Tiffany David
Orange Park
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
9
9
years of professional experience
Work History
Clean Claims Specialist
Advocate Rcm
04.2023 - Current
- Work ECS rejections from our Clearinghouse and Payers.
- Research new rejections and monitor for trends.
- Proactively correct system issues that may cause ECS rejections.
- Monitor paper claims to be mailed with required attachments.
- Monitor insurance plan setup and review payer IDs.
- Manage workflow and processes for our document management system.
- Contact payers regarding rejections.
Billing Coordinator
Envision Physician Services
07.2017 - 04.2023
- Obtains an copy of current Operating Room log daily.
- Identifies and marks log /track sheets of hospital admittance, outpatient services, direct admits.
- Submits billing information, counts records to ensure reconciliation with operating room. log, and submit trauma patient billing.
- Collects previous days patient charts, sorting in date and time order.
- Reconciles missing or suspended list with required lag time.
- Collects critical care charges of procedures, such as procedures performed in ICU/hospital and obtains/pulls charts, demographic, and insurance information.
- Maintains copy of billing information. Identified, researched and resolved billing variances to maintain system accuracy and currency
Receptionist
Coast Dental
03.2015 - 04.2017
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Confirmed appointments, communicated with clients, and updated client records.
- Answered phone promptly and directed incoming calls to correct offices.
- Kept reception area clean and neat to give visitors positive first impression.
- Resolved customer problems and complaints.
- Handled cash transactions and maintained sales and payments records accurately.
- Submitted prior authorization for dental procedures.
- Submitted Dental claims.
- Processed Insurance payments.
Education
Highschool Diploma -
Bronx School of Law and Finance
Bronx, NY06.2008
Skills
- Microsoft Office HIPPA and OSHA trained
- Claims Investigation
- Critical Thinking
- Customer Service
- Insurance Coverage Verification
- Data Entry
- Prior Authorization
- EMR: Cerner,Epic,Meditech,Athena
Timeline
Clean Claims Specialist
Advocate Rcm
04.2023 - Current
Billing Coordinator
Envision Physician Services
07.2017 - 04.2023
Receptionist
Coast Dental
03.2015 - 04.2017
Highschool Diploma -
Bronx School of Law and Finance
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