Tiffany Nance
O'Fallon,MO
Summary
Experienced Application Coordinator with over 20 years of experience in Professional Medical Billing. Excellent reputation for resolving problems and improving processes with automated Claim Presentation.
Overview
13
13
years of professional experience
Work History
Application Coordinator Professional Billing Epic
Mercy
St Louis, MO
02.2012 - Current
- Lead contact for concerns regarding applications used for billing of Profession Claims across 6 states.
- Liaison for Revenue Cycle leaders according to their needs, inquiries and problems within Epic Professional Billing application.
- Identification and resolution of gaps within Coding, Charging and Claim presentation processes, to ensure claims are compliant with insurance, federal and state regulations
- Gatekeeper of reported issues, concerns, payer updates, projects, and enhancement request for PB Epic Charge Review, Claim edits, and Claim presentation.
- Research requested updates to ensure they are compliant with Insurance, federal, and state guidelines.
- Gatekeeper for Clearinghouse vendor issues, concerns, payer updates, and incorrect edits.
- Source of knowledge on Claim Presentation guidelines for Professional, RHC, Pharmacy, and Telemedicine 837P and 837I electronic claims.
- Audit claim presentation within Clearing house application to meet validation goals.
- Implement weekly and monthly meetings with PB Revenue Cycle leaders to advise on modifications made within Epic.
- Mentor Billing Analyst team on identifying system generated edits and upfront rejection trends.
- Test claim presentation for all new implementations.
- Assisted End Users with trouble shooting charge entry issues within Epic.
Medical Billing Analyst
Mercy
St Louis, MO
06.2009 - 02.2012
- Provided various applicable month end reporting data for all physician office locations by community across 6 states,
- Provided requested Add Hoc reports upon request.
- Mentor new analyst on medical billing system and data entry software.
- Knowledge of EDI Billing and versed in claim processing procedures.
- Established KPI monthly reports
Education
No Degree - General Studies
University of Central Missouri
Warrensburg, MOHigh School Diploma -
Hazelwood Central High School
Florissant, MO06.1992
Skills
- Clinical Applications
- Application Maintenance
- EPIC EMR
- Epic Software
- Application Support
- Coordinating Applications
- Application Analysis
- Workflow implementations
- Data Reports
- Status Updates
- Application Test Management
Timeline
Application Coordinator Professional Billing Epic
Mercy
02.2012 - Current
Medical Billing Analyst
Mercy
06.2009 - 02.2012
No Degree - General Studies
University of Central Missouri
High School Diploma -
Hazelwood Central High School