Tiffany Ward
Cincinnati,OH
Summary
Well-qualified Medical Billing Specialist proficient in Opioid treatment guidelines and billing. Demonstrated success in supporting and enhancing revenue cycle for behavioral health & substance abuse facilities. Knowledgeable about debt management, collections policies and insurance payments. Good verbal and written communication skills. Prepared to bring 9 years of related experience to a dynamic position with room for career growth.
Overview
13
13
years of professional experience
Work History
Revenue Cycle Specialist
BrightView
Cincinnati, OH
05.2022 - 01.2024
- Balanced and reconciled high dollar accounts of over 2000 claims for 10 different Insurance payers.
- Ensured accurate billing and Payment with thorough knowledge of Commercial & government Opioid Treatment Program (OTP) guidelines.
- Contacted responsible parties to correct insurance discrepancies.
- Reached out to insurance companies to verify coverage & benefits.
- Conducted due diligence on potential credentialing issue and presented findings to upper management.
- Met all productivity and collection goals including dollars collected and accounts handled.
- Successfully initiated appeals of denials of payment for service.
- Reduced payer rate of delinquent accounts.
- Monitored 3 different communication methods to resolve accounts and outstanding balances.
- Maintained patient confidentiality by following HIPAA mandates and company policy.
- Increased revenue by identifying and resolving billing errors in a timely manner.
- Collaborated with cross-functional teams to improve overall financial performance of the organization.
Data Entry Clerk
BrightView
Cincinnati, OH
04.2021 - 05.2022
- Sorted documents and maintained organized filing process.
- Entered numerical data into databases with speed and accuracy using 10-key pad.
- Organized, sorted, and checked input data against original documents.
- Completed data entry tasks with accuracy and efficiency.
- Verified accuracy of data entered into system to produce error-free reports.
- Developed data entry policies and procedures in compliance with company standards.
- Created and maintained data entry logs to track data entry activities.
- Followed established procedures to enter and process data correctly.
- Communicated with supervisors and colleagues to process data quickly and resolve discrepancies.
- Preserved customer confidence and protected operations by keeping information confidential.
- Followed data entry protocols, rules and regulations.
- Checked for accuracy by verifying data and records.
Account Specialist
TriHealth
Cincinnati, OH
05.2016 - 11.2018
- Review, process, and resolve all HCAP/Financial Assistance applications received with accuracy and within 6 weeks of receipt
- Accurately document accounts and notify applicants of dispositions of applications
- Show knowledge and understanding of HCAP/Financial Assistance rules and regulations
- Maintain working knowledge of systems to daily workflow and provide input concerning changes
- Review and process invoices, statements, vouchers and/or other check requests as well as perform other related work to patient accounts
- Expedite positive cash flow, maximize reimbursement, and reduce/eliminate financial loss to department by efficient billing, follow-up and collections of patient accounts
Access Coordinator
TriHealth
Cincinnati, OH
01.2011 - 04.2016
- Performs Scheduling or Registration functions over 10 Trihealth locations in timely and accurate manner
- Working with TH ancillary departments to coordinate care and communicate with patients and physicians/offices to obtain information necessary to schedule and/or register patients
- Provide excellent customer service and answer patient questions and resolve issues
- Collect copays, standard deposits, and deductibles
- REGISTRATION: educate patients on required legal compliance paperwork and provide financial triage
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy
- Facilitated communication between patients and various departments and staff
Education
High School Diploma -
Norwood High School
Norwood, OH05.2007
Skills
- Medical Billing & Coding
- Accounts Payable and Accounts Receivable
- Commercial & Government Guideline Knowledge
- Collecting Payments
- Insurance Verification
- Medical Terminology Knowledge
- Insurance Benefit & Payment Understanding
- Computer based work (Windows, Excel, Outlook, Microsoft)
Timeline
Revenue Cycle Specialist
BrightView
05.2022 - 01.2024
Data Entry Clerk
BrightView
04.2021 - 05.2022
Account Specialist
TriHealth
05.2016 - 11.2018
Access Coordinator
TriHealth
01.2011 - 04.2016
High School Diploma -
Norwood High School