Tammy Gagnon
Locust Grove
Summary
Experienced healthcare professional with over 30 years in patient care, encompassing appointment scheduling and claims processing. Strong focus on delivering exceptional service and support drives impactful contributions across all aspects of patient interaction. Adaptable and committed to continuous learning, enhancing overall patient care outcomes.
Overview
1
1
Certification
46
46
years of professional experience
Work History
Front Office Manager
Dr. F.J Pepper-Private Forensic Psychiatry Office
- Called in prescriptions, checked in outpatients, pulled documents/charts as needed to support patient flow. Collecting & processing co-insurance payments, scheduling patients, volunteers, and vendors.
Patient Financial Services Representative
INOVA
02.2024 - Current
- Assisted patients with financial assistance applications and eligibility verification.
- Responded to inquiries regarding insurance coverage and payment options.
- Coordinated communication between patients, insurance companies, and healthcare providers.
- Processed patient accounts to ensure accurate billing and collections.
- Maintained detailed records of patient interactions and account statuses.
- Improved patient satisfaction by providing timely and accurate financial information.
- Assisted patients in understanding their financial responsibilities, guiding them through available payment options and resources.
Personal Assistant - Private duty health
Honorable Rodella Pepper
01.2008 - Current
- Coordinated appointments, managed bank accounts, and oversaw bill payments for family members.
- Communicated with physicians and family to update on disease progression and patient status.
- Worked full-time until Dr. Pepper's unexpected retirement due to medical reasons.
Certified Clinical Medical Assistant
A.T Augusta Military Medical
10.2022 - 02.2023
- Welcome active-duty service members, obtain medical history, vitals, and swab specimens for testing. Performed minor diagnostic tests and procedures under the supervision of healthcare professionals.
- Perform a variety of medical assistant duties, ranging from routine to moderately specialized in nature. Obtain patient vital signs, height, and weight, perform EKGs, swabs for lab collection, etc. Document patient information into electronic medical records/system.
- Promote patient safety by maintaining a clean and hygienic environment.
- Mediate between patients and healthcare providers.
- Guide patients through the clinic’s various facilities and procedures.
- Set up and stock examination and procedure rooms.
- Worked in an active-duty clinic providing medical support.
Certified Clinical Medical Assistant
Inova Cardiology
01.2021 - 10.2022
- Assisted cardiologists and technicians in procedures assessing patient heart and vascular health. Set up and perform electrocardiograms, which monitor and record heartbeats and obtain vitals. Obtained medications and submitted refill requests. Communicated with hospital and medical professionals to gather patient history, lab results, and ECGs. Applied heart monitors and educated patients on usage and care.
- Managed personal challenges during a significant loss and global pandemic.
- Assisted in patient examinations, ensuring comfort and safety during procedures.
- Recorded patient histories and vital signs accurately for optimal care planning.
- Collaborated with healthcare team to streamline patient flow and enhance service delivery.
Registration Resolution Specialist
Inova Health Patient Accounts
04.2017 - 03.2020
- Posted medical insurance billings, reviewed records for completeness, accuracy, and compliance with regulations, entered demographic characteristics, history, extent of disease, diagnostic procedures, and treatment data into the computer, and released information to persons and agencies in accordance with regulations.
- Resolved and clarified codes and diagnoses with conflicting, missing, and unclear information by consulting with doctors and others for additional information and participating in coding team meetings.
- Resolved complex patient account inquiries through effective communication and problem-solving techniques.
- Collaborated with healthcare providers to ensure accurate billing and claims processing.
- Streamlined dispute resolution processes, enhancing overall patient satisfaction rates.
Medical Office Manager
Inova Health System; Low vision clinic
04.2003 - 12.2007
- Recruited, hired, and trained staff, supervising development and enhancing team capabilities.
- Assisted in physician credentialing, license renewal, and appointments.
- Managed pre-certifications and verified insurance coverages to ensure compliance and streamline patient services.
- Achieved 70% average collection ratio while implementing workflow improvements and emphasizing patient satisfaction.
Electronic Claims Specialist
Inova Health System; Patient Accounts
01.2000 - 04.2003
- Reviewed patient medical records and assigned codes to diagnoses and procedures, ensuring accurate claim submissions. Electronically sent claims to insurance and other third-party payers, including Medicare and Medicaid, and to patients for co-insurance.
- Processed and reviewed insurance claims for accuracy and completeness.
