Summary
Overview
Work History
Education
Skills
Timeline
BusinessAnalyst

Tonya Bird

Carrollton,TX

Summary

Knowledgeable about preparing invoices, processing payments and pursuing past-due balances. Well-versed in accurately coding different types of bills for clear recordkeeping and tracking. Team-oriented, dependable and performance-driven.

Overview

19
19
years of professional experience

Work History

Conversion Billing Specialist

Enlyte /Mitchell
11.2021 - 09.2023
  • Billing of Third-party bills from clients for prescriptions that had been initially dispensed to claimant
  • Data Entry (paper bills) Handled in and outbound calls to solved variety of inquiries and service request
  • Entering and maintaining accurate records within information system with attention to detail
  • Analyzed and solved customer concerns using established policies and procedures
  • Followed up on outstanding payments.
  • Created improved filing system to maintain secure client data.
  • Verified accuracy of accounts payable payments, resulting in 99% reduction in payment errors and check reissues.

EDI Billing /Charge Entry

HCA/ Parallon
04.2019 - 04.2021
  • Charged and billed several markets for Care Now, Billed Commercial Workers Comp, Private rations to determined next appropriate work activity
  • Verify claims adjudication utilizing appropriate resources and applications
  • Initiate telephone or letter contact to patients to obtain additional information as needed
  • 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 desk inventory.
  • Captured and entered professional charges.
  • Verified insurance eligibility and information to update database.
  • Worked with revenue cycle team to identify denial trends.

Billing Coordinator /Patient Account Coordinator

Ameripath/Quest Diagnostics /Optum 360
03.2012 - 08.2018
  • Handled and Billed Patients Accounts, Coordination Billing per Payer Technical Support, Billing /and Software Support.
  • Updated documentation, reports and spreadsheets with financial information.
  • Entered details into accounts and tracked payments.
  • Identified, researched, and resolved billing variances to maintain system accuracy and currency.
  • Researched and resolved billing discrepancies to enable accurate billing.

Reimbursement Analyst / Patient Account Representative

AmerisourceBergen / Pharmacy Healthcare Solutions (contract position)
08.2011 - 02.2012
    • Qualified Patients for Assistance Prior Authorizations Billing, Insurance Verification Followed up with insurance companies in order to resolve outstanding claims
    • Submitted appeals
    • Worked with UB-04 forms Reviewed Correspondence for processing HIPAA Compliance Customer Support /Via Telephone over 100 Calls Customer Service Patients/Physicians/Hospitals
    • Followed up on denied and unpaid claims to resolve problems and obtain payments.
    • Coordinated with insurance providers to verify customer's policy benefits in relation to claims.

Patient Account Representative/ Adjustments

Tenet Health Systems
01.2005 - 01.2010
  • Posted Payments and Adjustments to Patient Accounts
  • Located unidentified Payments and Posted to Appropriate Accounts
  • Reconciled statements with patient records.
  • Electronically submitted bills according to compliance guidelines.
  • Responded to customer inquiries and provided detailed account information.
  • Worked with outside entities to resolve issues with billing, claims and payments

Education

Some College (No Degree) - Business Communications

Burlington County College
Mount Holly, NJ

Skills

  • Goal oriented accurate with precise attention to details
  • Completing multifaceted task within time constraints allotted Customer Service Driven
  • CPR Certification
  • HIPAA Compliance
  • Teamwork Abilities
  • Microsoft Office Suite
  • Research and Due Diligence
  • Help Desk Technician
  • Efficient with Practice Velocity,Centricity, Epic, Cerner, Medic
  • Claims Processing
  • Payment Posting
  • Month-End Closing Procedures
  • Billing Systems and Software

Timeline

Conversion Billing Specialist

Enlyte /Mitchell
11.2021 - 09.2023

EDI Billing /Charge Entry

HCA/ Parallon
04.2019 - 04.2021

Billing Coordinator /Patient Account Coordinator

Ameripath/Quest Diagnostics /Optum 360
03.2012 - 08.2018

Reimbursement Analyst / Patient Account Representative

AmerisourceBergen / Pharmacy Healthcare Solutions (contract position)
08.2011 - 02.2012

Patient Account Representative/ Adjustments

Tenet Health Systems
01.2005 - 01.2010

Some College (No Degree) - Business Communications

Burlington County College

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Tonya Bird