TANIKA MIMS
Augusta,GA
Summary
Efficient billing professional with 12 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
Overview
15
15
years of professional experience
Work History
Insurance Medical Billing Specialist
Frost-Arnett
Nashville, TN
01.2022 - Current
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Generated and submitted invoices based upon established accounts receivable schedules and terms.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Performed targeted collections on past due accounts aged over 120 days.
Lead Certified Medical Assistant/Insurance Claims Specialist
Alliance Spine and Pain Center, PRN
Augusta, GA
10.2019 - Current
- Documents specific claims by completing and recording forms, reports, logs, and records.Ensures accuracy of patient demographics and insurance information in EMR
- Place outbound calls to insurance companies, guarantors, patients, doctors’ offices and/or facilities and handle incoming calls as necessary utilizing proper customer service protocol.Assists in answering phones, e-scribing meds to pharmacy
- Research claim status with carriers via various portals to reach resolution and payment of claims.Scribe for physician while in patient room
- File appeals on denials involving timely filing, pre-certifications, and services provided by multiple providers on the same date of service.
- Works as phone triage nurse when needed.
- Responsible for tracking the number of accounts worked and keeping staff informed of fluctuations in volume, patters of problems, etc.
- Making weekly schedule for employees and holding monthly staff meetings.
Medical Scribe
Scribe America
Augusta, GA
12.2021 - 03.2022
- Document the physician dictated patient history, review of symptoms, meds, and allergies.
- Working with a physician to submit medical records.
- Completing administrative tasks efficiently and helping the physician e-scribe medications.
- Accompany the physician upon patient interview and examination.
- Completing administrative tasks which include insurance eligibility, timely filing of appeals, inpatient authorizations, and helping when needed in medical records.
Clinical Certified Medical Assistant
Pediatric Partners of Augusta
02.2017 - 09.2019
- Performed immunization administration and phlebotomy for infants-18 years of age
- Answer multi-phone system, greeting patients, filing, faxing, plus entering patient data into the
- EHR/EMR
- Accurately verified insurance coverage to attain authorization for services from website/phone
- Collected and duly processed various payments including deductibles and patient co-pays
- Scheduling appointments and referrals, plus scribing for physicians
- Efficiently roomed and triaged patients for 6 physicians in an extremely busy practice, plus worked after hours clinic
- Performed eye exams, hearing/vision tests for school age children.
Lead Clinical Certified Medical Assistant
U S CARENET
09.2017 - 02.2018
- Triage/screen telephone calls related to patient care, enters all information promptly into
- Electronic Health Record
- Acts as a liaison for assigned patients, and documents all concerns and follow-up to the RN
- Coordinated patient referrals with specialty practices
- Works collaboratively with physician’s offices or medication refills, appointments, and referrals
- Document all communication and coordination of patient contacts on a monthly basis for
- Medicare
- Recognizes the implementation of dosages, interactions, side effects, adverse effects, and administration of drugs as they apply to patients
- Advance new hires learning through exemplary instruction by following an established course training outline
- Coordinating clinical staff and assisting office managers, and preparing staff schedules.
Certified Medical Assistant
Augusta OB/GYN Oncology Associates
05.2017 - 09.2017
- Send specimens to various facilities for testing, biopsies, STAT lab work, 24 hour urine specimens
- Greet and prepare patients for their visit with the provider by obtaining vital signs, and other information
- Prepares and sanitizes all exam rooms for the day as well as in between each patient
- Assist with pap smears, biopsies, and other medical/surgical procedures
- Maintain inventory, remove sutures, notify patients of lab results, schedule patient appointments
- Assist with diagnostic tests and clinical procedures such as venous and capillary blood draws
- Prepare and sterilize instruments and maintain equipment and patient care areas clean and orderly
- Explain treatment protocols, update and file patient records, record treatment, and filling out insurance forms.
Medical Assistant
Augusta Vascular Center
Augusta, GA
08.2016 - 06.2017
- Perform nursing procedures such as: dressings of wounds, cleaning ulcers, changing unnaboot, applying tubigrip compression socks
- Escort patients to exam rooms, interview patients, draw labs, take vital signs, and document all information in patient chart
- Ensure all related reports, labs and information is filed and available in patient's medical records prior to their appointment, keep records of anesthesia during, after surgical procedures
- Keep exam rooms stocked with medical supplies, maintain and sterilize as needed.
