Taneka Hardy

21+ Years extensive background in Medical Billing/ Claims Processing, Analyst and Collections working in many different healthcare environments. Successful background in business oriented activities and billing. Areas of knowledge and attributes include: Medical Billing and Collections Multi-Specialty, Professional Fee billing for private practitioners, hospital-based physicians and hospital business office. Variance Analysis. Knowledge of Facility/Hospital DME RADIOLOGY MENTAL HEALTH reimbursement methods. Familiar with HCPCS, CPT-4 and ICD-10 Coding. Claims processing for primary, secondary and tertiary carriers, including intensive follow-up on accounts receivables and the timely working of insurance denials/appeals. Proficiency in using CMS/HCFA-1500 and UB-04 forms. Insurance Eligibility Verification. Strong Analytical and Interpretive skills. Patient Collections. Eligibility. Authorization. Appeals. Knowledge on reimbursement for Government / Non Government Insurance, Worker’s Compensation, Personal Injury Insurance/ Auto. Medicare/ Medi-Cal. County Health Plans. Payment Posting. Balance Adjustments. Medical Terminology. ICD-10 / CPT Coding. Provider Relations. Customer Service. EOB Processing. Claims Auditor. Excellent written and verbal skills. Understanding of hospital policies and procedures. Results-oriented individual with a passion for continuous learning and innovation. Known for leveraging analytical thinking and creativity to solve problems and deliver high-impact solutions in fast-paced environments.