Tiffanie Gallegos
Patterson,CA
Summary
Medical Billing Supervisor with experience in physician practice billing, team leadership, and denial resolution. Demonstrated expertise in delegating and prioritizing work to drive timely reimbursement while ensuring compliance with Medicare, Medicaid, and commercial payer regulations. Proven ability to lead, train, and motivate billing teams to meet productivity goals. Adept at cross-functional collaboration with coding and administrative departments to improve workflows and financial outcomes.
Overview
20
20
years of professional experience
Work History
Medical Billing Supervisor
Vituity Revenue Cycle Management
03.2022 - Current
- Oversaw daily operations of billing team to ensure timely claim submissions and payments.
- Implemented workflow improvements that reduced claim denial rates and improved revenue cycle performance.
- Coordinated cross-departmental communication to resolve billing issues and streamline processes.
- Track team productivity and process effectiveness.
- Manage a team of Account Receivable and Billing Specialists, providing guidance and support for their professional development.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Strong ability to delegate responsibilities and prioritize tasks to meet operational goals.
- Identify underpayments and errors, ensuring proper reimbursement from insurance companies.
Billing Account Receivable Specialist
Vituity Revenue Cycle Management
01.2006 - 03.2022
- Submitted claims to commercial insurers, Medicare, and Medicaid to minimize denials.
- Insurance Follow Up
- Communicated effectively with insurance representatives to negotiate and resolve claim issues.
- Researched claim status and corrected billing, coding, or demographic errors to ensure prompt reimbursement.
Education
Bachelor of Science - Human Resources Management
University of Phoenix
Tempe, AZ08-2019
Skills
- Team leadership and supervision
- Denial management strategies
- Verbal and written communication
- Microsoft Excel (reporting, pivot tables, data analysis)
- Staff training, mentoring, and onboarding
- Cross-department collaboration
Timeline
Medical Billing Supervisor
Vituity Revenue Cycle Management
03.2022 - Current
Billing Account Receivable Specialist
Vituity Revenue Cycle Management
01.2006 - 03.2022
Bachelor of Science - Human Resources Management
University of Phoenix