Summary
Overview
Work History
Education
Skills
Certification
Community Service & Volunteer Work
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Additional Information
Timeline
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Daffiny Conard

Senatobia,USA

Summary

Remote Revenue Cycle Specialist with 20+ years of experience in optimizing billing processes and reducing outstanding receivables. Proven track record in enhancing customer satisfaction through effective communication and tailored solutions. Skilled in analytical problem-solving and active listening to address client needs efficiently.

Overview

25
25
years of professional experience
1
1
Certification

Work History

Revenue Cycle Specialist

APIS
Pennsylvania Furnace, Pennsylvania
09.2024 - Current
  • Managed patient billing processes, ensuring timely submissions and reducing claim denials.
  • Analyzed revenue cycle metrics to identify trends and recommend process enhancements.
  • Collaborated with healthcare providers to resolve billing discrepancies and improve service delivery.
  • Streamlined coding procedures, enhancing accuracy and compliance with regulatory standards.
  • Developed strategies for optimizing collections from insurance payers and patients.
  • Trained new team members on revenue cycle protocols to maximize efficiency.
  • Monitored accounts receivable aging reports to prioritize follow-up actions and reduce outstanding balances.
  • Reviewed and resolved denied claims to improve revenue flow.
  • Analyzed revenue cycle data to identify process improvements.
  • Coordinated with insurance providers for accurate payment processing.
  • Assisted in training new staff on revenue cycle protocols and systems.
  • Monitored accounts receivable aging reports for follow-up actions.
  • Collaborated with healthcare teams to streamline patient financial services.
  • Processed appeals related to denied or rejected claims in a timely manner.
  • Collaborated with other departments to resolve customer inquiries regarding billing issues.
  • Contacted insurance providers to check patient coverage.
  • Audited payments from third-party payers to ensure accuracy of reimbursement amounts.
  • Researched discrepancies on unpaid invoices and reconciled them.
  • Compiled data into weekly and monthly reports outlining performance metrics related to revenue cycle activities.
  • Reconciled monthly accounts receivable reports against system transactions.

Business Customer Service Specialist II

CAMPBELL CLINIC ORTHOPAEDICS
Germantown, Tennessee
01.2010 - 04.2025
  • Provided exceptional support to patients with healthcare services and insurance inquiries.
  • Ensured timely access to medical care by efficiently resolving customer issues.
  • Maintained accurate electronic health records to support compliance with healthcare regulations.
  • Trained new representatives on customer service protocols for effective communication.
  • Led initiatives to enhance service delivery, increasing operational efficiency.
  • Analyzed customer feedback to identify improvement areas within healthcare services.
  • Ensured HIPAA compliance when handling sensitive patient information to protect privacy.
  • Increased first-call resolution rates by accurately addressing customer needs.
  • Managed authorization requests to ensure compliance with company policies.
  • Reviewed patient information for accuracy in insurance claims processing.
  • Utilized electronic health record systems for data entry and retrieval.
  • Researched patient eligibility, coverage information, and benefit levels.
  • Tracked authorization statuses using electronic databases or manual filing systems.
  • Performed data entry into various computer systems including but not limited to EMRs and CRMs.
  • Verified insurance authorizations with payers via telephone or web-based systems.
  • Coordinated communication between providers, patients, payers, and other departments as needed.
  • Reviewed authorization requests for accuracy and completeness.
  • Monitored daily workflow queues within the department ensuring all tasks are completed accurately and timely.
  • Provided customer service to internal and external customers related to authorization requests.
  • Investigated discrepancies identified during audits of claims submitted for reimbursement by providers.
  • Processed prior authorization requests in accordance with departmental guidelines.
  • Created spreadsheets utilizing Microsoft Excel for tracking authorization status updates from payers.
  • Analyzed denials received from third party payers to identify trends in denials and develop proactive measures for resolution.
  • Prepared appeal letters on behalf of clients when necessary to resolve disputes with insurers.
  • Entered data into electronic medical record system accurately and efficiently.
  • Managed intake of new claims and performed routine follow-ups.

