Hi, I’m
TanyaMonique Wiggins
Summary
Results-driven healthcare leader offering 7 years of clinical, administrative and patient care experience. Gifted in building and implementing approaches to increase quality and streamline procedures. Talented at maintaining and developing effective relationships with staff, patients and senior management. Excellent supervisory skills and performance working under pressure.
Overview
9
years of professional experience
Work History
IQVIA
Experience Clinical Program Manager
02.2022 - 05.2023
Job overview
- Work closely with the Program Director and the Executive Management Team to meet departmental goals and performance
- Plan, review, and optimize workflows within the call center
- Communicated effectively with staff members, physicians, and patients, employing active listening and interpersonal skills.
- Promoted high morale and staff retention through dynamic communication, prompt problem resolution, proactive supervisory practices and facilitation of positive work environment.
- Delivered effective onboarding and training to new and existing employees and cross-trained staff members in other job roles to maximize coverage.
- Regularly evaluated employee performance and provided feedback.
- Delegated tasks to staff members, monitored completion of all duties and provided support to enhance performance.
- Handled job duties for staff members which were unavailable or out of office.
- Implemented new policies and educated staff on changes.
- Developed and adjusted work schedules for staff.
- Selected, promoted and terminated staff members.
Alameda Health System
Patient Financial Services Specialist
06.2021 - 01.2022
Job overview
- Generated invoices upon receipt of billing information and tracked collection progress.
- Identifying issues or trends and providing suggestions for findings and claims activity performed
- Review the account information and necessary system applications to determine the next appropriate work activity
- Verify claims have passed edits utilizing appropriate resources and applications
- Perform appropriate billing functions, including manual re-bills as well as electronic submission to payers
- Edit claims to meet and satisfy billing compliance guidelines for electronic submission
- Manage and maintain worklists inventory, complete reports, and resolve high-priority and aged inventory
- Obtained insurance information and verified eligibility and benefits
- Handling billing processes
- Completed and/or requested adjustments to a claim
- Review, work, and report all claims that have aged more than the specified grace period
Dalade Group Home
Senior Administrator
03.2020 - 04.2021
Job overview
- Managed quality and accuracy of documents, and coordinated movements between personnel and departments.
- Kept office operations running smoothly by providing effective leadership and administrative skills.
- Screened and transferred incoming calls, took down messages, and transmitted information and documents to internal personnel.
- Delegated tasks, monitored compliance and implemented performance improvement plans.
- Responded to, researched and resolved issues from internal staff, external departments and customers.
- Coordinate daily activities for behaviorally disturbed youth while in programs, appointments, or school
- Collected, validated, and distributed information to employees.
- Referred patient and family to community resources to assist patient's needs.
Vituity Healthcare
Charge Specialist
12.2019 - 03.2020
Job overview
- Reviewed billing sheets to obtain daily service charges.
- Resolved third-party payer issues such as denied medical claims.
- Verified correct revenue and productivity action notations for billing.
- Worked with clinical departments to maintain complete, accurate and compliant charge capture functions.
- Monitored outstanding invoices and performed collections duties.
- Maintained accurate records of customer payments.
- Collaborated with customers to resolve disputes.
- Utilized various software programs to process customer payments.
Maricopa Integrated Hospital System
Patient Financial Services Collector
05.2019 - 08.2019
Job overview
- Utilize Epic EHR System to manage patient demographics, insurance, and department schedules
- Obtained insurance information and verified eligibility and benefits
- Handling billing processes
- Completed and/or requested adjustments to a claim
- Review, work, and report all claims that have aged more than the specified grace period
- Tracked and reported violations of prompt pay or adjudication terms by payers
- Followed up with patients to provide documentation on claims status
- Document follow-up activities in Epic and software system i.e., Microsoft Excel, appropriately.
McKesson
Sr. Case Manager
10.2017 - 05.2019
Job overview
- Communicated with supervisor regarding issues related to case management, resourcing, service collaboration and development of new resources.
- Oversaw implementation of program, collaborating with management to achieve smooth operations.
- Served as case coordinator, assuming responsibility for complex, high-volume assignments and guiding endeavors to successful completion.
- Coordinated diverse resources to facilitate total care plan.
- Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations, and procedural costs.
- Assisted with hiring and training of new advocates, interns and volunteers, providing feedback on applicant work aptitude and team compatibility.
Affiliated Hospitalists Plc
Reimbursement Manager
01.2015 - 02.2016
Job overview
- Observed strict data confidentiality procedures to protect patients' information.
- Held weekly staff meetings and implemented team building exercises, which promoted positive working environment.
- Reviewed billing and collections process and determined improvements to streamline workflows.
- Maintained strong knowledge of medical terminology and procedures.
- Monitored accounts receivables by reviewing payor account listings.
- Set up collections processes, send out statements, and follow up with patients on delinquent accounts.
District Medical Group
Credentialing /Accounts Receivable Specialist
10.2014 - 12.2014
Job overview
- Conducted primary source verifications such as background checks and board certifications.
- Prepared records for site visits and file audits.
- Obtained NPI numbers for providers and facilities and updated existing profiles.
- Received and evaluated applications to look for missing and inaccurate information.
- Developed and implemented onboarding and orientation programs for new employees.
- Collected and analyzed information to monitor compliance outcomes and identify and address trends of non-compliant behavior.
- Prepared and mailed invoices to customers, processed payments, and documented account updates.
- Followed up overdue payments and payment plans from clients to establish good cash flow.
- Monitored accounts to verify compliance with payment terms and schedules.
- Utilized Microsoft Excel, QuickBooks and Oracle software to manage invoices and payments.
Education
American InterContinental University
Associates degree from Business Administration
Skills
- Patient Education
- Operational Standards
- Compliance Oversight
- Data Maintenance
- Organizing Staff Schedules
- Onboarding and Coaching
- Patient Records Administration
- Office Procedures
- Staff Guidance
- Staff Development
- Quality Assurance Process Optimization
- Healthcare Regulations
- Patient Care
- Operational Improvements
- Continuous Improvements
- Office Production Evaluation
- Team Management
- Month-End Closing Procedures
- Administrative Procedures
- Administrative Management
Timeline
Experience Clinical Program Manager
IQVIA
02.2022 - 05.2023
Patient Financial Services Specialist
Alameda Health System
06.2021 - 01.2022
Senior Administrator
Dalade Group Home
03.2020 - 04.2021
Charge Specialist
Vituity Healthcare
12.2019 - 03.2020
Patient Financial Services Collector
Maricopa Integrated Hospital System
05.2019 - 08.2019
Sr. Case Manager
McKesson
10.2017 - 05.2019
Reimbursement Manager
Affiliated Hospitalists Plc
01.2015 - 02.2016
Credentialing /Accounts Receivable Specialist
District Medical Group
10.2014 - 12.2014
American InterContinental University
Associates degree from Business Administration
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