Tiffany C. Stewart
Indianapolis,IN
Summary
Dedicated administrator with over ten (10) years of accounts receivable, insurance, employee benefit plans, and customer service experience. Manager of customer files via a case management system, and the ability to track deadlines, claims, and billing related matters. Excellent researcher, with the ability to coordinate and handle multiple projects. I’m able to communicate effectively, and function within a diverse customer service base. I provide efficient, technological savvy problem solving skills. Quick study of new information and outstanding professional and ethical standards. Hardworking Sales Associate committed to driving high sales in both slow and busy shifts. Organized and patient individual polished in handling customer complaints and replenishing stock. Flexible and outgoing team player commended for demonstrating honesty and integrity with customers, team members and supervisors.
Overview
12
12
years of professional experience
Work History
RCS Associate
RCS Revenue Cycle, IU HEALTH
Indianapolis, IN
12.2019 - Current
- Explain financial responsibilities for services received, payment options and collection procedures to patients or parties responsible for payment
- Assist with managing employee pensions, 401(k) and healthcare plans
- Train to stay up-to-date on all state and federal regulations pertaining to insurance and employee benefits
- Counsel patients regarding insurance benefits and recommend alternative sources of payment and financial assistance when appropriate
- Contact insurance carriers or other sources, and act as an advocate for the patient
- Initiate process for collecting prepays due and perform follow up activity to insure maximum collection is achieved
- Notify manager, physician and servicing department of possible delay of service for any elective, urgent admissions, procedures and scheduled diagnostic testing which have not been approved prior to the date of service
- Provide assistance to uninsured patients and families in completing and filing Medicaid or assistance program applications with the appropriate agency
- Trained new associates on operations, policies, and procedures.
Follow-up Representative
R1RCM
Indianapolis, IN
02.2017 - 12.2019
- Work firsthand on actively reviewing patient accounts ensuring claims are accurate and billable
- Identify and resolve claim edits through understanding of billing guidelines, and payer requirements
- Proactively fix claim rejection errors, and resubmit claims based on payer requirements
- Comply with all government and third-party payers regulatory mandated requirements for billing, and collections
- Meet departmental productivity and quality standards in timeframe given upon completion of training
- Ability to maintain confidentiality of all information under HIPPA guidelines
- Guide and process customer orders in a fast-paced environment using medical terminology
- Communicate with customers via phone, email and chat
- Collect payments on accounts
- Works closely with physician offices to ensure a patient has the correct insurance information
- Conducted outbound calls to obtain appropriate documentation for reimbursement of orders
Accounts Receivable/Insurance Coordinator/Dental Assistant
Caring Smiles 4U
Indianapolis, IN
09.2013 - 01.2017
- Verifying insurance eligibility including pre-authorizations
- Assist with the administration of all benefits and retirement programs
- Advise employees, answer questions, and enroll staff in benefit and compensation programs
- Claims status – AR Follow-up on Commercial, Medicaid, and HIP
- Research denials and written appeals
- Assist the doctor with procedures, take x-rays, set-up and break down of operatory rooms
- Verify customer benefits via phone, fax, and/or web portal
- Makes patients fully aware of financial obligations and eligibility for programs that may provide financial aid
- Ran daily reports to monitor and obtain authorizations and/or referrals required by the insurance carrier for patient visits, including out of network or specialized referrals
- Prepares patient for dental treatment by welcoming, comforting, seating, and draping
- Posts customer payments by recording cash, checks, and credit card transactions
Long Term Care Claim Processor
Patriot RN (Onsite at NGS)
Indianapolis, IN
10.2012 - 08.2013
- Processing of Medicare Part A and B claims
- Review internal databases, client guidelines, and policy contract language to adjudicate routine home and facility based claims
- Service providers to obtain license information, proof of loss, and claimant dates of service
- Processes requests from the client or from other departmental areas
- Examine home and facility claims for long-term care products
- Determine benefit eligibility and payable amounts based on policy language
Education
Business Administration -
Indiana Wesleyan University
Indianapolis, IN05.2020
Dental Assistant - Radiology License
Indianapolis, Indiana01.2008
Associate of Science - Data Analytics
Ivy Tech Community College of Indiana
Indianapolis, INSkills
- Advanced user of Microsoft Excel
- Advanced user of Word
- Advanced user of Outlook
- Editing and proofreading
- Financial Records & Reporting
- Data entry and management
- Understands Medical and Dental terminology
- Switchboard Operation
- Deadline oriented
- Skilled multi-tasker
- Typing speed 55 wpm
- Verbal communication skills
- Written communication skills
- Research Healthcare Plans
- Knowledge of key accounting principles and procedures
- Organizational skills
- Time management skills
- SMS, EPIC, Cerner, IDX, Assurance, Champ
- Preparing reports
- Management Support
- Time Management
- Cross-Functional Teamwork
Timeline
RCS Associate
RCS Revenue Cycle, IU HEALTH
12.2019 - Current
Follow-up Representative
R1RCM
02.2017 - 12.2019
Accounts Receivable/Insurance Coordinator/Dental Assistant
Caring Smiles 4U
09.2013 - 01.2017
Long Term Care Claim Processor
Patriot RN (Onsite at NGS)
10.2012 - 08.2013
Business Administration -
Indiana Wesleyan University
Dental Assistant - Radiology License
Associate of Science - Data Analytics
Ivy Tech Community College of Indiana
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