Administrative Assistant

Methodist Lebonheur Healthcare
Germantown, Tennessee
01.2006 - 05.2010
  • Reduced errors in patient information entry by maintaining accurate and up-to-date database management.
  • Assisted with patient intake procedures, ensuring thorough collection of medical history and insurance information.
  • Ensured optimal patient care by promptly addressing inquiries or concerns via phone or email correspondence.
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Provided prompt, polite and professional in-person and telephone customer service.
  • Updated patient information and insurance details for accurate electronic medical records.
  • Received, recorded and filed medical payments by check, cash, and credit card.
  • Obtained pre-authorization from insurance companies ahead of medical services.
  • Processed medical insurance claims and payments.
  • Assisted with medical coding and billing tasks.
  • Managed office bookkeeping with insurance billing and patient payments.
  • Scheduled appointments and maintained calendar for healthcare providers to optimize workflow.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Managed incoming calls and directed to appropriate department.
  • Coordinated scheduling for staff meetings and departmental activities.
  • Answered phone calls and emails to provide information, resulting in effective business correspondence.
  • Entered data into spreadsheets using Microsoft Excel or other similar programs.
  • Resolved customer complaints in a timely manner while maintaining high levels of customer service.
  • Reviewed billing codes used by providers to maximize reimbursement from insurers.

Guest Service Representative / Night Auditor

Hampton Inn
Southaven, Mississippi
10.2000 - 09.2008
  • Managed check-in/check-out processes efficiently, ensuring seamless guest transitions.
  • Collaborated with housekeeping to ensure room readiness and cleanliness for arrivals.
  • Trained new staff on operational procedures and customer service best practices.
  • Assisted with room assignments and special requests, accommodating diverse guest needs.
  • Delivered exceptional guest service, fostering positive experiences, and enhancing customer satisfaction.
  • Handled payment transactions accurately, maintaining proper cash handling procedures at all times.
  • Resolved guest complaints diplomatically to maintain a positive property reputation and high customer satisfaction rates.
  • Contributed to increase in repeat business by developing strong relationships with guests.
  • Scheduled and confirmed restaurant reservations for guests.
  • Managed nightly financial audits, ensuring accuracy of all transactions and reports.
  • Reconciled discrepancies in guest accounts, maintaining compliance with hotel policies.
  • Oversaw night auditing of daily room occupancy and hotel revenue.
  • Controlled cash and credit card payment transactions at front desk to successfully reduce errors.
  • Kept accounts in balance and ran daily reports to verify totals.
  • Maintained accurate financial records by diligently balancing daily revenue reports and identifying discrepancies.
  • Entered customer data into room system and updated information whenever patrons changed rooms.
  • Generated and printed daily financial reports to track hotel performance.
  • Looked over pending check-ins and payment processes to complete closing procedures.
  • Managed room assignments using property management system efficiently.
  • Processed payments accurately and maintained cash drawer integrity.
  • Resolved guest complaints in a professional manner.
  • Handled payment processing and provided customers with receipts and proper bills and change.
  • Answered phones to respond to customer inquiries and transferred calls to appropriate staff members.
  • Verified reservations by phone or in person.

