Tawana Graves
Aishling Obstetrics & Gynecology/Fox Valley Vein Center
Joliet,IL
23
years of professional experience
Forward-thinking professional bringing more than twenty years of experience working for fast-paced physician practices. Exceptional success driving financial improvements and revenue increases for large specialty practices.
Work History
Revenue Cycle and Practice Manager
8 Years 7 Months- Managed daily operations of practice.
- Handled escalated patient complaints.
- Assisted in training new and current billers and receptionists to ensure efficient workflow.
- Coordinated scheduling for office and billing staff while overseeing payroll duties.
- Assigned codes for hospital procedures and office charges across both practices.
- Examined electronic billing reports for rejections and denials, making corrections and resubmissions as needed.
- Supervised and supported accounts receivable processes.
- Collaborated with physicians to resolve coding discrepancies and review new policies.
- Managed credentialing tasks and negotiated insurance contracts.
Medical Billing Specialist
3 Years- Processed insurance claim denials and assisted in filing appeals while contacting insurance companies for claims status updates.
- Prepared and submitted insurance claims through clearinghouse systems.
- Posted daily insurance payments and patient payments accurately.
- Entered hospital and office charges efficiently.
- Facilitated credentialing processes.
Medical Billing Specialist
2 Years 4 Months- Processed insurance claim denials and facilitated appeals as needed.
- Developed repayment plans tailored to customers' financial capabilities.
- Coordinated scheduling and addressed patient inquiries regarding billing issues.
- Conducted insurance coverage verifications and benefit assessments.
- Responded to billing questions from patients and other stakeholders via phone and written communication.
Medical Billing Specialist/Team Lead
7 Years 11 Months- Guided billing specialists in proper methods through hands-on training and supervision.
- Allocated tasks and created work schedules for billing team based on workload demands.
- Checked billing data for precision, corrected mistakes, and filed claims.
- Adhered to all federal, state, and company guidelines, procedures, and regulations.
- Engaged with insurance companies to verify claim status and composed appeal letters for denied claims.
Education
High school or equivalent - Business Administration
Skills
Assisted in developing medical billing training programs focusing on ICD-10 and CPT coding standards.
Utilized ADP for onboarding recruitment and payroll
correcting missed punches and tracking absences and PTO.
Implemented claims management strategies to improve accounts receivable processing and collections.
Facilitated EHR/EMR utilization across platforms like Medisoft
Epic
and Athena to enhance operational consistency.
Trained and assisted team members in insurance and patient payment posting to maintain accuracy and compliance.
Additional Information
- Allscripts Professional EMR/EHR Software
- Medisoft, Epic, Lytec, & Medics Medical Billing Software
- Navicure Medical Claims Clearinghouse
- Availity Health Information Network
- Microsoft Outlook, Excel, PowerPoint, Word, & Access
Timeline
Revenue Cycle and Practice Manager
Aishling Obstetrics & Gynecology/Fox Valley Vein Center
01.2018 - CurrentRead More
Medical Billing Specialist
Northeast Nephrology
10.2014 - 10.2017Read More
Medical Billing Specialist
Midwest Vascular Center
05.2012 - 09.2014Read More
Medical Billing Specialist/Team Lead
Advanced Urology Associates
07.2003 - 06.2011Read More
Devry University
High school or equivalent from Business Administration
Read More