Tequila Escoffery
Miami
Summary
As a seasoned professional with over 15 years of experience, I bring a wealth of knowledge and expertise to the table. My unwavering commitment to achieving results and exceeding expectations is matched only by my enthusiasm for handling time-sensitive tasks with pinpoint accuracy and minimizing wait times. With my proven track record of success, I am confident that I can make a valuable contribution to any organization's success. Efficient billing professional with 6 years of experience. Productive and diligent with a passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
Overview
12
12
years of professional experience
Work History
Senior Billing Analyst
CBRE
01.2021 - Current
- Perform PeopleSoft review and approval of various accounts payable (AP) items to ensure proper coding allocation and backup
- Additionally, train and assist end-users in PeopleSoft expense reporting
- Review monthly accounts receivable (AR) reports and evaluate the need to elevate collection efforts
- Work with brokers to address problems and escalate to cooperate as needed
- Provide monthly ad-hoc reports management to track project budgets, allowances, and revenues, among other things
- Comply with broker, producer, and management pipelines for the forecasting process
- Assist in developing and maintaining work procedures, along with preparing work schedules
- Lastly, review the team key performance indicator (KPI) metrics and claims processed for accuracy.
Claims Representative Tema Lead
Baptist Hospital
05.2018 - 01.2021
- Lead Claims Reimbursement activities & responsibilities for Medicare Medicaid, including cost reports
- Analyzed, Reviewed, & processed complex electronic claims in compliance with strict state & federal regulatory affairs
- Exceed metrics, KPIs, and benchmarks for total claims processed, overall accuracy, productivity, and schedule adherence
- Resolve claim discrepancies to support the claims adjudication process and make accurate determinations based on provided data
- Compute and calculate accurate insurance and benefits, confirm prior authorizations, and process payments on time with zero defects
- Evaluate and interpret detailed claims and medical procedures and diagnosis codes to guarantee alignment with established guidelines
- Demonstrate understanding of medical billing and coding processes for HCPCS, ICD-10, CPT codes, revenue codes, and bill types
- Utilize statistical analysis and data mining to coordinate benefit payouts to clients with 100% accuracy and efficiency.
Project Coordinator
Baptist Hospital
03.2016 - 05.2018
- Plan, Schedule, and organize internal/ external meeting arrangements, materials, take minutes at meetings record & distribute minutes
- Participate and coordinate higher level meetings to review change orders and Pay applications
- Screen phone calls and emails and resolve routine and complex inquires
- Process and Approve invoices, Purchases orders & Owner Direct Purchases
- Acts as a liaison between Project managers, Directors and external clients or resources while assisting with managing capital projects
- Responds to routine internal & external correspondence
- Create memos, purchase orders, payment requisitions, payment request and other department forms and documents
- Manages Project Managers & Director Calendar, schedules appointments, schedule priorities & anticipates & resolves calendar conflicts
- Along with Project manager assist with managing overall budget for project
- Prepares for Bid meetings and provides awarded and non-awarded correspondence to vendors
- Exercises discretion and independent judgment in daily operations and when handling details of highly confidential and critical nature
- Maintains filing system for Departmental audits, while assisting with project closeouts.
Government Relations
Altegra Health
02.2012 - 03.2016
- Performed audits to ensure accuracy and adherence to State for Medicare and Medicaid Services (CMS) and company policies regarding timeframes and procedures
- Evaluated compliance of Medicare Part D regulations through internal audits and trending
- Partnered with Operations Directors, Program Management, and County Medicaid liaisons to identify and address process, workflow, or reporting discrepancies and resolutions
- Steadily and daily interacted with multiple business units to coordinate, identify, and mitigate compliance incidents and risks
- Acted as an internal resource and subject matter expert on Medicare guidelines, providing regulatory guidance and interpretation to business owners to ensure ongoing compliance and consistency
- Operated all systems required to research the oral/written grievance and use then affectively
- Remained compliant and resolves each assigned case, based on CMS guidelines
- Manages Submissions, intervention, and resolution of fair hearings/ state appeals
- Demonstrated accuracy, thoroughness and neatness, combined with volume and consistency of work
- Demonstrated effective listening skills, as well as lending my suggestions in an organized and concise manner
- Completed ICD-10 training successfully.
Education
No Degree - Real Estate
Gold Coast School of Real Estate
Miami, FL03.2022
No Degree - Business Administration And Management
Florida Agricultural And Mechanical University
Tallahassee, FL2008
Skills
- Authorizations
- Billing
- PeopleSoft
- Cerner
- Claims Analysis
- Oracle
- Microsoft Office
- Smartsheet
- Owner/Tenant Relations
- Budgets
Timeline
Senior Billing Analyst
CBRE
01.2021 - Current
Claims Representative Tema Lead
Baptist Hospital
05.2018 - 01.2021
Project Coordinator
Baptist Hospital
03.2016 - 05.2018
Government Relations
Altegra Health
02.2012 - 03.2016
No Degree - Real Estate
Gold Coast School of Real Estate
No Degree - Business Administration And Management
Florida Agricultural And Mechanical University
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