Tiffany Foltz

Essential Duties and Responsibilities

• File claims using all appropriate forms and attachments
• Handle Outbound calls and Maneuvered between several different software systems
• Research account denials and file written appeals, when necessary
• Evaluate information received from clients to determine which insurance to bill and attain necessary attachments or supporting documentation to send with each claim
• Ensure integrity of each claim that is billed
• Document in detail all efforts in CUBS system and any other computer system necessary
• Verify patient information and benefits
• Proved successful working within tight deadlines and fast-paced atmosphere
• Followed document protocols to safeguard confidentiality of patient records
• Reviewed and corrected claim errors to facilitate smooth processing

Additional Duties and Responsibilities

• Meet specified goals and objectives as assigned by management
• Maintain good working relationships with state and Federal agencies
• Resolve accounts timely
• Always maintain confidentiality of account information
• Adhere to prescribed policies and procedures as outlined in Employee Handbook and Employee Code of Conduct
• Maintain awareness of and actively participate in Corporate Compliance Program
• Maintain confidential and orderly remote work area
• Assist with other projects as assigned by management

Achievements

• Managed over 50 customer calls per day and completed at least 50 patient accounts daily to meet productivity goals
• Escalated Medicaid cases to hearing level when there was delay in processing eligibility
• Patient's Medicaid was resolved and benefits were open for date(s) that were requested

Responsibilities

• Optimized admission flow by obtaining room assignments for any patients being hospitalized within 20 minutes of receipt; completed discharges and transfers within 10 minutes of receipt while documenting any delays utilizing Visibility system
• Trained 7 new hires and cross-trained several existing employees in room control policies/procedures, Star Clinical, Cerner and other various computer systems
• Responsible for implementing new room control procedures
• Handled problems and inquiries relative to admission operations
• Practiced proper safety techniques in accordance with hospital and departmental policies and procedures
• Duties of this position require exercise of courtesy and patience; dealing with patients, families, and others in order to maintain sound public relations
• Worked with customers to understand needs and provide excellent service
• Prepared variety of different written communications, reports and documents
• Developed and maintained courteous and effective working relationships
• Actively listened to customers' requests, confirming full understanding before addressing concerns
• Maintained energy and enthusiasm in fast-paced environment
• Used critical thinking to break down problems, evaluate solutions and make decisions
• Actively listened to customers, handled concerns quickly and escalated major issues to supervisor
• Worked flexible hours across night, weekend and holiday shifts
• Demonstrated respect, friendliness and willingness to help wherever needed
• Utilized appropriate CPT and ICD codes
  

Achievements

• Worked on infusion schedule nightly which helped eliminate problems that led to delays in patient care
• Improved operations through consistent hard work and dedication
• Trusted to admit patients to appropriate floors and performed role of assistant house coordinator in time of hospital emergencies

Responsibilities

• Literature search
• Data collection
• Data analysis
• Presentation

Project: Ethnic, Gender, and Physician differences in the usage of Novel Oral Anticoagulants for the Management of Atrial Fibrillation in an Outpatient Suburban US Cardiology Practice.

Achievements

• Autonomous worker committed to providing high-quality services; was able to detect suspicious data promptly to uphold research integrity while preventing scientific misconduct
• Analyzed statistical data using both modern and traditional methods
• Gathered, arranged and corrected research data to create representative graphs and charts highlighting results for presentations
• Research project was published and presented in American Heart Association and American College of Cardiology
• First abstract:

https://www.ahajournals.org/doi/abs/10.1161/circ.134.suppl_1.12091

• Second abstract:

http://www.onlinejacc.org/content/69/11_Supplement/444

Responsibilities

• Arranged efficient and accurate collection of information for orderly registration of pediatric, adult, and geriatric patients
• Collected and entered patient demographic and insurance data into computer database to establish patient's medical record
• Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks
• Performed patient scheduling and registration functions to serve as initial contact point for medical office visits
• Collected and distributed patient, insurance, billing, and collection information
• Identified insurance payment sources and listed payers in proper sequence to establish chain of payment
• Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations
• Explained estimated cost for medical treatments and answered patient questions to promote good understanding of proposed services
• Provided financial estimates and collected applicable patient financial liability
• Resolved patient financial problems with guidance from documented guidelines and procedures
• Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy
• Followed document protocols to safeguard confidentiality of patient records
• Positively affected patient’s experience
• Advised patients and families of hospital policies and procedures
• Facilitated communication between patients and various departments and staff
• Spoke with patients, families, and others to maintain sound community relations

Achievements

• Fall 2013- Present Certified Healthcare Access Associate (CHAA)