Tiffany Gist
Edmonton,KY
Summary
Accomplished Billing Specialist offering 12 years of account billing experience. Excellent organizational and problem-solving skills to maintain billing and increase account collections.
Overview
11
11
years of professional experience
Work History
Home Medical Equipment Biller
T.j. Samson Community Hospital
Glasgow, KY
08.2023 - Current
- Process patient billing information into Brightree.
- Verify insurance claims and resolve discrepancies with payers.
- Coordinate with healthcare providers to ensure accurate coding practices.
- Bill claims daily to insurance companies using Brightree.
- Work denied claims daily in Brightree.
- Submit medical records.
- Work audits from insurance companies.
- Verify eligibility and benefits with all insurances.
- Assist in training new staff on billing procedures and software usage.
- Work with revenue cycle manager on month-end.
Medical Billing Specialist
Ely Drugs and Medical Supply
Glasgow, KY
04.2016 - 08.2023
- Experience managing the Ely Drugs billing team and working closely with my companies general manager.
- Experience in contacting insurance providers to verify insurance eligibility and obtain billing authorization for DME and Home Infusion claims.
- Experience in submitting DME and Home Infusion claims to insurance companies for payment.
- Experience in disputing denials with insurance companies.
- Experience in processing EOB's from insurances and processing accounts receivable from patients on accounts.
- Experience Inputting medical records into Brightree data management for accurate and up to date billing.
DME Biller
T&K Home Medical
Scottsville, KY
07.2014 - 04.2016
- Verified insurance eligibility for patients by calling insurances and patients.
- Obtained DME Prior Authorizations.
- Submitted claims to insurance companies and worked audits and denials.
- Processed EOB's and patient payments.
- Answered customer invoice questions and resolved issues.
Education
Associate of Applied Science - Medical Information Technology
South Central Kentucky Community And Technical Col
Bowling Green, KY12-2013
High School Diploma -
Barren County High School
Glasgow, KY05.2006
Skills
- Claims processing
- Accounts receivable expertise
- Invoicing proficiency
- Obtaining up to date medical records
- Medical billing
- Denials processing
- Audit procedures
- Month and Year end financial reporting
Timeline
Home Medical Equipment Biller
T.j. Samson Community Hospital
08.2023 - Current
Medical Billing Specialist
Ely Drugs and Medical Supply
04.2016 - 08.2023
DME Biller
T&K Home Medical
07.2014 - 04.2016
Associate of Applied Science - Medical Information Technology
South Central Kentucky Community And Technical Col
High School Diploma -
Barren County High School