Tanishia Edwards

• Proficient in electronic medical records (EMR)
• Charge posting of service in a timely manner

Submit clean claims electronically to carriers

• Review and maintain clearing house reports
• Verify eligibility and benefit coverage
• Investigate and review insurance denials and update accounts
• Prepare and submit appeal letters to insurance carriers
• Coding Audits
• Scrub Aged Trail Balances Reports for insurances discoveries
• Trained required team members as needed
• Review denial reports, update accounts and resolve denials
• Post patient and insurance payments
• Generate bad debt reports and PFC medicaid eligible reports
• Prepped Excel reports for team meetings
• Resolve escalated patient calls
• Perform other duties assigned by the Upper management team-

• Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
• Managed reservations accurately, preventing overbooking situations and guaranteeing smooth guest arrivals.
• Supported daytime staff by preparing necessary reports and documents for seamless shift transitions.
• Performed nightly updates to room charges and rates.
• Communicated effectively with other departments such as housekeeping, maintenance, and food and beverage services to meet guest needs efficiently.
• Assisted in maintaining a clean and welcoming front desk area, enhancing the guest experience.
• Performed regular property walkthroughs during the night shift, addressing any safety hazards or cleanliness concerns.

• Assisted with account setup, ensuring all necessary information was collected and inputted correctly to facilitate accurate invoicing and payment processing.
• Delivered high-quality work under tight deadlines while maintaining attention to detail resulting in increased productivity.
• Supported audit preparation efforts by gathering required documentation and responding to auditor inquiries regarding accounts receivable activity.
• Collaborated with sales teams on contract reviews ensuring that all invoicing terms and conditions were accurately reflected in client agreements.
• Submitted cash and check deposits and generated cash receipts to record money received.
• Utilized Microsoft Excel, QuickBooks and Oracle software to manage invoices and payments.
• Reconciled accounts receivable ledger to verify payments and resolve variances.
• Facilitated timely payments from clients by maintaining clear communication and providing necessary documentation.
• Generated ATB reports for collections
• Prepped Appeals
• Verified Eligibility and Benefits coverage
• Coding

• Verified insurance of patients to determine eligibility.
• Communicated with insurance providers to resolve denied claims and resubmitted.
• Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
• Filed and updated patient information and medical records.
• Ensured timely payments from insurance providers through submission of accurate and complete claims.
• Posted payments and collections on regular basis.
• Resolved discrepancies in accounts receivable reports, contributing to improved cash flow management.
• Trained new team members in medical billing software, increasing efficiency within the department.
• Coding
• Working A/R
• Conducted regular audits of billing records to ensure accuracy and completeness, enhancing overall financial performance for the practice.
• Prepared billing statements for patients and verified correct diagnostic coding.
• Reviewed patient diagnosis codes to verify accuracy and completeness.
• Responded to customer concerns and questions on daily basis.
• Used data entry skills to accurately document and input statements.