Summary
Overview
Work History
Education
Skills
Timeline
Generic

JOYCE TTIBBS

Pittsburgh

Summary

Career position, which requires proven strengths in attention to detail, Oral communications and problems solving along with leadership and A strong commitment to excellent that will directly promote growth. Dedicated and result-oriented with the abilities to plan, organize, And work independently, or part of a team.

Overview

25
25
years of professional experience

Work History

Medical Review Associates

Novitas Solutions
07.2007 - 07.2023
  • Input claims in the nurse location to be review
  • Handle various reports, Appeals Denials
  • Handle correspondence, track cases from Customer Service Department
  • Responsible for claim adjustment, splitting and adjudication using coding Guidelines and instructions of professional staff

Senior Claims Adjucator

Veritus Medicare Services
03.2001 - 07.2007
  • Complete correspondence and telephone inquires received from the beneficiary, Providers, insurer, attorneys and CMS including Department Of Treasury
  • Initial development, maintance and debt recovery from the third party liability, Worker Compensation and Automobile No Fault cases up to and including Referral to the Department Of Treasury
  • Complete claims adjustments, handle Beneficiary debt report

Operation-Frontline

Health Management Services
03.1999 - 03.2001
  • Pre-Cert inpatients and outpatients hospital admissions
  • Pre-Cert Procedures for doctor offices and specialist offices

Account Representative

AVI (PHYSICIAN BILLING)
03.1998 - 03.1999
  • Working A/R report, reducing A/R 120 days and over reports
  • Receiving incoming calls from patients inquiring about there Statement
  • Work credit balance reports, determine appropriate Write-off adjustments
  • Handle four primary care facilities training Billing staff with patient registration, verify insurance information, Applying payments to patient accounts
  • Submit electronic claims For commercial, workers compensation, Medicare, medical assistance To the providers

Education

High School Diploma -

Westinghouse High School
Pittsburgh, Pa.
06-1975

Skills

  • Customer Services skills, Medical Terminology coding skills, Mathematical skills, Communication skills, Claims processing, Window applications, spreadsheets Ability to work independently, or part of a team CMS guildlines

Timeline

Medical Review Associates

Novitas Solutions
07.2007 - 07.2023

Senior Claims Adjucator

Veritus Medicare Services
03.2001 - 07.2007

Operation-Frontline

Health Management Services
03.1999 - 03.2001

Account Representative

AVI (PHYSICIAN BILLING)
03.1998 - 03.1999

High School Diploma -

Westinghouse High School

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JOYCE TTIBBS