Tanja Ford
Sparks,NV
Summary
Detail-oriented, methodical Medical Billing Specialist/Payment Poster with 9+ years' experience performing all aspects of medical billing, including coding, charge entry, payment posting, transmission, correction and resubmission. Conduct research, problem-solve, and prioritize simultaneous to deliver efficient billing, increase account collections, and maintain precise records. Communicative and team-oriented leader, leveraging resourcefulness, critical thinking, and superior work ethic to deliver top job performance and meet team, individual and management objectives.
Overview
21
21
years of professional experience
1
1
Certification
2
2
Degrees
Work History
Work Leader / LEA Biller
Medical Billing Associates
Reno, NV
07.2017 - Current
- Medical Billing for 70 School Districts with over 100,000 total students' per year for LEA program in California's Special Education Services.
- Supervised coding, insurance billing and billing system input for 10 production workers.
- Assigned files to workers while maintaining accurate records, proactively correcting errors daily.
- Established communication with District Consultants daily, resolving hundreds of queries per month.
- Promoted to permanent position after 6 months in temporary role
Administrative Assistant
Scougal Rubber
McCarren , NV
04.2016 - 07.2017
- Daily interaction with vendors, contractors and professional services personnel to receive orders, direct activities and communicate instructions.
- Handled client correspondence and tracked records to foster office efficiency.
- Managed accounts payable and receivable for over 50 vendors for Manufacturing office sustaining Annual Revenue $970,000.00 per year.
- Screened and verified visitors for identification credentials and purpose of visit to maintain security of personnel and office environment.
Patient Account Representative
Dermatology & Skin Care Associates
Reno, NV
03.2016 - 05.2016
- Accurately collected personal, billing and medical details for 75-100 patients per day
- Significantly contributed to accountability and reduction of accounts receivables by adhering to predetermined policies and procedures to recover amounts due from patients.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Consistently ensured proper coding by evaluating accuracy of multiple provider's daily care slips.
Medical Billing/Patient Account Representative
Eye Care Associates Of Nevada
Sparks, NV
08.2015 - 12.2015
- Thoroughly investigated past due invoices and targeted collections on past due accounts aged over 90 -120 days; thereby minimizing number of unpaid accounts by 15% in first month.
- Acted as liaison between business department, billers and third party payers in resolving billing, claims, payments issues and reimbursement accuracy to maintain accountability.
- Analyzed and interpreted patient medical and surgical records to determine billable services; identified errors and re-filed denied/rejected claims upon receipt.
- Prepared, reviewed and submitted patient statements for payment invoicing.
Medical Billing/Lead Account Specialist
Pritchett Eye Care Associates
Reno, NV
09.2014 - 08.2015
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Posted and adjusted payments from insurance companies.
- Translated and interpreted medical billing codes with 100% accuracy to enable swift payment from insurance agencies.
- Orchestrated locations day-to-day operations of billing department, including medical coding, payment posting, accounts receivables and collections.
- Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments.
Medical Billing/Lead Account Specialist
Dr William Torch, MD
Reno, NV
10.2013 - 09.2014
- Evaluated patients' financial status; established appropriate payment plans for 62% of patients' with over-due balances within first 3 months of employment.
- Maintained and updated collections tracking spreadsheet to help organize payment information.
- Performed billing and coding procedures for Neurological, Sleep Studies, outpatient services; located errors and promptly refiled rejected claims.
- Precisely evaluated and verified benefits and eligibility, determined prior authorizations for medication and outpatient procedures prior to patient services.
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
Medical Billing Specialist / A/R Rep
Doctors XL
Reno, NV
01.2012 - 10.2013
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Managed collections claims for unpaid bills against estates of debtors.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Performed billing and coding procedures for ambulance, dialysis, specialist, pain management, radiology, emergency room, inpatient and outpatient services.
- Trained new employees on multiple medical billing programs and data entry software.
- Precisely completed appropriate claims paperwork, documentation and system entry.
Technical Specialist
CDS Group Health-Saint Mary’s
Sparks, NV
01.1996 - 12.2004
- Benefit plan interpretation, administration and database management.
- Analyzed documents to determine calculations required for adjustments, refunds and credits.
- Customer relations through verbal and written correspondence to recover monies owed to self-funded employers/employees.
- Record maintenance and data reporting.
Benefit Analyst
EBP Health Plans
Reno, NV
01.1994 - 01.1996
- Medical claim adjudication, plan interpretation and benefit calculation.
- Financial documentation and review for claim adjudication.
- Customer service; quality assurance; medical terminology, CPT / ICD-9.
- Eligibility verification, maintenance and support.
Education
Bachelor of Science - Social Work
University Nevada Reno
RENO, NVMaster of Arts - Special Education
University of Nevada - Reno
Reno, NVSkills
- Payment Processing / Posting / Reconciliation / Deposits
- Charge Entry; Medical Coding; Claim Submission (multiple specialties)
- Electron Claim submission; Appeals; Claim resubmissions
- Excellent Customer Service Skills - Patient / Provider / Insurance
- Patient Billing; Patient Payment Plans; Invoice Processing
- High-Volume Transaction Posting / Reporting
- Account Reconciliation; Collections
- Proficiency in Medical Billing Systems & Software
- MS Office Suite;
- Aging reports analysis; 60/90/120 claim resolution
- Medical Documentation; Records organization and review
- Insurance Verification / Authorization / Billing
- Project leadership
- Team leadership skills
Prior WORK HISTORY
Behavioral Specialist / No Child Left Behind, Behavioral Health Services / Sparks, NV / 2012
Developmental Specialist / Nevada Early Intervention Services / Reno, NV / 2006 - 2011
Education Consultant / Truckee Meadows Community College / Reno, NV / 2006
Special Education Teacher / Washoe County School District / Reno, NV / 2003 - 2005
Certification
- AAPC course completed
- Exam completion pending COVID-19 restrictions
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
Opportunities Don't happen.You create them.
Chris Grosser
Timeline
Work Leader / LEA Biller
Medical Billing Associates
07.2017 - Current
Administrative Assistant
Scougal Rubber
04.2016 - 07.2017
Patient Account Representative
Dermatology & Skin Care Associates
03.2016 - 05.2016
Medical Billing/Patient Account Representative
Eye Care Associates Of Nevada
08.2015 - 12.2015
Medical Billing/Lead Account Specialist
Pritchett Eye Care Associates
09.2014 - 08.2015
Medical Billing/Lead Account Specialist
Dr William Torch, MD
10.2013 - 09.2014
Medical Billing Specialist / A/R Rep
Doctors XL
01.2012 - 10.2013
Technical Specialist
CDS Group Health-Saint Mary’s
01.1996 - 12.2004
Benefit Analyst
EBP Health Plans
01.1994 - 01.1996
Bachelor of Science - Social Work
University Nevada Reno
Master of Arts - Special Education
University of Nevada - Reno
- AAPC course completed
- Exam completion pending COVID-19 restrictions
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