Tiffany Williams
Medical Billing Specialist
Hampton,GA
Summary
Competent Medical Billing Specialist with 7 years of experience in variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices.
Overview
6
6
years of professional experience
2
2
years of post-secondary education
Work History
Medical Billing Clerk/Front Office
United Physicians Group
McDonough, Ga.
08.2020 - 07.2022
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Updated patient financial information to guarantee accuracy.
- Trained new employees on multiple medical billing programs and data entry software.
- Filed and updated patient information and medical records.
- Adhered to established standards to safeguard patients' health information.
- Managed billing calendar and scheduled claims for payments.
- Delivered timely and accurate charge submissions.
- Collected payments and applied to patient accounts.
Billing Specialist
Atlanta Eye Consultants
College Park, Ga.
01.2017 - 08.2020
- Generated and submitted invoices based upon established accounts receivable schedules and terms.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Balance payment batches against daily deposits.
- Determine denial codes used for each transaction that will determine a patient's balance and possible balance due statement to be processed.
Billing Clerk/Front Office Coordinator
Clayton Eye Center
Morrow, Ga.
03.2016 - 12.2016
- Completed Billing for two Optometrists and ensured timely billing and payment from insurance companies'.
- Handled self pay, deductibles, and co-pays via cash, credit, or charge and accurately applied to patient accounts.
- Posted and adjusted payments from insurance companies.
- Precisely evaluated and verified benefits and eligibility.
- Determined prior authorizations for medication and outpatient procedures.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Checked in patients, entered demographic, insurance and health info. Scheduled surgery, and Post Op follow ups.
- Knowledge of Insurance Payers and payment posting guidelines as well as knowledge of COB requirements and processes.
Education
Associate of Applied Science - Medical Billing And Coding
Anthem College
Atlanta, GA 04.2013 - 03.2015
Skills
Medical terminology & coding knowledge
Payment posting & Claim entry
Time Management
Various Practice Mgt Software
Critical thinking
First Aid/HIPAA Compliance
Working Knowledge of ICD 10, CPT 4
Problem Solving
Nextgen, Clearwave, Medisoft EHR/EMR
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Medical Billing Clerk/Front Office
United Physicians Group
08.2020 - 07.2022
Billing Specialist
Atlanta Eye Consultants
01.2017 - 08.2020
Billing Clerk/Front Office Coordinator
Clayton Eye Center
03.2016 - 12.2016
Associate of Applied Science - Medical Billing And Coding
Anthem College
04.2013 - 03.2015