Tiffany McCoy
Eastpointe,Michigan
Summary
Dedicated health service professional with 20 years of experience in customer service, billing and collection, insurance verification, and administration processes. Accompanied by strong communication skills, administrative experience, comprehensive knowledge of federal/state healthcare regulation and ability to work with diverse work groups in achieving organization objectives.
Overview
22
22
years of professional experience
Work History
Advanced Medical Support Assistant
US DEPT OF VETERAN AFFAIRS
Detroit, MI
03.2019 - Current
- Implemented care and efficiency improvements to support and enhance office operations of 22 MSA.
- Provided backup support to office staff during staff shortage by completing billing and filing tasks, answering phones and scheduling appointments.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Adapted to workflow changes and implemented continuous process improvements to overcome obstacles.
- Completed administrative patient intakes with case histories, insurance information and mandated forms
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts
- Scheduled and taught in class and online courses annually to increase learning opportunities
- Trained and mentored new hires, resulting in stronger staff development and increased productivity
Prior Authorization & Medical Specialist
Michigan Cancer Specialist
Roseville, Michigan
03.2016 - 08.2020
- Professionally and courteously verified appointment times with patients
- Verified patients’ eligibility and claims status with insurance agencies
- Obtain prior authorizations for medication and outpatient procedures.
- Pre-certified medical and radiology procedures, surgeries and echocardiograms.
- Actively maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third party requirements regarding medical billing.
- Responded to correspondence from insurance companies regarding authorization.
- Examined patients’ insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
- Compiled and tracked outstanding patients balances.
- Reviewed applications for different aid programs and determined which qualification criteria for individuals in need of assist for hematology and oncology medication treatment.
Financial Counselor/Insurance Verification
Henry Ford Health System
Detroit, MI
04.2012 - 09.2015
- Assist uninsured, under-insured and insured patient with their financial obligation to determine what programs patient may qualify for, with prior and current balances. Cash collecting on copay's prior balances, and prepayment for surgical procedures
- Collaborate with physicians, case management, and other healthcare staff to determine course of action for long term needs associated with Medicare, Medicaid, Community Partner, HMO's, and Manage Care
- Specialized in securing motor vehicle accidents accounts, international surgical accounts, and self pay accounts for third party payments for Advomas, Merimed, or State of Michigan Assign Claims
- Experience in Web Denis, Epic, Mainframe, CMS, CPNG, SharePoint, CHAMPS, and PFAP databases.
- Maintained updated knowledge of coding requirements, through continuing education and certification renewal
- Verified patients’ eligibility and claims status with insurance agencies
- Responded to correspondence from insurance companies
- Maintained and updated collections tracking spreadsheet to help organize payment information
- Examined patients’ insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable
Guest Relations
St. John Hospital
Detroit, MI
03.2008 - 09.2011
- Identify systems related problems, via patient/visitor data, and work collaboratively with physicians, administrators and staff to resolve
- Conduct monthly accountability and variance analysis of balanced scorecard customer service outcomes
- Coordinate interventions/services with PDC Customer Service and Patient Relations, Patient and Visitor Relations and Risk Management
- Oversee and coordinate all arrivals and departures of special guests (VIPs, SAs etc.)
- Direct, coach and manage guest relations team to ensure all standards and operating procedures are followed
Patient Advocate
St. John Hospital
Detroit, MI
08.2007 - 03.2008
- Directing and escorting visitors to patient's room using E-Care and HBO management system
- Facilitate resolution of complaints/grievances/requests for Patients & Visitors for assigned Clinical Service Unit
- Enforce St
- John's policy rules and regulations to ensure patient safety, and privacy is being maintained
Nurse Technician
St. John Oakland Hospital
Madison Heights, MI
08.2005 - 03.2006
- Reports changes in condition and/or behavior of patients, as well as pertinent observations and clinical data to appropriate staff.
- Documented on appropriate clinical records patient care activities, nursing interventions, pertinent observations, treatments and responses, and changes in condition and/or behavior of assigned
- Performs complex procedures, including collecting specimens, oxygen therapy, dressing changes, wound irrigations, colostomy care, urinary catheterization and irrigation, tracheostomy care, oral, nasal suctioning, chest percussion, restraints, and isolation procedures
- Admit, transfers and discharges patients following established procedures under direction of and with co-signature of a registered nurse
- Extensive communication with patient, guests, and staff
Administrative Assistant
Annapolis Medical Center
Detroit, MI
08.2001 - 07.2005
- Creating and updating patients' electronic health records
- Verifying patient insurance and submitting insurance claims
- Managing day-to-day operations of medical facility
- Preparing correspondence between medical providers and their patients
- Participates with Office Manager in the development and administration of designated phases of operational budget
- Maintain appointment calendars and arranges meetings and interviews with a variety of individuals both inside and outside of clinic
Education
Certification in ICD-9 and ICD 10 - undefined
Penn Foster College
Scranton, PA2016
Associates of Science - Physician Assistant
Wayne County Community College
Detroit, MI06.2005
Skills
- Financial/Insurance specialist
- Prior Authorization/Pre-Certification
- Knowledgeable in software systems
- Medical Terminology
- Collaborative in interdisciplinary coordinated care delivery model oncology, hematology, dermatology, and cardiology
- Patient Advocacy
- Office management professional
- Excellent problem solver
- Resourceful and reliable worker
- Advanced knowledge of medical policies and procedure
- Ability to communicate tactfully and effectively, both orally and in writing
- Cultured in diversity
- Insurance and collections procedures
- Health insurance
- Risk Assessment
- Benefit Coverage
Timeline
Advanced Medical Support Assistant
US DEPT OF VETERAN AFFAIRS
03.2019 - Current
Prior Authorization & Medical Specialist
Michigan Cancer Specialist
03.2016 - 08.2020
Financial Counselor/Insurance Verification
Henry Ford Health System
04.2012 - 09.2015
Guest Relations
St. John Hospital
03.2008 - 09.2011
Patient Advocate
St. John Hospital
08.2007 - 03.2008
Nurse Technician
St. John Oakland Hospital
08.2005 - 03.2006
Administrative Assistant
Annapolis Medical Center
08.2001 - 07.2005
Certification in ICD-9 and ICD 10 - undefined
Penn Foster College
Associates of Science - Physician Assistant
Wayne County Community College
Similar Profiles
Marius PattonMarius Patton
Readjustment Counseling Therapist at Dept. of Veteran Affairs - Montgomery Vet CenterReadjustment Counseling Therapist at Dept. of Veteran Affairs - Montgomery Vet Center
Matthew ScottMatthew Scott
Registered Nurse, Intensive Care Unit at Dept. of Veteran AffairsRegistered Nurse, Intensive Care Unit at Dept. of Veteran Affairs
DANA BONDEGARDDANA BONDEGARD
Program Support Specialist Assistant at San Francisco Dept. of Veteran Affairs Clinical Resource HubProgram Support Specialist Assistant at San Francisco Dept. of Veteran Affairs Clinical Resource Hub
Victoria AikensVictoria Aikens
ADMINISTRATIVE OFFICER OF THE DAY at DEPT OF VETERAN AFFAIRSADMINISTRATIVE OFFICER OF THE DAY at DEPT OF VETERAN AFFAIRS
Shawana HunterShawana Hunter
Processor Operator at Forman MillsProcessor Operator at Forman Mills