Tatum Nashe
Tarrytown,NY
Summary
Excellent communication skills and empathetic nature enabled the achievement of positive outcomes. Experienced establishing and improving billing practices to meet demands, maintain accuracy, and keep systems operating efficiently. Success recruiting, hiring, training, and motivating high-quality teams. Attentive, hardworking, and results driven.
Overview
17
17
years of professional experience
Work History
Patient Access Coordinator
Montefiore Nyack Hospital
- Collected and entered patient demographic and insurance data into computer database to establish patient medical records.
- Obtained patient's insurance information and determined eligibility for benefits for services rendered.
- Contributed to reduction of accounts receivables by adhering to predetermined policies and procedures to recover amounts due from patients.
- Determined financial needs and referred eligible patients to proper county, state, or federal agencies to obtain financial assistance.
- Followed document protocols to safeguard confidentiality of patient records.
- Facilitated communication between patients and various departments and staff.
Access Service Representative
Northwell Health System
06.2017 - 11.2018
- Verified patient information and activated pre-registered Radiology, MRI, CT, Women’s Imaging, and Ambulatory surgery appointments.
- Provided outstanding customer service to all internal and external customers, including patients, visitors, and co-workers.
- Supported department changes and demonstrated flexibility and positive attitude in fast-paced, changing environment.
- Scheduled STAT appointments, blocked appointments, and obtained department approvals for complex procedures.
Patient Accounts Representative -Team Lead
Northwell Health System
01.2017 - 11.2018
- Before each visit, verify patient eligibility and insurance pre-certifications/pre-authorizations for surgeries/procedures.
- Charge entry reviewed, corrected and submitted physician charges.
- Efficiently reviewed and resolved credit balances on aged reports.
- Resolved ICD-10-CM and CPT codes for conflicting, missing, or unclear information by consulting physicians and billing team.
- Resolved TES Edits accounts, credit balance accounts, and write-off requests.
- Kept updated log of past due accounts for reporting purposes.
- Researched, reconciled, audited, resolved, and adjusted accounts.
- Obtained and filed authorizations and referrals into financial system, allocated according to each encounter.
Supervisor Revenue Cycle
St. Johns Riverside Hospital, RMSO
05.2022 - Current
- Monitor, track, and evaluate staff productivity and performance and provide summary reports to senior management.
- Follow-up with staff on pending encounters regarding missing codes and documentation.
- Collaborates with providers regarding accurate coding and documentation to promote timely billing.
- Overseeing staff training and individual development
- Assists with organizing workflows, delegating duties, hiring, training, and supervising employees.
- Prepares month-end closing of billing reports.
- Reviews aged billing reports for write-offs.
- Checks for Medicaid EFTs, printed and sent to billing company.
- Assists with implementing charge capture/billing processes to optimize revenue,
- Directly assists patients with billing concerns and collects payments promptly.
- Manages checks process, A/R, denials, and zero balances and maintains weekly and monthly reports.
- Prepare and process payroll for all employees.
Outpatient Coder/Abstractor
Montefiore Nyack Hospital
11.2018 - 11.2022
- Reviewed medical records to determine all appropriate diagnostic and procedural code assignments using proper classification systems.
- Submitted queries to physicians for documentation clarification.
- Monitored assigned work queues to ensure all records were coded accurately and promptly.
- Professional Development: Stay current with AHA Official Coding and Reporting Guidelines, CMS, and organization directives for ICD-10-CM and CPT coding.
- Contributed to Quality improvement activities, including participating in internal department and corporate audits by reviewing and correcting daily generated error reports.
- Coded multiple specialties, Radiology, Multiple Sclerosis, Mammograms, Pre-Testing, Gastroenterology, Emergency Room, Wound Care, and Prenatal.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Access Service Representative
Northwell Health, Ambulatory Surgery, Center for Advanced Medicine
03.2013 - 01.2017
- Greeted patients and activated pre-registered patients for ambulatory surgeries.
- Followed State and Federal guidelines, ensuring hospital records and patient information confidentiality.
- Answered incoming calls from internal departments relating to registrations, changes, and calls via external lines for radiology registrations and surgery questions.
Access Service Representative, Emergency Room
Northwell Health System
10.2008 - 03.2013
- Registered emergency room and behavioral health patients.
- Conducted patient interviews, explained hospital policies, procedures, and financial responsibilities, and collected co-payments and other patient liabilities.
- Verified Insurance and reviewed patient medical records for completeness.
- Performed special assignments about patient registrations when requested by management.
Assistant Manager
AHRC
04.2006 - 10.2008
- Recruited, trained, and educated new employees to improve performance and productivity.
- Identified and delegated responsibilities to staff to ensure objectives were met and excellent service was consistently achieved.
- Managed over 20 employees’ performance and productivity to meet and exceed targeted business objectives.
- Pinpointed efficiency potential within each staff member and delegated daily tasks to boost workflow efficiency.
- Increased employee performance and job satisfaction to strengthen retention and engagement.
Education
Bachelor’s degree - Health Information Management
CUNY School of Professional Studies
01.2022
Associate degree - Health Information Technology
Nassau Community College
Garden City08.2019
Associate of Applied Science -
Plaza College
Forest Hills, NY09.2004
Associate degree - Information Science
Plaza College
09.2004
Skills
- Strong Interpersonal, communication, and problem-solving skills with ability to motivate, inspire and develop others
- Excellent leadership and Emotional Intelligence skills
- Strong analytical and organizational skills, with ability to define problems, summarize, collect data, and draw valid conclusions
- Knowledgeable in
- Microsoft Office, Excel, Access, PowerPoint, Medgen,
- Meditech, EPIC, 3M, HDX, GE, Allscripts, Athena, and Outlook
- EMR
- Team Leadership
- Medical Terminology
- Microsoft Access
- Accounts Payable and Accounts Receivable
- Risk Management Assessments
- Revenue cycle management
Affiliations
AHIMA, AAPC, and NYHIMA
Timeline
Supervisor Revenue Cycle
St. Johns Riverside Hospital, RMSO
05.2022 - Current
Outpatient Coder/Abstractor
Montefiore Nyack Hospital
11.2018 - 11.2022
Access Service Representative
Northwell Health System
06.2017 - 11.2018
Patient Accounts Representative -Team Lead
Northwell Health System
01.2017 - 11.2018
Access Service Representative
Northwell Health, Ambulatory Surgery, Center for Advanced Medicine
03.2013 - 01.2017
Access Service Representative, Emergency Room
Northwell Health System
10.2008 - 03.2013
Assistant Manager
AHRC
04.2006 - 10.2008
Bachelor’s degree - Health Information Management
CUNY School of Professional Studies
Associate degree - Health Information Technology
Nassau Community College
Associate of Applied Science -
Plaza College
Associate degree - Information Science
Plaza College
Patient Access Coordinator
Montefiore Nyack Hospital
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