Summary
Overview
Work History
Education
Skills
Certification
Work Availability
Accomplishments
Timeline
Generic

Tiera Howard

Bensalem,PA

Summary

Detailed Oriented and results driven Healthcare administrator with 7 plus years of experience in Healthcare Operations, improving patient care and ensuring regulatory compliance. Seeking to leverage expertise in strategic planning, team leadership, and process optimization to enhance operational efficiency and patient satisfaction.

Results-driven collections professional well-versed in Medicare claims and billing processes. Consistently recognized for improving collection efficiency and accuracy through meticulous attention to detail and proactive problem-solving. Highly collaborative, adaptable, and focused on achieving team goals and positive outcomes.

Experienced with Medicare collections processes, ensuring timely and accurate claim resolutions. Utilizes negotiation skills to effectively manage and resolve disputes. Strong understanding of Medicare regulations and compliance requirements.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Medicare Collector

Lower Buck hospital
03.2021 - Current
  • Submit Medicare claims
  • Track and Follow up on claims
  • Submit corrected claims
  • Review and resolve denied claims
  • File Appeal
  • Liaise with Medicare rep
  • Reconcile Accts
  • Stay up to date with Medicare regulations

Surgical Billing and Coding

Midlantic Urology
02.2019 - 02.2021
  • Ensure Code accuracy
  • Submit corrected claims
  • Insurance Verification and pre-authorization
  • Prepare for Audits
  • Post payments
  • Patient communication
  • Work with Urologists and Nurses
  • Generate Reports
  • Clarify Documentation

Hospital Billing and Coding

St Mary Health Center
06.2018 - 01.2019
  • Claim preparation Submission
  • Patient Acct Management
  • Medical Coding
  • Billing
  • Insurance Verification
  • Payment processing and Collections
  • Customer Service

Pain Management Billing

Parkway Clinical Lab
01.2016 - 03.2018
  • Verify insurance coverage
  • Obtain pre-Auth
  • Ensure timely filing
  • Review denied claim
  • Follow Healthcare Regulations
  • Post Payment
  • Patient Communication
  • Assist with payment plans
  • Work with PM providers
  • Monitor Revenue Cycle

Education

AAS - Healthcare Administration

Brown Mackie College
Atlanta, GA

HS Diploma -

St Paul Academy

Skills

  • Medical code Proficiency
  • Familiarity with electronic health records
  • Billing Software expertise (Epic)
  • Attention to details
  • Knowledge of insurance and payer policies
  • Claim submission and processing
  • Problem-Solving and Analytical skills
  • Revenue Cycle Management
  • Strong Communication skills
  • Knowledge of government and private payer guidelines

Certification

  • Revenue Cycle Representative Certification – Healthcare Financial Management Association.

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Accomplishments

  • Conflict Resolution - Responsible for handling customer account inquiries, accurately providing information to ensure resolution of product/service complaints and customer satisfaction.
  • Documented and resolved [Issue] which led to [Results].
  • Used Microsoft Excel to develop inventory tracking spreadsheets.

Timeline

Medicare Collector

Lower Buck hospital
03.2021 - Current

Surgical Billing and Coding

Midlantic Urology
02.2019 - 02.2021

Hospital Billing and Coding

St Mary Health Center
06.2018 - 01.2019

Pain Management Billing

Parkway Clinical Lab
01.2016 - 03.2018

HS Diploma -

St Paul Academy

AAS - Healthcare Administration

Brown Mackie College
Tiera Howard