Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Tanya Pfingst

Warwick,NY

Summary

Proven leader in revenue cycle management at ColumbiaDoctors, adept at account resolutions and denial resolution, enhancing profitability by overhauling AR processes. Skilled in EPIC and Excel, my strategic approach and mentoring significantly improved team efficiency and revenue quotas, showcasing my analytical prowess and team-building capabilities. Also, have obtained CPC through AAPC.

Overview

17
17
years of professional experience
1
1
Certification

Work History

Revenue Cycle Supervior

ColumbiaDoctors
Monroe, NY
01.2025 - Current
  • Correspond with staff regarding questions pertaining to AR and charge entry.
  • Assist with bi-weekly, monthly, or quarterly quality reviews for staff.
  • Assisted with creating the AR Follow Training workflow for all AMP employees.
  • Run Missing Charge reports for all CDMG/HV and Cardio Med sites, which include office and diagnostic testing.
  • Communicate with the payment posting team to identify and correct payment posting errors.
  • Review all follow-up errors given to me by the AR team.
  • Review claims that have been offset, and/or refunded, and are difficult to process. .
  • Run Dar twice a month to review claims before they are sent to collections.
  • Review Claim Edits WQ for Missing Corrections.
  • Attend all weekly and monthly leadership meetings.
  • Monitor and document issues related to the billing team.
  • Assist with patient billing complaints and concerns.
  • Correspond with physicians via EPIC chat to resolve billing problems.
  • Daily monitoring approving adjustments between $25 and $5,000.
  • Review and monitor supervisor scoreboards.
  • Supervise staff time and attendance.
  • Recruited, interviewed and selected employees to fill vacant roles.
  • Assist with the training support of new hires.
  • Analyze charge correction requests that have been performed by the centralized area, and ensure accuracy before re-submitting.
  • Assist staff with coding and edits.
  • Interacted with insurance companies to obtain authorization for medical services rendered by providers.
  • Recommended solutions related to staffing issues and proposed procedural changes to managers.
  • Researched and prepared reports required by management or governmental agencies.
  • Consulted with managers to resolve problems relating to employee performance, office equipment and work schedules.
  • Developed work schedules according to budgets and workloads, covering priority tasks.
  • Participated in revenue cycle processes, working to maximize profitability and increase revenue.
  • Reviewed employees' work to check adherence to quality standards and proper procedures.
  • Provided guidance to staff on coding, billing procedures, policies, and other technical issues.
  • Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
  • Processed cash, check, and credit card payments on patient accounts.
  • Collaborated with physicians, administrators, coders, billers, collectors and other stakeholders in regards to revenue cycle management activities.

Payment Poster

ColumbiaDoctors of the Hudson Valley
Monroe, NY
06.2017 - 12.2019
  • Reviewed refund requests and forwarded information to analyst.
  • Maintained a working knowledge of industry regulations pertaining to healthcare billing practices.
  • Collaborated with various departments within the organization to ensure efficient workflow processes related to payment posting activities.
  • Performed audits on accounts receivable transactions for compliance with company policies and procedures.
  • Posted payments and sent reviews and denials.
  • Created receiving reports and updated vendor balance sheets to record accounts payable.
  • Documented payment denials in appropriate billing system and updated account managers swiftly.
  • Generated, mailed and monitored invoices.
  • Verified, classified, computed, posted and recorded accounts payable data and reconciled daily totals to confirm proper accounting.
  • Enforced compliance with organizational policies and federal requirements regarding confidentiality.
  • Participated in financial audits related to accounts receivable.
  • Maintained accurate records of all payments posted in an organized filing system.
  • Maintained detailed records of all accounts receivable transactions.
  • Reviewed denials received from payers and communicated findings with billing staff.

Accounts Receivable and Billing Specialist

ColumbiaDoctors of the Hudson Valley
Suffern, NY
12.2014 - 05.2017
  • Monitored monthly activity to ensure compliance with internal control standards and policies.
  • Ensured that all required documents were obtained prior to initiating the reconciliation process.
  • Eliminated inaccuracies in accounts payable payments by verifying information prior to generating checks and electronic payment transfers.
  • Generated reports on aging accounts receivable balances.
  • Researched and resolved billing discrepancies with customers.
  • Ensured compliance with financial policies and regulations.
  • Enhanced customer satisfaction through prompt and courteous handling of all inquiries and complaints.
  • Answered customer questions to maintain high satisfaction levels.
  • Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
  • Assessed billing statements for correct diagnostic codes and identified problems with coding.
  • Negotiated payment plans with delinquent accounts.
  • Reconciled customer accounts to ensure accuracy of billing data.
  • Verified accuracy and integrity of motor vehicle and workers' compensation claims through careful research and analysis.
  • Conducted regular reviews of outstanding accounts receivable balances.
  • Kept accounts receivable tracking database current with relevant client information, collection, and billing progress and program changes.
  • Monitored past due accounts and pursued collections on outstanding invoices.
  • Performed various accounts receivable functions, handled cash receipts posting, updated cash flow reports and researched chargebacks and write-offs.
  • Collected, posted and managed patient account payments.
  • Checked claims coding for accuracy with ICD-10 standards.
  • Followed up with insurance companies, performed charge corrections, appeals, and documentation review when needed.
  • Performed insurance verification, pre-certification and pre-authorization.

