TIFFANY BOND
Newville,AL
Summary
Accomplished Business Office Manager, adept in healthcare management, CPT and ICD-10 coding. Significantly reduced claims rejections by ensuring diagnosis accuracy. Excelled in mentoring staff and streamlining operations. Demonstrates expertise in medical billing and a commitment to enhancing cash flow and operational efficiency.
Overview
29
29
years of professional experience
1
1
Certification
Work History
Business Office Manager
Digestive Health Specialists of The Southeast
04.2018 - Current
- Manage daily operations of the billing department, scheduling department, medical records, and front desk
- Audit documentation to ensure all charges are captured to maximize reimbursement
- Review documentation to ensure diagnosis codes are correct and meet medical necessity to decrease claims rejections
- Monthly analysis of accounts receivable to ensure key performance measures of aging accounts are kept under 15%
- Develop and implement new policies and procedures to improve efficiency, productivity, and cash flow
- Coach, mentor, and educate employees
- Educate physicians and nurse practitioners on correct documentation, coding, and billing practices
- Expedite billing and collection procedures to maximize revenue and cash flow
- Address and resolve patient inquiries to foster superior standards of service
- Subject matter expert for coding, billing and documentation
- Collaborated with providers to improve provider coding accuracy
- Prepared and reviewed claims for submission, resolving upfront claims edits and errors
- Assisted with HR activities such as recruitment, interviewing candidates and onboarding new hires.
Administrative Assistant/CPC
Alabama Asthma and Allergy, P.C
03.2015 - 04.2018
- Assisted practice manager with the daily operation of the office
- Implemented new policies and procedures to improve efficiency
- Daily reconciliation and deposits
- Keyed office charges
- Prepared and reviewed claims for submission, resolving upfront claims edits and errors
- Posted insurance and patient payments
- Receptionist duties
- Insurance verification
- Obtained insurance authorizations and referrals
- Screened incoming telephone calls, routing to appropriate personnel
- Maintained office inventory by assisting with supply orders
- Trained staff on office procedures and software applications, driving operations
- Maintained files and filing, keeping sensitive information confidential
Medical Office Manager
Poplar Head Surgical, LLC
09.2012 - 03.2015
- Oversaw daily operations of the office
- Assigned proper CPT and ICD-10 codes to operative notes for general and vascular surgery
- Analyzed accounts receivable to ensure aged balances were kept under 90 days outstanding
- Educated physicians on correct documentation practices
- End of month reconciliation and reporting
- Read through contracts, regulations and procedural guidelines to ensure comprehension and compliance
- Supervised administrative staff and provided training and orientation to new staff
- Established work procedures and schedules to organize daily work of administrative staff
- Analyzed internal processes and recommended and implemented procedural and policy changes to improve operations, such as supply changes and disposal of records
- Directed and coordinated business's financial and budget activities by completing billing, coding and collections duties
- Obtained proper authorizations for services, procedures and equipment necessary for patient care
- Audited charts and patient account history to post and document billable procedures
- Prepared and reviewed claims for submission, resolving upfront claims edits and errors
Certified Professional Coder
Family Practice Center of Abbeville
12.2010 - 09.2012
- Demonstrated expert knowledge of coding workflow by optimizing use of available technology
- Helped review insurance denials related to diagnosis issue
- Queried provider regarding missing, unclear, or conflicting health record documentation using approved templates
- Evaluated documentation to complete diagnosis coding and meet specificity requirements, supporting clinical indicators
- Resolved medical coding edits or billing item rejects in relation to code assignment
- Collaborated with assigned providers and stakeholders to improve provider coding accuracy
- Identified, compiled, abstract and code patient data, using standard classification systems
- Resolved and clarified codes and diagnoses with conflicting, missing and unclear information by consulting with doctors and others and by participating in coding team's regular meetings
- Consulted classification manuals to locate information about disease processes
- Prepared and reviewed claims for submission, resolving upfront claims edits and errors
Certified Professional Coder
J & J OH, LLC
07.2010 - 12.2010
- Reviewed general and vascular surgery operative notes to assign proper CPT and ICD-10 codes to obtain maximum reimbursement
- Posted insurance and patient payments
- Posted medical insurance billings
- Identified, compiled, abstract and code patient data, using standard classification systems
- Helped review insurance denials related to diagnosis issue
- Demonstrated expert knowledge of coding workflow by optimizing use of available technology
- Queried provider regarding missing, unclear, or conflicting health record documentation using approved templates
- Collaborated with assigned providers and stakeholders to improve provider coding accuracy
- Prepared and reviewed claims for submission, resolving upfront claims edits and errors
Medicaid Billing Specialist
Gentiva Home Health and Hospice
Dothan, USA
09.2009 - 07.2010
- Billed Alabama, Georgia, and Florida Medicaid for hospice charges
- Ensured all documentation was in patients charts to obtain authorization for hospice billing
- Posted Medicaid payments
Medical Insurance Biller
Urological Associates
04.2009 - 09.2009
- Audited office notes to ensure all charges were captured
- Worked aged accounts receivable
- Obtained Medicaid authorization for office visits and procedures
- Prepared and reviewed claims for submission, resolving upfront claims edits and errors
- Communicated immediately with providers to clarify incomplete or unclear documentation
- Entered billing information into accounting software systems
- Assisted with answering telephone to provide requested billing information
- Completed audits as per identified timeframes and reported findings
- Performed claims research, appeals and related follow-up using medical systems and software
- Posted payments to in electronic medical records system upon receipt of payment for claims
- Followed up on accounts until zero balance or turned over for collection
Office Manager/CPC
Family Practice Center of Abbeville
02.1996 - 04.2009
- Review office documentation to ensure all charges were captured
- Prepared and reviewed claims for submission, resolving upfront claims edits and errors
- Accounts receivable follow-up to ensure timely filing and payment
- Supervised administrative staff, driving front office operations and continuous workflow
- Optimized office policies, meeting internal needs while upholding organizational standards
- Led meetings, keeping staff informed of changes or new requirements in policies and procedures
Education
Bachelor of Science - Business Administration- General Business
Troy University
05.2012
Associate in applied science - Medical Assisting
George C. Wallace Community College
12.1995
Skills
- Data Entry
- Typing
- Word
- Accounting
- Healthcare Management
- Medical Billing
- Medical Office Experience
- Insurance Verification
- Accounts Receivable
- Practice Management
- ICD-10
- HIPAA
- EMR Systems
- CPT Coding
Certification
AAPC Certified Professional Coder
Timeline
Business Office Manager
Digestive Health Specialists of The Southeast
04.2018 - Current
Administrative Assistant/CPC
Alabama Asthma and Allergy, P.C
03.2015 - 04.2018
Medical Office Manager
Poplar Head Surgical, LLC
09.2012 - 03.2015
Certified Professional Coder
Family Practice Center of Abbeville
12.2010 - 09.2012
Certified Professional Coder
J & J OH, LLC
07.2010 - 12.2010
Medicaid Billing Specialist
Gentiva Home Health and Hospice
09.2009 - 07.2010
Medical Insurance Biller
Urological Associates
04.2009 - 09.2009
Office Manager/CPC
Family Practice Center of Abbeville
02.1996 - 04.2009
Bachelor of Science - Business Administration- General Business
Troy University
Associate in applied science - Medical Assisting
George C. Wallace Community College
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