Tiffany Jackson
Carnesville,GA
Summary
I am a highly motivated employee with 13 years experience in the Billing Revenue Cycle. I am looking for a long term career where I can use my experience I have already obtained but also learn new skills to take on new challenges. I am a supportive person with a positive attitude who enjoys working independently or within a team setting.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Certified Medical Coder, CPC
Atlanta Allergy and Otolaryngology
Athens, GA
10.2021 - Current
- Responsible for billing all charges for ENT practice including office visits, procedures and hospital surgeries.
- Provided customer service support via phone or email regarding account balances or other inquiries related to billing issues as well as taking patient payments over the phone.
- Communicated with healthcare personnel, including providers to promote accuracy for maximum reimbursement.
- Sending claims electronically through clearinghouse daily as well as sending paper claims weekly.
- Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment once denials were received.
- Call third party payers or use online payer portals when payment was not made within 30 days to check status and do reconsiderations/appeals when necessary to receive payment.
- electronically and manually posting payments/adjustments received from insurance companies/patients.
- Navigating hospital EMR systems to ensure all documentation needed is pulled over into our system for billing.
- reconciling AP invoices against AR claims.
- Reconciling overpayments that are on accounts from patients/third party payers.
- Obtaining prior authorizations for in office procedures that were performed.
Certified Ambulance Coder/Auditor
Emergency Billing, LLC
Maysville, GA
08.2011 - 10.2021
- Billing ambulance claims to insurance/patients.
- Compliance officer for last two years employed- ensuring all claims were "clean" before going out to insurance. Auditing employees in all departments to ensure a low rate of errors.
- Worked through full revenue cycle including helping in the patient call center when needed,collections, entering demographic information, verifying insurance eligibility, patient aging accounts, denial resolution, billing claims, posting payments, overpayment reconciliation, sending electronic claims as well as paper claims.
- Training New Hires
- prior authorizations for non-emergency ambulance transport accounts.
Education
Certification - Medical Insurance Coding
North Georgia Technical College
Clarkesville, GA12-2019
High School Diploma -
East Jackson Comprehensive High School
Commerce, CA05-2008
Skills
- ICD 10 CPT Coding
- Insurance Verification
- Billing EMR systems
- Medical Terminology and Anatomy knowledge
- Excellent Typing Skills
- Great Multi-tasking
- Self motivated
- Team player
Certification
CPC from 2021-2023 (certified physician coder)
CAC-2013-2021 (certified ambulance coder)
CACO-2019-2021 (certified ambulance compliance officer)
Timeline
Certified Medical Coder, CPC
Atlanta Allergy and Otolaryngology
10.2021 - Current
Certified Ambulance Coder/Auditor
Emergency Billing, LLC
08.2011 - 10.2021
Certification - Medical Insurance Coding
North Georgia Technical College
High School Diploma -
East Jackson Comprehensive High School
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