Assistant Practice Manager

ColumbiaDoctors of the Hudson Valley
Suffern, NY
11.2010 - 11.2014
  • Built work schedules and staff assignments, taking workload, space and equipment availability into consideration.
  • Kept medical providers' credentialing up to date.
  • Converted the medical chart to the EMR system.
  • Collaborated with external vendors for purchasing supplies at discounted rates.
  • Oversaw assistants, technicians, and office administrators, offering mentoring and coaching in tasks.
  • Checked entire office and waiting areas regularly to provide clean and organized surroundings.
  • Communicated with patients with compassion while keeping medical information private.
  • Recruited, hired and trained new medical and facility staff.
  • Oversaw scheduling of patients and managed appointment bookings.
  • Provided administrative support to physicians, nurses, medical staff and other healthcare personnel.
  • Monitored compliance with HIPAA regulations related to patient privacy rights and confidential information handling practices.
  • Ordered supplies needed and kept tabs on inventory levels.
  • Complied with OSHA and HIPAA regulations.
  • Resolved customer complaints in a professional manner while maintaining high levels of customer satisfaction.
  • Explained policies, procedures and services to patients.
  • Collaborated with multi-disciplinary staff to improve overall patient care and response times.
  • Motivated staff by offering direction and providing constructive feedback.
  • Coordinated financial operations, budgeting, accounting, expenses and financial reporting tasks.
  • Managed and templated providers' patient schedules.

Medical Records Supervisor

Hudson Heart Associates
Suffern, NY
01.2008 - 10.2010
  • Pulled patient records and transferred information to appropriate parties.
  • Maintained positive working relationship with fellow staff and management.
  • Conducted regular audits of medical records to ensure completeness and accuracy.
  • Resolved discrepancies between paper-based charts and EHR systems.
  • Supervised staff responsible for the maintenance of patient records to ensure accuracy and compliance with HIPAA regulations.
  • Oversaw the maintenance of electronic health records systems.
  • Established and upheld procedures for medical records collection, coding and filing.
  • Handled incoming calls and directed callers to appropriate department or employee.
  • Proofread documents carefully to check accuracy and completeness of all paperwork.
  • Entered patient insurance, demographic and health information into software and confirmed records.
  • Maintained record of authorized information taken from charts.
  • Monitored adherence to state and federal laws regarding confidentiality of patient information.
  • Verified record copies before handing each over to check for and remove unnecessary details.
  • Returned incomplete records and charts to appropriate personnel for correction.
  • Provided training sessions for staff on proper documentation techniques.
  • Streamlined day-to-day office processes to meet long-term goals.
  • Provided guidance on best practices in medical record documentation.
  • Answered questions and fulfilled requests with friendly and knowledgeable service.
  • Administered staffing schedules for maximum utilization of material and human resources.
  • Safeguarded medical records to maintain patient confidentiality.
  • Maintained updated knowledge through continuing education and advanced training.
  • Completed day-to-day duties accurately and efficiently.

Medical Records Clerk

Hudson Heart Associates
Suffern, NY
09.2007 - 12.2007
  • Pulled patient charts for upcoming appointments.
  • Updated patient files with new medical information as needed.
  • Supported administration staff with records requests to support patient care.
  • Answered questions and fulfilled requests with friendly and knowledgeable service.
  • Transmitted information or documents to customers through email, mailings or facsimile machine.
  • Maintained positive working relationship with fellow staff and management.
  • Processed and invoiced records requests from patients, providers and third parties.
  • Retrieved medical charts for healthcare staff for filing in medical records.
  • Purged outdated files.
  • Kept department clean, organized and professional.

Education

Medical Billing/Coding

Chubb Institute
Parsippany, NJ
08-2007

High School Diploma -

Bucksport Hight School
Bucksport, ME
06-1994

Some College (No Degree) - Business

Mercy College
Dobbs Ferry, NY

Skills

  • Account resolutions
  • Revenue quotas
  • Account monitoring
  • Denial resolution
  • Medical billing
  • PowerPoint
  • EPIC
  • Excel
  • CPC

Certification

  • CPC Course thru AAPC. Certificate of completion Dec 12, 2023
  • CPC Certification Jan, 2024

Timeline

Revenue Cycle Supervior

ColumbiaDoctors
01.2025 - Current

Payment Poster

ColumbiaDoctors of the Hudson Valley
06.2017 - 12.2019

Accounts Receivable and Billing Specialist

ColumbiaDoctors of the Hudson Valley
12.2014 - 05.2017

Assistant Practice Manager

ColumbiaDoctors of the Hudson Valley
11.2010 - 11.2014

Medical Records Supervisor

Hudson Heart Associates
01.2008 - 10.2010

Medical Records Clerk

Hudson Heart Associates
09.2007 - 12.2007

Medical Billing/Coding

Chubb Institute

High School Diploma -

Bucksport Hight School

Some College (No Degree) - Business

Mercy College

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Tanya Pfingst