Tiarga King
Providence,RI
Summary
. Billing Specialist adept at collecting, posting and managing account payments. Independently handles client requests, billing needs and administrative functions. Reviews contracts and other documents to issue accurate invoices.
Overview
14
14
years of professional experience
Work History
Northeast Behavioral Associates
11.2022 - Current
- Completes billing audits identified time frames to report and investigate findings
- Performs insurance verification, pre-certification and pre-authorization
- Resolved discrepancies between customers' remittances and invoices received.
- Answered customer inquiries regarding billings, payments, account status.
- Processed credit card transactions through Point-of-Sale terminals or online systems.
- Developed financial reports detailing accounts receivable aging status.
- Assisted with year-end closing tasks including preparing journal entries.
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
- Performed data import, scanning or manual keying processes to verify invoice accuracy.
- Managed all payments processing, invoicing and collections tasks.
- Collected, posted and managed patient account payments.
Medical Billing Specialist
CharterCare-Roger Williams Medical Center
01.2015 - 11.2022
- Verifies and provides payers with accurate documentation/records
- Identifies medical coding errors, adjusting account contingent on contract negotiations
- Prepare and send appeals for denied/incomplete payments for delinquent accounts
- Monitors outstanding credits and resolves issues as needed
- Audits patients chart to determine services rendered
- Serves as records contact person for various payers
- Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Processed credit card payments from patients in accordance with office policy.
- Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances.
- Worked closely with clinical staff to ensure accurate coding practices were followed.
- Verified the accuracy of claim data prior to submission to insurance carriers.
- Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
Milieu Therapist
Arbour Fuller Hospital
09.2012 - 12.2015
- Facilitated treatment based groups with patients battling with substance abuse and drug addiction
- Maintained client safety using crisis intervention and 1:1 supervision
- Assisted clients in developing positive behavior strategies through reinforcement techniques like token economies and point systems.
- Participated in interdisciplinary team meetings to discuss cases, provide feedback, and collaborate with other professionals on treatment plans.
- Responded effectively in crisis situations to deliver skilled support and stabilize situations.
Education
h.s. diploma -
feinstein highschool
12.2005
Skills
- Payment posting
- Invoice Processing
- Fiscal reporting
- Claims Processing
- Contract Preparation
- Billing dispute resolution
References
References available upon request.
Timeline
Northeast Behavioral Associates
11.2022 - Current
Medical Billing Specialist
CharterCare-Roger Williams Medical Center
01.2015 - 11.2022
Milieu Therapist
Arbour Fuller Hospital
09.2012 - 12.2015
h.s. diploma -
feinstein highschool