Modmed EHR
Misti Toney
Health Care Professional
Bowling Green,KY
Summary
Experienced Medical Biller with 2 years of expertise in claims submission, denial investigation, and billing accuracy. Proven ability to resolve discrepancies with healthcare providers and insurance companies while ensuring compliance with industry regulations. Strong analytical skills, attention to detail, and the capability to work under pressure to meet tight deadlines. Dedicated to providing exceptional customer service and maintaining patient confidentiality.
Overview
2
2
years of professional experience
3
3
Certification
Work History
AR Specialist II
Physicians Rehab Solution-Bowling Green, KY
03.2024 - Current
- Analyzed trends in payment patterns and customer behavior, identifying opportunities for process enhancements that would improve overall AR performance.
- Coordinated with external collections agencies when necessary, ensuring seamless handoff of delinquent accounts while protecting company interests at all times.
- Improved accounts receivable efficiency by streamlining payment processing and invoice management.
- Reviewed accounts on monthly basis to assess aging and pursue collection of funds.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
Billing Specialist II
Physicians Rehab Solution-Bowling Green, KY
03.2023 - Current
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Maintained detailed records of each account''s payment history, providing easy access to information for audit and analysis purposes.
- Reduced errors in financial records by conducting regular audits of billed accounts.
Insurance Verification/Authorization Specialist
Physicians Rehab Solution-Bowling Green, KY
10.2022 - Current
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
- Assisted in training new team members on company policies and procedures for handling authorization requests.
Education
Bachelor of Science - Health Information Management
Grantham University
Little Rock, AR 06.2024 - Current
Associate of Applied Science - Medical Billing Office Administration
Ross Medical Education Center Online
Sylvania, OH05.2024
Skills
- Claims review
- Claims Processing Proficiency
- HIPAA Compliance
- Effective Communication
- Insurance Verification
- Accounts receivable management
- Revenue Cycle Management
- Payment posting
- Attention to Detail
- Organizational Skills
Certification
- Certified Medical Administrative Assistant Specialist (C.M.A.A.), National Healthcareer Association, 03/01/24, 03/01/26, #P2X5P9R82024
- BLS Certification, Life Aid Medical Health Education Academy, LLC, 04/01/23, 04/01/25, #235416187461
- Certified Billing and Coding Specialist (C.B.C.S.), National Healthcareer Association, 06/01/23, 06/01/24, #W8K3E8F4
- HIPAA, North American Learning Institute, 01/01/24, 01/01/25, #1080206
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Software
NextGen Healthcare EMR/ EHR
Athena Health
WebPT
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Documented and resolved denied claims which led to 88% revenue.
Work Preference
Work Type
Full TimeContract WorkGig WorkWork Location
RemoteImportant To Me
Work from home optionWork-life balanceCareer advancementWebsites
Timeline
Bachelor of Science - Health Information Management
Grantham University
06.2024 - Current
AR Specialist II
Physicians Rehab Solution-Bowling Green, KY
03.2024 - Current
Billing Specialist II
Physicians Rehab Solution-Bowling Green, KY
03.2023 - Current
Insurance Verification/Authorization Specialist
Physicians Rehab Solution-Bowling Green, KY
10.2022 - Current
Associate of Applied Science - Medical Billing Office Administration
Ross Medical Education Center Online
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