Tamarra White

• Audits incoming Physician Input Notification forms (changes to physician personnel records) for completeness and compliance with the Partnership Agreement, Rules, and Regulations.
• Reviews, processes, and calculates various salary actions, such as salary increases, special increases, status changes, and rate changes approved by the Board of Directors/Medical Directors.
• Audits personnel/compensation-related data elements, statistics, presentations, and correspondence to physician managers, physicians and area payroll coordinators.
• Audits incoming direct deposit forms for completeness, accuracy and compliance with system requirements.
• Resolves direct deposit problems with various financial institutions.
• Processes confidential payroll for physicians.
• Ensures accuracy of checks generated; works closely with physicians to resolve salary issues.
• Ensures accurate processing of garnishments, tax levies and subpoena requests.
• Generates, audits and distributes reports on a regular basis.
• Maintains accuracy of systems data and assists in cleaning up discrepancies.
• Identifies new codes and ensures that system tables are updated.
• Prepares spreadsheets with statistical data for senior managers.

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• Handled high-risk Medicare member calls, including escalations, at the National Experience Center.
• Took full ownership of issues and ensured timely resolution for members.
• Resolved complex inquiries about benefits, claims, eligibility, and plan details.
• Provided fast, effective solutions for escalated, top-tier member concerns.
• Assisted members at risk of filing Medicare complaints with benefit and claim issues.
• Helped with plan selection and enrollment support.
• Connected members with the right resources for their healthcare needs.
• Built strong, long-term relationships with members.
• Acted as a company representative in solving executive-level issues.
• Supported members with Financial Spending Account (FSA) issues.
• Maintained strong customer relationships on behalf of UnitedHealthcare.
• Navigated multiple systems including Maestro, GPS, COSMOS, NICE, and others.
• Collaborated with departments on care coordination, payments, claims, and enrollment.
• Used Microsoft Excel (pivot tables, VLOOKUP, SUM, TRIM, AVERAGE) and Outlook effectively.

Optum Behavioral Solutions:

• Reviewed daily reports to identify data entry and processing errors.
• Checked claim eligibility using the Monthly Meds Extract File (MMEF) and internal databases.
• Responded to providers about complaint and appeal statuses.
• Took ownership of issue resolution and communicated outcomes.
• Assisted with special projects and other assigned tasks.
• Analyzed data and provided clear explanations and guidance.
• Entered claim information into systems accurately.
• Evaluated information from claimants and medical professionals to make decisions.
• Worked with teams like Underwriting, Provider Relations, and Medical Management.
• Reviewed claims for accuracy, coverage, and validity.
• Used claims software to manage and track claim status.
• Recorded claim details and payments in the company system.

Optum Behavioral Solutions / San Diego Public Sector / Access and Crisis Line:

• Entered client data into the Electronic Health Record (EHR) system.
• Managed intake and discharge notifications for members.
• Coordinated with hospitals, clinics, and providers on service requests.
• Handled referral processing, including incoming/outgoing referrals and authorizations.
• Managed notifications and census updates.
• Triaged care coordination cases for non-clinical assessments.
• Reviewed and processed approval and adverse determination notifications.
• Resolved member and provider issues related to benefits, billing, and eligibility.
• Responded to customer material and physician information requests.

Enrollment Specialist, Sharp Health Plan:

• Entered and maintained accurate member enrollment data from manual and electronic sources.
• Created, tracked, and distributed enrollment and disenrollment documents.
• Used reconciliation files and policy knowledge to verify and correct data.
• Provided support on eligibility questions to employers and internal teams.
• Served as main contact for Sharp Advantage Medicare Plan enrollment.
• Ensured accurate membership records and delivered excellent customer service to members, providers, employers, and brokers.