- Coordinated with healthcare providers to obtain necessary documentation and information.
- Resolved discrepancies in claims by analyzing patient accounts and data.
Financial Quality Coordinator
Inova Alexandria Hospital; Patient accounts
04.1999 - 01.2000
- Supported Inova Health System and Physician Services by providing patient financial counseling to meet financial goals; maintained and adhered to payer and regulatory guidelines for medical insurance claims processing and reimbursement; upheld the basic philosophies of the revenue cycle, accounts receivable and patient accounts; communicated effectively with others; utilized standards, guidelines, and written procedures for performing registration functions.
Medical Claims Biller and coder
Columbia Arlington Hospital
10.1995 - 04.1999
- Responsible for the timely and accurate editing, submission, and/or follow-up of assigned claims. Able to process claims for at least two payer types (Commercial, Managed Care, Blue Cross, Medicare, Medicaid)
- Assure all assigned claims meet clearinghouse and/or payer processing criteria. Assure appropriate follow-up on assigned work lists.
- Able to process Appeals (level 1 and 2) and check claim status via phone/payer website.
- Payer response reports and rejection /denial reports are completed and meet Departmental Productivity and Quality Review standards.
- Assure appropriate and timely documentation of all account activity. Correspondence is managed appropriately.
Certified Nurse Assistant
Hi-Tech Nursing Agency
05.1983 - 10.1995
- Provides patients' personal hygiene by giving bedpans, baths, backrubs, shampoo, and shave, helping with showers and baths. Provides for activities of daily living by assisting with serving meals, feeding patients as necessary; ambulating, turning, and positioning patients. Provides adjunct care by administering enemas, douches, nonsterile dressings, surgical preps, ice packs, heat treatments, sitz and therapeutic baths. Maintain patient stability by checking vital signs and weight; testing urine; recording intake and output information.
Certified Nurse Assistant; Alzheimer Specialist
Crystal City Nursing Center
02.1980 - 05.1983
- Provide basic care to patients, as well as assist them in daily activities such as bathing, dressing, eating and ambulance.
- Utilizing medical technology, billing software, health information software and medical record charting. Administer medication to patients.
Education
Certificate ICD10 Billing & Coding - Healthcare Administration
M.I.H. T
Lorton, Virginia11-2018
Certified Clinical Medical Assistant - Phlebotomy, EKG
Metropolitan Health Technology
Lorton, Virginia01-2014
Non-Complete - Registered Nursing Program
Marymount University
Arlington, Virginia01-1990
Certified Nurse Assistant - undefined
Mount Vernon Business College
Alexandria, Virginia01-1983
Skills
- Medical Office Manager – 3 Years
- Emergency room & Clinic Scheduling and Registration – 5 Years
- Clinic scheduling
- Certified Clinical Medical Assistant - 5 Years
- Front office operations
- Clinical medical assistant
- Customer billing support
- Patient Care Coordination
Certification
Certified Contact Tracer – John Hopkins - 06/2020
Timeline
Patient Financial Services Representative
INOVA
02.2024 - Current
Certified Clinical Medical Assistant
A.T Augusta Military Medical
10.2022 - 02.2023
Certified Clinical Medical Assistant
Inova Cardiology
01.2021 - 10.2022
Registration Resolution Specialist
Inova Health Patient Accounts
04.2017 - 03.2020
Personal Assistant - Private duty health
Honorable Rodella Pepper
01.2008 - Current
Medical Office Manager
Inova Health System; Low vision clinic
04.2003 - 12.2007
Electronic Claims Specialist
Inova Health System; Patient Accounts
01.2000 - 04.2003
Financial Quality Coordinator
Inova Alexandria Hospital; Patient accounts
04.1999 - 01.2000
Medical Claims Biller and coder
Columbia Arlington Hospital
10.1995 - 04.1999
Certified Nurse Assistant
Hi-Tech Nursing Agency
05.1983 - 10.1995
Certified Nurse Assistant; Alzheimer Specialist
Crystal City Nursing Center
02.1980 - 05.1983
Certified Nurse Assistant - undefined
Mount Vernon Business College
Non-Complete - Registered Nursing Program
Marymount University
Certified Clinical Medical Assistant - Phlebotomy, EKG
Metropolitan Health Technology
Front Office Manager
Dr. F.J Pepper-Private Forensic Psychiatry Office
Certificate ICD10 Billing & Coding - Healthcare Administration
M.I.H. T