Certified Medical Assistant
Trinity Hospital
Augusta, GA
02.2016 - 05.2017
- Verifies patient information by interviewing patient; recording medical history; confirming purpose of visit
- Prepares patients for examination by performing preliminary physical tests; taking blood pressure, weight, and temperature; reporting patient history summary
- Secures patient information and maintains patient confidence by completing and safeguarding medical records; completing diagnostic coding and procedure coding; keeping patient information confidential
- Counsels patients by transmitting physician's orders and questions about medicines and procedures
- Schedules surgeries by making arrangements with the surgical center; verifying times with patients; preparing charts, pre-admission and consent forms
- Maintains safe, secure, and healthy work environment by establishing and following standards and procedures; complying with legal regulations
- Keeps supplies ready by inventorying stock; placing orders; verifying receipt
- Keeps equipment operating by following operating instructions; troubleshooting breakdowns; maintaining supplies; performing preventive maintenance; calling for repairs.
Inpatient Authorization Registrar, Medical Assistant
University Hospital
04.2010 - 08.2016
- Communicate with insurance carriers to check status of pending authorizations for inpatient/diagnostic procedures via phone or website
- Manage submissions of service authorizations and follow up processing of approvals, contacts providers with authorizations/denials and appeals
- Perform vital signs, obtain patients medical history, schedule appointments, and prepare next day assignments
- Verify and obtain patient insurance/prior authorizations through Commercial/Medicaid websites or phone voice response systems prior to admissions
- Responsible for pending claims reports on claims received without prior authorization to research and review eligibility
- Perform EKG’s, and prep patients for cardiovascular procedures, apply Holter Monitors to patients.
Education
Certified Phlebotomy Technician – NHA – Certification #L4A6M4E9 -
Medical Assisting
Virginia College
Augusta, GA09.2016
CPR/BLS – American Heart Association - undefined
No Degree -
Georgia Military College
Augusta, GASkills
- MEDICAL SKILLS ADMINISTRATIVE SKILLS
- Triage Patients
- Perform EKGs
- Obtaining Vital Signs
- Aspirating Needles
- Phlebotomy
- Ordering Lab and Diagnostic Tests
- Sample and specimen collection
- CPR/BLS
- Medical Terminology
- Glucometers
- Knee Braces
- Medical / Clinical Office Procedures
- Patient Charting
- Scheduling
- Customer Relations
- Microsoft Outlook
- SIMS Chart and other Medical
- Software
- Supervision and Team Work
- Basic Medical Billing and Coding
- HIPAA Compliance
- Confidentiality
- Training
- Knowledge of EMR/EHR
- Accounts Payable and Receivable
- Electronic Medical Records Management
- ICD-10 Coding
- Accounts Payable and Accounts Receivable
- Account Posting
- Healthcare Terminology
- 10-Key Data Entry
Timeline
Insurance Medical Billing Specialist
Frost-Arnett
01.2022 - Current
Medical Scribe
Scribe America
12.2021 - 03.2022
Lead Certified Medical Assistant/Insurance Claims Specialist
Alliance Spine and Pain Center, PRN
10.2019 - Current
Lead Clinical Certified Medical Assistant
U S CARENET
09.2017 - 02.2018
Certified Medical Assistant
Augusta OB/GYN Oncology Associates
05.2017 - 09.2017
Clinical Certified Medical Assistant
Pediatric Partners of Augusta
02.2017 - 09.2019
Medical Assistant
Augusta Vascular Center
08.2016 - 06.2017
Certified Medical Assistant
Trinity Hospital
02.2016 - 05.2017
Inpatient Authorization Registrar, Medical Assistant
University Hospital
04.2010 - 08.2016
Certified Phlebotomy Technician – NHA – Certification #L4A6M4E9 -
Medical Assisting
Virginia College
CPR/BLS – American Heart Association - undefined
No Degree -
Georgia Military College