TIASHA HILL
Philadelphia,PA
Summary
Detail-oriented medical billing and collections specialist with extensive experience in optimizing revenue performance and enhancing customer satisfaction. Proven track record in training teams and implementing effective billing processes, while maintaining up-to-date knowledge of coding changes and insurance guidelines.
Overview
18
18
years of professional experience
Work History
Senior Billing Analyst
METROPOLITAN AREA NEIGHBORHOOD NUTRITION ALLIANCE
Philadelphia, PA
11.2021 - 12.2025
- Resolve denials and report denial trends to management.
- Audit Billing Specialist monthly reports for denials, rejections and adjustments.
- Work with third-party payers and insurers on claims.
- Validated insurance details for claims processing.
- Follow up on unpaid claims.
- Generated monthly billing reports and submitted claims.
- Delivered monthly reports to accountant for timely reconciliation.
- Assisted customers with inquiries and billing issues.
- Remain educated on billing changes for coding.
- Aided manager in executing various projects.
Billing Coordinator
BELMONT BEHAVIORAL HOSPITAL
Philadelphia, PA
02.2020 - 02.2021
- Billed claims to insurance for missing records, facilitating prompt payment.
- Followed up on unpaid claims to ensure timely reimbursement from insurance providers.
- Verified insurance benefits by contacting providers and reviewing patient records.
- Updated insurance rates by reviewing current policies and market trends.
- Provided customer service to patients.
Accounts Receivable and Billing Analyst
Mid Atlantic Retina
Bala Cynwyd, PA
12.2011 - 03.2019
- Billed claims to Blue Shield and commercial insurances, ensuring timely reimbursement.
- Posted electronic insurance payments for patient and insurance plans.
- Verified patient insurance and obtained authorizations for surgical procedures.
- Followed up on unpaid accounts with insurance balances.
- Developed budget plans for high balance patient accounts to facilitate payment management.
- Remained educated on insurance guidelines and updated billing changes for Retina providers.
- Trained new staff on systems and billing procedures, enhancing team competency and service delivery.
- Attended quarterly meetings with insurance network coordinators to strengthen partnerships and address any concerns.
Accounts Receivable Representative
OPHTHALMIC PARTNERS OF PA
Bala-Cynwyd, PA
01.2008 - 11.2011
- Billed claims to Blue Cross Blue Shield and other commercial payors; verified patient insurance benefits to ensure accurate processing.
- Followed up on unpaid accounts with insurance and patients, and set up budget plans.
- Ensured timely resolution of claims with Medicare and Medicaid.
- Posted electronic and manual payments; refund insurance and patient credits.
- Remained educated on insurance guidelines and updated billing procedures.
- Trained new employees in the department.
- Obtain authorizations for specialty drugs.
- Fix claim errors in clearing house.
Education
High school diploma -
Parkway High School
Skills
- Billing and coding
- Claim submission
- Surgical Billing
- ICD-10
- Credentialing
- Insurance verification processes
- Insurance verification
- Denial management
- Billing reconciliation
- Accounts Receivable
- Revenue Performance
- Budget Planning
- Financial reporting
- Data analysis
- NextGen
- AdvancedMD
- Medik
- Medical Manager
- Navinet
- Availity
- Microsoft Office
- Process NPI applications
- Patient relations
- Client relations
- Problem solving
- Attention to detail
- Client relations
Timeline
Senior Billing Analyst
METROPOLITAN AREA NEIGHBORHOOD NUTRITION ALLIANCE
11.2021 - 12.2025
Billing Coordinator
BELMONT BEHAVIORAL HOSPITAL
02.2020 - 02.2021
Accounts Receivable and Billing Analyst
Mid Atlantic Retina
12.2011 - 03.2019
Accounts Receivable Representative
OPHTHALMIC PARTNERS OF PA
01.2008 - 11.2011
High school diploma -
Parkway High School