Denise Tineo
Sugar Hill,GA
Summary
Detail-oriented and professional job seeker with a strong passion for making a difference in the medical field. With over 14 years of valuable experience, brings a wealth of knowledge and expertise to the role of a Cancer Registrar. Recently graduated from Andrew College, completing 160 clock hours, equipped with the latest industry practices, ready to contribute skills to ensure accurate and comprehensive cancer patient data management.
Overview
16
16
years of professional experience
Work History
Medical Billing and Collections Specialist
CPM OBGYN
01.2015 - Current
- Reduced claim denials by diligently reviewing patient records for correct coding and billing information.
- Improved cash flow through timely follow-up on outstanding accounts, negotiating payment plans, and collecting overdue payments.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
- Developed a comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes to ensure proper use in medical coding assignments.
- Provided exceptional customer service to patients, addressing their concerns regarding insurance claims or billing issues with empathy and professionalism.
Account Administrator
Weill Cornell Medical college
01.2009 - 01.2015
- Promoted accuracy in coding practices, staying current on ICD-10 changes and industry updates related to medical billing requirements.
- Reduced claim denials by accurately verifying insurance eligibility and benefits for patients.
- Played an integral role in maintaining the financial health of the practice by consistently achieving high levels of claim accuracy and timely reimbursement from insurance payers.
- Provided exceptional customer service, addressing patient concerns promptly and professionally while maintaining a positive attitude.
- Maintained patient confidentiality, adhering to HIPAA regulations while managing sensitive medical information.
- Increased efficiency by regularly updating and maintaining provider credentialing information with insurance carriers.
Education
Associate of Science - Cancer Registry Management
Andrew College
Cuthbert, GA05.2024
Coding Diploma - Health Information Technology Coding
Lanier Technical College
Oakwood, GA05.2023
Medical Billing and Coding -
Sanford Brown Institute
Atlanta, GA05.2009
Skills
- HIPAA Compliance Knowledge
- Medical Billing Software Proficiency
- Claims Processing Proficiency
- Professionalism and Ethics
- Teamwork and Collaboration
- Time management
Languages
Spanish
Native or Bilingual
Timeline
Medical Billing and Collections Specialist
CPM OBGYN
01.2015 - Current
Account Administrator
Weill Cornell Medical college
01.2009 - 01.2015
Associate of Science - Cancer Registry Management
Andrew College
Coding Diploma - Health Information Technology Coding
Lanier Technical College
Medical Billing and Coding -
Sanford Brown Institute
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