Tiegan Baker
Mesa,AZ
Summary
Detail-oriented healthcare professional with over five years of experience in medical billing, coding, insurance verification, and personal injury case management. Skilled in revenue cycle management, accurate CPT coding, and navigating insurance regulations to support both patients and providers. Currently pursuing a Bachelor of Science in Nursing with a 3.7 GPA. Certified in IV therapy, ALS, and BLS, with proven ability to manage clinical and administrative responsibilities in fast-paced environments.
Overview
6
6
years of professional experience
Work History
Medical Biller and Coder /Personal Injury Case Manager
Saguaro Pain Clinic
03.2020 - Current
- Code all professional, facility, and anesthesia patient encounters.
- Obtain authorizations for insurance and personal injury patients procedures.
- Verifying insurance plans and determining co–pays.
- Work account receivables, following up on insurance denials, claims processing, and posting.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Audit the upcoming schedule for double–bookings, patient missing billing forms, and patients with outstanding insurance checks.
- Market to personal injury attorneys, chiropractors, physical therapist, and physicians to pull in referrals for our ambulatory surgical center.
Durable Medical Equipment Coordinator
Nemra
05.2020 - 12.2024
- Collect and accurately input patient demographics, insurance information, medical history, and referrals into the Electronic Health Records system.
- Verify insurance coverage, eligibility, and authorization for DME orders.
- Communicate with patients or caregivers to obtain or clarify patient information during the intake process.
- Process and enter physician orders for durable medical equipment into the electronic health record (EHR).
- Track order status and coordinate the timely delivery and setup of equipment.
- Trained team members effectively to maintain consistent productivity.
- Monitored equipment and tool inventory to consistent replenishment in alignment with demand.
Server / Floor Manager
The Mammoth Steakhouse
04.2021 - 07.2023
- Deliver checks and collect payments.
- Adhere to health department rules and regulations and all customer service guidelines.
- Set up assigned table sections.
- Taking inventory and place orders for new shipments.
- Ability to multitask, serving up to 14 tables at a time.
Education
Bachelors of Science - Nursing
Grand Canyon University
Chandler, AZ05.2028
Skills
- Practice Fusion
- Advanced MD
- Office Ally
- Availity
- Updox
- Health Insurance
- Workers' Compensation
- Personal Injury
- Rapid Learning
- Microsoft Word and Excel
- IV Certified
- ALS & BLS Certified
- HIPAA compliance
- Accurate CPT coding
- Anatomy and physiology
- Insurance verification
- Revenue cycle management
- Medicare insurance regulations
Timeline
Server / Floor Manager
The Mammoth Steakhouse
04.2021 - 07.2023
Durable Medical Equipment Coordinator
Nemra
05.2020 - 12.2024
Medical Biller and Coder /Personal Injury Case Manager
Saguaro Pain Clinic
03.2020 - Current
Bachelors of Science - Nursing
Grand Canyon University
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