
  • Verified shipping documents for accuracy.
  • Compared bills of lading against actual merchandise received, inspected for damaged goods and coordinated distribution to correct departments.
  • Communicated with carriers regarding any delays in shipments or discrepancies between orders and actual deliveries.
  • Checked customer orders, labeling and documentation prior to shipment to avoid delays.
  • Worked closely with internal departments such as purchasing and receiving to ensure timely delivery of products.
  • Monitored merchandise received and shipped from facility in computer system.
  • Traced missing material and shipments through vendor and customer communications.
  • Generated and maintained records of shipments, such as bills of lading, invoices, orders, and other required documentation.
  • Received and distributed incoming packages to designated departments or personnel.
  • Obtained required documentation to process shipments and support movement.
  • Troubleshot issues related to shipping and receiving in compliance with corporate procedures.
  • Organized storage areas to maximize movement and minimize labor.
  • Updated and maintained databases with current information.
  • Collaborated closely with team members to achieve project objectives and meet deadlines.
  • Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.

Education

GED -

Van Buren High School
Van Buren, AR
06.1995

Certified Outpatient Coder - Certified Outpatient Coder

AAPC
United States

Skills

  • Planning
  • Strategic productive management
  • Revenue cycle
  • Lean management
  • Benefit verification
  • Authorizations
  • Special projects
  • Onboarding
  • Microsoft office
  • Compliance
  • Benefits program management
  • HIPAA compliance
  • Medical insurance
  • Program leadership
  • Employee counseling
  • Benefit policy interpretation
  • Account servicing
  • Auditing procedures
  • Strong work ethic
  • Medical coding
  • Data entry proficiency
  • Insurance verification
  • Medical terminology expertise
  • Prior authorization processing
  • Effective communication skills
  • Recordkeeping and data input
  • Documentation and paperwork
  • Data entry
  • Confidentiality
  • Telephone etiquette
  • Verbal communication
  • Medicaid
  • Advocacy and counseling
  • Documentation and reporting
  • Proficiency in [software]
  • Policy interpretation
  • Eligibility procedures

Additional Information

Additional work history and experience available if requested

Accomplishments

  • Peer Advisory Board member
  • PALS Leader
  • Team Leader

Certification

  • Currently in the process for my COC

Timeline

Benefit Verification/Authorization

Shared Services Center
05.2015 - Current

Expeditor

HSM Solutions
06.2014 - 05.2015

Inventory Control/Shipping Clerk

Georgia Pacific
05.2012 - 01.2013

GED -

Van Buren High School

Certified Outpatient Coder - Certified Outpatient Coder

AAPC

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TASHA GAMON