Tanya Dubey
Lewis County General Hospital
Castorland,NY
14
years of professional experience
Adaptable Billing Specialist experienced in managing billing processes and ensuring compliance with insurance requirements. Enhanced billing accuracy and streamlined processes while delivering high-quality customer service in fast-paced environments. Focused on improving efficiencies and contributing to overall operational success.
Work History
Billing Clerk
5 Months- Processed patient billing and insurance claims accurately within established timelines.
- Assisted in verifying patient information for billing accuracy and compliance.
- Collaborated with healthcare providers to resolve billing discrepancies effectively.
- Maintained organized records of billing statements and payments received.
- Responded promptly to patient inquiries regarding billing statements and payment options.
- Adapted quickly to changes in insurance policies and hospital procedures affecting billing processes.
- Verified accuracy of billing data and corrected discrepancies.
- Improved billing accuracy by diligently reviewing invoices and reconciling discrepancies.
- Interacted with customers to resolve billing disputes and respond to inquiries.
- Maintained confidentiality of sensitive customer information by adhering to strict privacy guidelines, upholding the company''s reputation for professionalism in handling personal data.
- Demonstrated excellent time management skills by prioritizing tasks and meeting deadlines in a fast-paced, high-volume work environment.
Medical Biller and Coder
4 Years 7 Months- Reviewed and corrected coding discrepancies to enhance accuracy of patient records and reimbursements.
- Processed medical claims using advanced billing software to ensure compliance with insurance requirements.
- Collaborated with healthcare providers to obtain necessary documentation for claim submissions.
- Trained new staff on coding billing protocols to improve departmental efficiency.
- Trained new staff on coding procedures and billing protocols to improve departmental efficiency.
- Resolved billing inquiries from patients and insurers, enhancing customer service and satisfaction levels.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
Surgery Scheduler
6 Years 3 Months- Implemented a digital scheduling system, enhancing appointment accuracy and reducing conflicts.
- Scheduled surgeries and coordinated patient appointments to optimize physician schedules.
- Managed pre-operative documentation and ensured compliance with regulatory requirements.
- Educated patients on pre-surgery requirements, such as fasting protocols or medication adjustments, resulting in fewer complications on the day of the procedure.
- Handled urgent requests effectively, prioritizing cases requiring immediate attention while also balancing routine surgery demands appropriately.
- Arranged pre-operative and post-operative appointments for surgical patients.
- Expertly managed planning, scheduling, and coordination of outpatient procedures.
- Obtained pre-authorizations and pre-certifications ahead of scheduled surgeries.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Elevated patient experience by providing empathetic support throughout the entire surgical journey-from initial consultation to post-operative follow-up appointments.
- Collated pre-operative lab and imaging results to facilitate surgery planning.
- Educated patients about surgeries and provided treatment plan documentation.
Coder/Abstractor
9 Months- Developed and maintained accurate coding for Orthopedic and Podiatry medical procedures and diagnoses.
- Conducted thorough reviews of patient records to enhance coding accuracy and minimize errors.
- Collaborated with healthcare professionals to ensure proper documentation and compliance with regulations.
Patient Representative/Coder
1 Year 9 Months- Coordinated communication between patients and healthcare providers to ensure timely information exchange.
- Managed patient inquiries and concerns, providing clear guidance on services and procedures.
- Facilitated patient check-in and registration processes to enhance workflow efficiency.
- Processed workers' compensation Claim and obtained authorization for procedures.
- Scheduled appointments for patients and placed reminder calls 48 hours before office visits
- Facilitated communication between patients, families, and medical professionals for optimal care coordination.
- Informed patients of excessive wait times and offered to reschedule appointments.
- Enhanced patient satisfaction by addressing concerns and providing compassionate assistance.
- Developed strong rapport with patients through active listening skills, empathy, and understanding of individual needs.
Education
Master of Science - Education
Certified Professional Coder - Coding
Bachelor of Arts - Accounting
Skills
Claim data entry
Meditech
Medical billing software- Optum & Trubridge
Insurance claim processing
Revenue cycle management
Electronic billing systems
eClinical Works
CPSI
Medent
Timeline
Billing Clerk
Lewis County General Hospital
03.2026 - CurrentRead More
Medical Biller and Coder
Carthage Area Hospital
08.2021 - 03.2026Read More
Surgery Scheduler
St. Lawrence Health System
05.2015 - 08.2021Read More
Coder/Abstractor
Carthage Area Hospital
08.2014 - 05.2015Read More
Patient Representative/Coder
Canton Potsdam Hospital
11.2012 - 08.2014Read More
AAPC
Certified Professional Coder from Coding
Read More
SUNY Potsdam
Master of Science from Education
Read More
SUNY Potsdam
Bachelor of Arts from Accounting
Read More