Tashia Buchanan
Rockville Centre,NY
Summary
Seasoned Medical administrator with a competitive mindset and desire to excel.
Proficient in evaluating accounts, following up with customers and resolving issues. Excellent communication, planning and conflict resolution skills.
Overview
17
17
years of professional experience
Work History
Patient Care Coordinator/Appointment Scheduler
Always Compassionate Home Care Inc
11.2022 - Current
- Plan, supervise and coordinate patients services based on authorized hours .
- Skill matches the appropriate caregiver to the level of services to the level of services needed for each patient.
- Coordinates, supervises and evaluates caregiver staff. Counsel and discipline caregivers as required.
- Communicate with payers on service authorizations and patient care service issues.
- Maintain open and transparent communication with patients, their families, and caregivers to ensure a positive care experience.
- Conduct follow-up calls for on hold patients to ascertain re-admission dates.
- Communicate any schedule changes to patients , families and caregivers.
- Work on call ,provide back up support to other staffing coordinators .
Collector/Biller
HMCA
10.2016 - 03.2021
- Contacted customers to discuss payment schedules and set up or immediately process payments.
- Handled account payments and provided information regarding outstanding balances.
- Responded to customer concerns and questions on daily basis.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Filed and updated patient information and medical records.
- Delivered timely and accurate charge submissions.
- Collected payments and applied to patient accounts.
- Managed billing calendar and scheduled claims for payments.
- Persistently reached out to customers with extremely past due accounts to recover lost revenue.
Collector /Biller
Medstar Surgical & Breathing
07.2015 - 08.2016
- Oversaw daily billing functions including medical coding , prepare and submit claims to insurance companies.
- Enhanced company reputation by professionally handling sensitive financial matters.
- Posted and reconciled insurance and patients payments . Research and resolve incorrect payments, Eob rejections and other issues with outstanding accounts.
- Insured accuracy of insurance claims. Verify correct diagnosis and cpt codes .
- Ran accounts receivable reports and convert them into excel spreadsheets creating pivot tables from highest to lowest balances to effectively collect revenue.
- Performed various administrative functions to assigned accounts. Updating all patients demographic and information.
Receptionist
Pro health
08.2014 - 07.2015
- Coordinated physician schedules and maintained work flow by communicating arrivals or delays.
- Used EMR software to manage patient records and files.
- Calculated and Collected co pays and or balances on accounts.
- Followed all HIPPA guidelines with patients ,upon receiving services.
- Greeted and checked in patients, collecting personal, medical, and insurance information.
Customer Service / Collector
Enzo Clinical Labs
09.2011 - 07.2013
- Answered calls regarding Billing statements.
- Sent claims to insurance companies.
- Processed appeals for reimbursement purposes.
- Processed credit card payments .
- Obtained and maintained patient demographics.
- Verified insurance elgibility via phone or Internet.
Billing Supervisor
Home Care USA
01.2011 - 08.2011
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Handled customer complaints, resolved issues and adjusted policies to meet changing needs.
- Evaluated employee performance and coached and trained to improve weak areas.
- Maintained compliance with company policies, objectives and communication goals.
Intake Coordinator
Continued Care of Long Islamd
09.2007 - 12.2009
- Extensive product knowledge and training on equipment.
- Contacted physicians regarding prescriptions to dispense products.
- Obtained Dvs's monthly for patients equipment and supplies.
- Listened attentively to callers needs to ensure positive experience.
- Organized paperwork such as charts and reports for office and patient needs.
- Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
Education
Associate of Business Administration -
Briarcliffe Co
Bethpage, NY2005
Skills
- Detail oriented
- Assertive
- Hippa compliant
- Analytical
- Organized
- Office Administration
Timeline
Patient Care Coordinator/Appointment Scheduler
Always Compassionate Home Care Inc
11.2022 - Current
Collector/Biller
HMCA
10.2016 - 03.2021
Collector /Biller
Medstar Surgical & Breathing
07.2015 - 08.2016
Receptionist
Pro health
08.2014 - 07.2015
Customer Service / Collector
Enzo Clinical Labs
09.2011 - 07.2013
Billing Supervisor
Home Care USA
01.2011 - 08.2011
Intake Coordinator
Continued Care of Long Islamd
09.2007 - 12.2009
Associate of Business Administration -
Briarcliffe Co
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