Tiffany Hardnette
Forest Park,GA
Summary
Seasoned A/R Billing Specialist with demonstrated history in accounts receivable and billing procedures. Skilled in managing client accounts, ensuring accuracy of invoicing, resolving complex billing issues and maintaining up-to-date account records. Known for improving operational efficiency, implementing effective financial policies and promoting customer satisfaction through timely resolution of disputes and inquiries. Strengths include strong analytical abilities, keen attention to detail and solid understanding of accounting principles.
Overview
16
16
years of professional experience
Work History
A/R Billing Specialist
Southwest Atlanta Nephrology
Atlanta, GA
10.2019 - 08.2024
- Accurate and Timely collections of Medicare & Medicaid
- Identify ongoing payer issues
- Follow-up with Third Party Insurance Carriers
- Process all correspondence and EOBS from Third Party Insurances
- Monitor claims for incorrect coding, missing information, etc
- Monthly ESRD billing, professional and facility billing
- BPM/RPM Billing (Blood Pressure Management)
- Chronic Care Billing
- Assist patients with billing inquiries
- Appeals, Denials and Collections
- Analyzed trends in accounts receivable activity to identify areas for improvement.
- Investigated customer inquiries regarding billing issues.
- Researched and responded to customer complaints regarding billing disputes.
- Processed incoming payments, reconciled account balances, and resolved discrepancies.
- Worked with team members to identify and develop process improvements.
- Checked postings and documents for correctness, accuracy and proper coding.
A/R Hospitalist Manager
Independent Physicians Resources
Atlanta, GA
11.2012 - 10.2019
- Accurate and Timely collections of Medical Accounts Receivables
- Ensured accurate and timely collections of Medicare and Medicaid payments.
- Identify ongoing payer issues
- Follow-up with Third Party Insurance Carriers Insurances
- Monitor claims for incorrect coding, missing information, etc
- Secure needed documentation required for claims
- Assist patients with billing inquiries
Medical Billing Specialist
S. Rao Cheti M.D.
Stockbridge, GA
06.2008 - 11.2012
- Verified accuracy of information and resolved discrepancies with vendors before entering invoices for payment.
- Enforced compliance with organizational policies and federal requirements regarding confidentiality.
- Submitted claims to insurance companies.
- Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
- Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
- Maintained detailed records of all billing activities including denials, adjustments, and payments received.
- Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
- Processed credit card payments from patients in accordance with office policy.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Answered customer questions to maintain high satisfaction levels.
- Reviewed and verified benefits and eligibility with speed and precision.
- Completed and submitted appeals for denied claims.
- Handled billing, waivers and claims for private and commercial clients.
Education
Billing and Coding Degree - Medical Office Expert
MedTech Training Center
Atlanta, GA06-2008
Skills
- Medicare & Medicaid - TRICARE
- Managed Care (HMO, PPO, and P)
- Proprietary Software Insurance Billing
- ICD-10-CM - Medical Terminology
- Typing/Filing Documents
- 10-key skills
- HIPAA compliance
- Collections management
- Verbal communication
- Denial management
- Insurance verification
- Appeals processing
- Medical billing expertise
- Cash application
- Claim submission
- Patient account analysis
- Payment posting
- Statement processing
- Patient account management
- Insurance claim processing
- Accounts receivable expertise
- Billing systems and software
Timeline
A/R Billing Specialist
Southwest Atlanta Nephrology
10.2019 - 08.2024
A/R Hospitalist Manager
Independent Physicians Resources
11.2012 - 10.2019
Medical Billing Specialist
S. Rao Cheti M.D.
06.2008 - 11.2012
Billing and Coding Degree - Medical Office Expert
MedTech Training Center
Similar Profiles
Karen HenningtonKaren Hennington
Advanced Practice Registered Nurse at Southwest Georgia NephrologyAdvanced Practice Registered Nurse at Southwest Georgia Nephrology
Aira BuencaminoAira Buencamino
Credentialing Specialist at Southwest Nephrology AssociatesCredentialing Specialist at Southwest Nephrology Associates
Ashley PickardAshley Pickard
Phlebotomist at Nephrology Associates of SyracusePhlebotomist at Nephrology Associates of Syracuse