Medical Office Assistant

Eastmoreland Internal Medicine
Memphis, Tennessee
05.2005 - 12.2005
  • Managed patient scheduling for timely appointments and efficient office flow.
  • Assisted with patient intake, collecting information and verifying insurance details.
  • Maintained medical records, ensuring accuracy and compliance with privacy regulations.
  • Handled phone inquiries, providing information and addressing patient concerns promptly.
  • Processed billing and payments, maintaining accurate financial records for the practice.
  • Scheduled patient appointments, answered incoming calls, and assisted with inquiries.
  • Assisted with referrals and prepared medical records for patients.
  • Managed medical records using an electronic health record system.
  • Collected information, verified insurance and collected co-payments for patients as part of check-in process.
  • Verified insurance coverage for each patient visit.
  • Communicated with patients to resolve inquiries, schedule appointments and address billing questions.
  • Cooperated with Medicare, Medicaid, and private insurance providers to resolve billing issues.
  • Submitted diagnosis and procedure codes for insurance companies.
  • Accurately entered billing codes into the computer system for reimbursement purposes.
  • Performed bookkeeping duties, preparing and sending financial statements or bills.
  • Implemented electronic health record (EHR) systems to streamline patient information management.
  • Obtained client medical history, medication information, symptoms, and allergies..
  • Performed medical records management, including filing, organizing and scanning documents.
  • Called and faxed pharmacies to submit prescriptions and refills.
  • Built strong relationships with patients through effective communication skills that foster trust in the clinic’s commitment to quality care.
  • Taught patients about medications, procedures, and
  • Completed clinical procedures and gathered patient data for interpretation by physician.
  • Demonstrated excellent multitasking abilities while simultaneously handling various administrative tasks such as answering phones, greeting patients, and data entry.
  • Provided exceptional customer service, addressing patient concerns promptly and professionally.
  • Scheduled patient appointments and placed reminder calls to deliver exceptional customer experience.
  • Assisted with billing procedures to ensure accurate invoicing and prompt payment from patients and insurance companies.
  • Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
  • Obtained payments from patients and scanned identification and insurance cards.
  • Organized and maintained patient chart filing system to promote quick data finding for staff.
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Provided prompt, polite and professional in-person and telephone customer service.
  • Obtained pre-authorization from insurance companies ahead of medical services.
  • Processed medical insurance claims and payments.
  • Received, recorded and filed medical payments by check, cash, and credit card.
  • Assisted with medical coding and billing tasks.
  • Managed office bookkeeping with insurance billing and patient payments.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Processed medical records and maintained confidentiality in compliance with HIPAA regulations.
  • Managed patient scheduling and appointment confirmations to enhance office efficiency.

Education

Associate of Science - Real Estate Certificate

Professional School of Real Estate
Memphis, Tn
06.2006

Associate of Arts - Medical Assistant

Delta Technical College
Southaven, Ms
05.2005

Associate of Arts - Health Administration/pre-nursing

Northwest Community College
Senatobia, Ms
12.2004

High School Diploma -

Coldwater High School
Coldwater, Ms
05.1999

Skills

  • Customer service
  • Revenue cycle analysis
  • Insurance verification
  • Claims processing
  • Medical billing
  • Data reporting
  • Collecting payments
  • Debt collection procedures
  • HIPAA compliance
  • Payment posting
  • Coding accuracy
  • Effective communication
  • Problem solving
  • Team collaboration
  • Managing records
  • Electronic health records
  • Remote work experience
  • Virtual collaboration
  • Billing and invoicing

Certification

CPR

Community Service & Volunteer Work

Memphis City School Lincoln Elementary, Tutor, Present, Present

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Additional Information

45 or more wpm, Campbell Clinic

Timeline

Revenue Cycle Specialist

APIS
09.2024 - Current

Business Customer Service Specialist II

CAMPBELL CLINIC ORTHOPAEDICS
01.2010 - 04.2025

Administrative Assistant

Methodist Lebonheur Healthcare
01.2006 - 05.2010

Medical Office Assistant

Eastmoreland Internal Medicine
05.2005 - 12.2005

Guest Service Representative / Night Auditor

Hampton Inn
10.2000 - 09.2008

Associate of Science - Real Estate Certificate

Professional School of Real Estate

Associate of Arts - Medical Assistant

Delta Technical College

Associate of Arts - Health Administration/pre-nursing

Northwest Community College

High School Diploma -

Coldwater High School

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